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Paramedic research, 18 September 2026
3 new paramedic and prehospital papers from the 18 September 2026 scan.
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CPR-induced consciousness rising in OHCA
Ambulance Victoria registry study of 43,402 adult OHCA cases (2008–2024) identifying CPR-induced consciousness — 1,438 patients (3.3%), with annual incidence rising (IRR 1.083, 95% CI 1.07–1.10) across all arrest rhythms, and CPRIC associated with improved survival to hospital discharge.
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Anonymous video deletion biased newborn RCT
Norwegian analysis of the NeoBeat RCT testing whether anonymous staff deletion of resuscitation videos introduced selection bias — after the anonymous opt-out, enrolled newborns had significantly higher Apgar scores, shorter ventilation and fewer admissions, and the trial was terminated halfway without power to conclude on its outcomes.
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Low analgesia rates in sickle cell EMS pain
US nationwide cross-section of 10,023 9-1-1 ALS encounters for sickle cell disease complications in 2023 — pain scores documented in 73% but only 13.5% received any analgesia (11.7% opioids), and among patients scoring ≥7/10, contact times ≥20 min were associated with roughly five-fold more IV access and ten-fold more analgesia/opioid administration.