Paramedic research, 2 October 2026

3 new paramedic and prehospital papers from the 2 October 2026 scan.

Early adrenaline + early airway in OHCA

The Journal of Emergency Medicine · Registry · Hypothesis-generating

Korean nationwide registry cohort of 20,662 OHCA patients testing whether early adrenaline (≤10 min) combined with early advanced airway management (≤6 min) improves outcomes — the combination roughly doubled odds of good neurological recovery (aOR 2.44) and survival to discharge (aOR 2.18) versus late/late, and early adrenaline with late airway showed no benefit, but the interaction attenuated in sensitivity analyses addressing resuscitation time bias, so it is hypothesis-generating rather than confirmatory.
Language barriers change trauma assessment

Journal of Surgical Research · Cross-sectional · Context only

US retrospective analysis of 1,220,982 EMS-attended blunt trauma activations examining whether patient-provider language barriers change prehospital care — the 2% with documented language barriers were more often treated and transported (80.3% vs 75.1%) yet less likely to have pain scores documented (60.6% vs 63.6%), with slightly more GCS 3–8 presentations, showing assessment and documentation patterns shift when clinician and patient can't share a language.
NAEMSP statement on EMS mental health

Prehospital Emergency Care · Guideline / statement · Context only

NAEMSP position statement and resource document on supporting mental health in EMS clinicians (abstract not yet available, ahead-of-print).