Home › Daily scans › 11 October 2026

Daily scan

Paramedic research, 11 October 2026

6 new paramedic and prehospital papers from the 11 October 2026 scan.

Listen to the 11 October 2026 podcast episode

• Prehospital TXA helps fibrinolytic shutdown

  The Journal of Trauma and Acute Care Surgery · Other · Hypothesis-generating

  Pooled analysis of two prospective prehospital TXA trials found fibrinolytic shutdown carried 14.5% 30-day mortality versus 6.5% with physiological fibrinolysis, and shutdown patients randomised to TXA had about a third the risk of death.

• Opioid OHCA outcomes similar to other arrests

  Resuscitation · Registry · Context only

  Analysis of 10,786 EMS-treated OHCAs in a Canadian registry found opioid-associated arrests had similar outcomes to undifferentiated arrests (OR 1.02), but Utstein variables like initial rhythm and witnessed status predicted outcome differently in the opioid group.

• Three post-ROSC lab phenotypes predict outcome

  Resuscitation · Registry · Hypothesis-generating

  Latent class analysis of 14 laboratory values drawn within six hours of ROSC in 1,514 resuscitated OHCA patients identified three phenotypes, with the multi-organ dysfunction group at roughly double the odds of poor neurological recovery compared with the others.

• Prehospital variables can't pick pelvic binder benefit

  The American Surgeon · Cross-sectional · Context only

  Blinded imaging review of 298 CT-confirmed pelvic ring injuries found binder application would be potentially mechanically unfavourable in 56% of cases, and no prehospital variable (hypotension, shock index, mechanism, GCS) discriminated favourable morphology well.

• Italian HEMS trauma mortality predictors

  European Journal of Trauma and Emergency Surgery · Cohort · Context only

  Six-year Italian HEMS cohort of 3,152 transported trauma patients found 3.4% in-hospital mortality, independently predicted by older age, lower Revised Trauma Score, intubation and prehospital CPR — the last two acting mainly as severity markers.

• Growth and distress coexist in volunteer responders

  International Journal of Psychology · Cross-sectional · Context only

  A mixed-methods study of 123 Israeli volunteer first responders after the October 7 attacks found posttraumatic growth was positively associated with meaning in life, optimism and spiritual well-being, and inversely associated with PTSD symptom severity.