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Daily scan
Paramedic research, 15 October 2026
9 new paramedic and prehospital papers from the 15 October 2026 scan.
Listen to the 15 October 2026 podcast episode
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NAEMSP guidance: older adults after low-acuity falls
NAEMSP position statement and resource document on assessing and managing older adults after perceived low-acuity falls and 'lift assist' calls; abstract not yet available, so the specific recommendations can't yet be checked.
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Dispatcher CPR and survival in shockable OHCA
Nationwide Hungarian cohort of 3,674 shockable OHCAs found dispatcher-assisted CPR ongoing at ambulance arrival was associated with far better outcomes than crew-initiated CPR — 30-day survival 54.6% vs 7.1% and one-year survival 45.8% vs 6.2%.
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EMS sepsis suspicion speeds up ED antibiotics
Single-centre Austrian cohort of 134 ED sepsis admissions found EMS documentation of sepsis suspicion was linked to antibiotics within 1 hour in 63.3% vs 19.2% of patients (aOR 5.77) and a median time-to-antibiotics of 32 vs 124.5 minutes.
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Cardiogenic shock: prehospital recognition and routing
Best-practice review of cardiogenic shock systems of care covering prehospital and ED evaluation argues early identification and direct routing to shock centres prevents irreversible organ damage, while conceding prehospital identification remains difficult.
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Nurse teleassistance and AI in prehospital triage
Scoping review (5 eligible studies from 1,214 records) of nurse-led teleassistance and AI in prehospital triage found video teleassistance was associated with fewer inappropriate ED transfers, while AI-supported triage evidence remains thin.
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Mass-gathering EMS and hospital surge planning
Structured narrative review of EMS and hospital surge integration for mass gatherings found median presentation rates around 6.2 per 1,000 attendees and transport rates of 0.35 per 1,000, but hospital effects too heterogeneous for firm conclusions.
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First responders at suicide scenes: training gaps
Mixed-methods study of 1,587 Irish first responders found positive attitudes towards suicide prevention but lower suicide literacy, postvention knowledge and preparedness, with prior training only weakly improving scores and focus groups describing a heavy emotional toll.
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AR training keeps teen AED skills fresh
Quasi-experimental study of 193 secondary students found all three AED teaching methods produced safe, effective shocks initially, but the augmented-reality group retained a 100% effective shock rate at 3 months while the traditionally trained group declined significantly.
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Situational judgement tests in paramedic hiring
National survey of 21 Canadian paramedic services found situational judgement tests and multiple mini-interviews are rarely used in frontline paramedic hiring, mostly by smaller services despite the tools being designed for mass testing.