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Daily scan
Paramedic research, 20 October 2026
9 new paramedic and prehospital papers from the 20 October 2026 scan.
Listen to the 20 October 2026 podcast episode
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Predicting outcomes in PEA cardiac arrest
A nationwide Japanese registry study of 442,630 adults with PEA out-of-hospital cardiac arrest found witnessed arrest and shorter response times predicted good neurological outcome at the scene, prehospital ROSC was the strongest predictor at hospital arrival (RR 23.31), and conversion to a shockable rhythm helped only in cardiac PEA while apparently harming non-cardiac PEA.
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Drone AI for mass-casualty triage
A research team built and pilot-tested a drone-integrated AI system that measures heart rate, respiratory rate, oxygen saturation and temperature from drone-captured video and thermal imaging, assigns triage categories, and streams casualty data to dispatch — feasible under controlled indoor conditions.
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Australian alcohol harms keep rising
An Australian synthesis of national data from 2010 to 2023 found survey and wastewater measures of alcohol consumption generally declined while most alcohol-related harms — including ambulance attendances — increased substantially, questioning the validity of population surveys.
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Interprofessional simulation shapes student identity
An Australian exploratory qualitative study of undergraduate paramedic, nursing and medical students found an interprofessional simulation event challenged assumptions about professional hierarchy and role identity, prompting students to reconsider advocacy, handover and assertive communication.
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Race, Gender, and Survival: a Scoping Review of Disparities in ICU Post-Resuscitation Care and Neurological Outcomes Following Out-of-Hospital Cardiac Arrest
Scoping review of 15 studies found Black women in the US received less bystander CPR, slower emergency response, less ICU intervention and more early DNR/withdrawal decisions after OHCA, with the disparities compounding across the chain of survival.
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Establishing a regional prehospital whole blood program in a border community: the Trauma Regional Advisory Council-V initiative in the Rio Grande Valley of Texas
Implementation report describing how four Texas border counties built a regional prehospital whole blood program across eight domains — governance, MOUs, rotation systems, provider credentialing and grant-funded equipment for rural agencies.
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EMS response time and patient outcomes in high-acuity emergency responses: a Danish matched cohort study
Danish matched cohort of 171,708 highest-priority (A-level) responses in Region Zealand tested whether EMS response times affect outcomes — mortality did not rise with longer response times, and the longest-quartile group had lower 30-day (OR 0.87) and 2-day (OR 0.82) mortality than the shortest quartiles.
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Challenges of turning prehospital prediction of trauma-induced coagulopathy into early administration of tranexamic acid
Editorial using a prehospital machine-learning risk model for trauma-induced coagulopathy found medium- and higher-risk patients still frequently miss tranexamic acid within the 1-hour window, arguing better risk stratification should close the evidence-to-practice gap.
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Emergency Department Operational Measures Associated with EMS Redirection Activation and Duration
Single-centre New York study over 392 days found EMS ambulance redirection activated on 63.8% of days, with ED visit volume associated with activation and door-to-room time associated with both activation and cumulative duration — but boarding and admissions were not.