Paramedic PapersHome Daily scans 28 October 2026
Daily scan
Paramedic research, 28 October 2026
A quieter clinical day: a Thai pilot found prehospital transport mechanical ventilation during CPR feasible with physiology comparable to bag-valve, and longer on-scene intervals were linked to higher 24-hour mortality in ALS responses.
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Transport ventilation during CPR feasible in pilot
A Thai exploratory pilot compared transport mechanical ventilation (HAMILTON-T1, volume-controlled) with bag-valve ventilation during CPR in adult OHCA and found no significant differences in PCO2, pH, pO2, sustained ROSC or 28-day survival, with mechanical ventilation operationally feasible.
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Longer on-scene intervals linked to 24-hour mortality
A Thai retrospective cohort of Code Red ALS activations found on-scene intervals of 21-25 minutes were associated with higher odds of 24-hour mortality compared with 5 minutes or less (adjusted OR 5.61), and intervals of 20 minutes or longer came with 321.7 fewer expected survival minutes.
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Tele-paramedics matched physicians in MCI drill
In a German mass-casualty simulation, tele-consult support delivered by experienced paramedics performed similarly to tele-physician support and on-site physician care on indicated treatments addressed (51% vs 56-57%) and analgesia provision (~60%), both far ahead of EMT-only care (8% and 7%).
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What drives lay community first responders in Denmark
An interpretive phenomenological study of ten Danish lay community first responders — part of a 60,000-volunteer national system, about 70% without healthcare backgrounds — identified four themes: a sense of duty, acting under uncertainty as a civilian-turned-responder, navigating relational roles with crews, and carrying personal identity into crisis.
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Paramedic training problems vary by placement setting
A Turkish phenomenological study of fifteen paramedic participants found problems in paramedic training and service delivery varied by setting — station issues were linked to the system itself while emergency department problems were tied to patients and staff attitudes — with large student numbers negatively affecting both education and service delivery.
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Physician burnout dimension linked to self-rated health
A Serbian cross-sectional study of 151 prehospital emergency physicians using the Maslach Burnout Inventory found higher emotional exhaustion was associated with less favourable self-rated health (OR per 10-point increase 1.31, 95% CI 1.04-1.64), with depersonalisation and reduced personal accomplishment showing no clear adjusted associations.