Paramedic PapersHome Daily scans 30 October 2026
Daily scan
Paramedic research, 30 October 2026
A prospective UK national evaluation of resuscitative thoracotomy found no survivors beyond 10 minutes of traumatic cardiac arrest, and a Korean machine-learning model predicted good neurological recovery after OHCA (AUROC 0.93) using variables available before intensive care.
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Resuscitative thoracotomy: no survivors past 10 minutes
A prospective 12-month UK national service evaluation across 20 HEMS and 26 major trauma centres studied 116 resuscitative thoracotomies (82 prehospital) and found 43.1% achieved ROSC but only 6.9% survived to discharge, with no survivors beyond 10 minutes of traumatic cardiac arrest.
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Ultrasound tube confirmation: thin evidence on the road
A scoping review of 51 studies on point-of-care ultrasound for confirming endotracheal tube placement in prehospital and critical care transport found only one primary study of diagnostic accuracy in actual out-of-hospital patients and none measuring patient-oriented outcomes.
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Machine learning predicts good recovery after OHCA
A South Korean multicentre prospective registry study developed a machine-learning model for comatose OHCA survivors that predicted good 6-month neurological recovery before targeted temperature management with AUROC 0.929, outperforming conventional scores like CAHP.
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Teen drinking falls, alcohol ambulance call-outs don't
An Australian study of the National Ambulance Surveillance System tracked 25,928 adolescent alcohol-intoxication ambulance attendances in Victoria from 2012 to 2023 and found rates stayed largely flat despite falling teen drinking, with a small decline only among males in major cities.
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AED coverage depends on how responders travel
A Chinese spatial optimisation study of 17,842 OHCA dispatch records in Wuhan modelled AED coverage under different responder travel modes and found demand-weighted coverage ranged from 85% (driving) to 32% (walking), with universal walking coverage needing 521 extra AEDs versus 68 by car.