Paramedic PapersHome Daily scans 1 November 2026
Daily scan
Paramedic research, 1 November 2026
A quiet day led by a Japanese registry finding that over a third of nursing-home arrests present with an initial shockable rhythm (vs 7% at home) — likely reflecting earlier AED access — plus qualitative work on the toll bystander CPR takes.
Listen to the 1 November 2026 podcast episode
-
Nursing-home arrests more often shockable, linked to early AED
A Japanese population-based registry of 2,478 medical-origin OHCA cases found an initial shockable rhythm in 36.3% of nursing-home arrests versus 7.1% at home (adjusted OR 12.35), with 97% of shockable nursing-home patients receiving an AED shock but only 0.8% surviving with good neurological outcome.
-
Bystanders describe heavy emotional toll of doing CPR
A Scottish qualitative study of 11 bystanders who performed CPR in an OHCA found a substantial emotional impact — worst when the patient died or was known to them — with themes of being compelled to help but unprepared, and identified better emotional preparation in CPR training and access to a knowledgeable independent person as ways to reduce it.
-
NZ paramedics breached patient rights more often than nurses
A New Zealand descriptive analysis of Health and Disability Commissioner decisions from 2014–2024 found nine paramedic and 100 nurse Code of Rights breaches, but per 1,000 practitioners paramedics were three times more likely to breach than nurses and at higher severity, with Right 4 (appropriate standard of care) most common in both professions.
-
Drone triage feasible but unproven in real MCIs
A scoping review of 20 studies on UAV-assisted remote triage in mass-casualty and prehospital care found technical feasibility of remote vital-sign acquisition is demonstrated, but only one randomised comparison reached effectiveness — UAV-assisted triage took about 3.5 minutes longer with identical accuracy — and no study validated remote triage in real-world responses.
-
Ambulance CTG streamed to hospital during maternal transfer
A Japanese feasibility study transferred 68 pregnant women from nine primary obstetric clinics to a university hospital with real-time remote CTG monitoring from an ambulance, achieving legible fetal heart-rate traces in all transfers (median 91.1% legible recording time) with no sessions lost to connectivity issues over median transport of 34.5 minutes.
-
Lab work targets haemolysis in stored whole blood
A US-led laboratory study in hamsters found that haemolysis in stored whole blood correlated with worse microvascular flow and more organ injury after shock resuscitation, and pre-treating the blood with an experimental scavenger protein cocktail binding haemoglobin, heme and iron mitigated capillary collapse and tissue injury in moderate- and high-haemolysis blood.