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Paramedic research, 6 November 2026

9 new paramedic and prehospital papers from the 6 November 2026 scan.

Listen to the 6 November 2026 podcast episode

• 2026 ILCOR resuscitation consensus published

  Resuscitation · Guideline / statement · Context only

  The 2026 ILCOR Consensus on Science with Treatment Recommendations — the international evidence review underpinning resuscitation guidelines worldwide, spanning basic, advanced, paediatric and neonatal life support, education and first aid — has been published; abstract not yet available.

• Layperson naloxone linked to fewer EMS interventions

  Drug and Alcohol Dependence · Cross-sectional · Supports current practice

  In a US cross-sectional study of 26,087 EMS activations for opioid overdose, layperson-administered naloxone (30.7% of cases) was associated with less subsequent EMS naloxone (24.4% vs 34.8%) and lower odds of transport (aOR 0.78).

• Physiology-based traumatic shock pathway rolled out

  Emergency Medicine Australasia · Other · Context only

  An Australian Level 1 trauma centre implemented a physiology-based traumatic shock pathway (SBP ≤ 90 mmHg, shock index > 1, prehospital blood or senior clinician concern) and post-implementation staff surveys rated the equipment, interventions and roles highly, though clinical effectiveness wasn't assessed.

• Long-term life after ECPR for cardiac arrest

  Resuscitation Plus · Cohort · Context only

  An Italian tertiary centre followed refractory OHCA survivors treated with ECPR (63 of 406 discharged alive) and their caregivers, finding long-term survival largely confined to good neurological recovery but preserved quality of life, with cognitive impairment and sleep problems common and anxiety more frequent in caregivers.

• First consensus on TBI in first responders

  The Journal of Head Trauma Rehabilitation · Guideline / statement · Context only

  A 52-member international group used a modified Delphi process to produce the first consensus recommendations on traumatic brain injury in first responders — 28 statements covering injury reporting, assessment, return to duty, mental health and workplace policy, all reaching consensus.

• Stroke triage app adopted but not embedded

  Journal of Medical Internet Research · Cross-sectional · Context only

  A Dutch mixed-methods evaluation of the Stroke Triage App across two EMS regions found good initial adoption (median 120 app triages/month) but inconsistent routine integration, with workflow fit and limited perceived added value the main barriers.

• FAST feasible in a moving ambulance (manikin)

  Prehospital and Disaster Medicine · Simulation · Context only

  Twenty Japanese Emergency Life-Saving Technicians performed FAST on a manikin in a moving ambulance with near-identical checklist scores stationary, at 15 km/h and 30 km/h, with transmitted image quality adequate for remote physician review.

• Hoisted paramedic beat antenna in avalanche search

  Prehospital and Disaster Medicine · RCT · Context only

  In a Norwegian randomised field trial with a live search-and-rescue helicopter crew, hoisting a rescue paramedic with a handheld transceiver found buried avalanche transceivers 143 seconds faster on average than an underslung antenna search across 25 runs.

• Low-cost 3D-printed skin tear trainer for paramedics

  Cureus · Simulation · Context only

  A Canadian team 3D-printed a skin tear management task trainer for paramedic education costing about CAD 35 in materials, and learners rated 14 trainers highly for realism and educational value.