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Daily scan
Paramedic research, 10 November 2026
6 new paramedic and prehospital papers from the 10 November 2026 scan.
Listen to the 10 November 2026 podcast episode
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Prehospital ECPR linked to doubled arrest survival
A nationwide Dutch study compared HEMS with prehospital ECPR against conventional HEMS in adults 50 or younger with refractory out-of-hospital cardiac arrest and found 40% survival to discharge with ECPR versus 20% without, with better neurological outcomes at 6 months.
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Big community arrest programme didn't change survival
A cluster-randomised trial across 55 North Carolina county clusters (22,459 patients with out-of-hospital cardiac arrest) found a multifaceted community and EMS programme did not improve survival with good neurological outcome (9.0% vs 9.4%).
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Intubation linked to more ROSC in OHCA registry
A Chinese regional EMS registry cohort of 6,162 adult non-traumatic out-of-hospital cardiac arrest patients found prehospital endotracheal intubation associated with more prehospital ROSC than basic airways (21.1% vs 3.8%, propensity-matched OR 6.33).
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Whole blood vs components: mixed mortality, lower transfusion needs
A PRISMA systematic review of 22 comparative studies (about 95,000 patients) on whole blood versus component therapy for trauma resuscitation found mixed mortality results — survival signals in hypotensive, penetrating and geriatric subgroups but not everywhere — with consistently lower transfusion requirements and comparable or better safety with whole blood.
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Heat alerts eased heat-dispatch risk but demand still grew
A Japanese multi-prefecture time-series analysis of 577,027 heat-related ambulance dispatches (2015–2023) found the association between wet-bulb globe temperature and dispatches attenuated by 44% after the pandemic and national heatstroke alerts, yet absolute heat-attributable demand still grew 18%.
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EMS students report obs/gyn training gaps
An Iranian qualitative study of 14 EMS students and recent graduates identified six categories of educational challenge in obstetric and gynaecologic emergencies, centred on a disconnect between educational preparation and real-world demands, with calls for more simulation, clinical exposure and gender-sensitive communication training.