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Lessons in excellence from contrasting EMS worlds: global perspectives | Journal of Paramedic Practice Can't sign in? Forgot your password?

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Student post-traumatic stress after clinical placement | Journal of Paramedic Practice Paramedic students often witness traumatic events during clinical rotations, placing them at risk for post-traumatic stress symptoms. This qualitative study explored the impact of critical incident ex...

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Transfer of a simulated practice learning framework from nursing to paramedicine | Journal of Paramedic Practice Paramedic education faces challenges in preparing students for the complex and nuanced realities of clinical practice. Simulated practice learning (SPL), an innovative approach used in nursing education, is proposed as an adaptable option that can be ...

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Immersive simulation in healthcare education: a systematic review | Journal of Paramedic Practice Background: Fully immersive simulation environments can be created using 360° projectors to project images or videos onto the walls of a room or ‘cave’; they are a novel way to scaffold learning and i...

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Thulin VI, et al Modifiers of the effectiveness of pointofcare troponin testing and determinants of concordance between diagnostic pathway recommendations and disposition in patients with chest pain: a post hoc analysis of a randomised controlled trial EMJ Published 2026 10.1136/emermed-2025-215527

From triage to transformation: tackling inequalities in emergency care through a public health lens Emergency departments (EDs) and NHS ambulance services often serve as the first and only point of contact with healthcare for individuals from deprived communities, marginalised populations and other ...

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Prehospital management of acute behavioural disturbance: managing severe agitation in the prehospital setting – a systematic literature review Objectives Acute behavioural disturbance (ABD), formally known as excited delirium, is an under-recognised clinical picture often characterised by abnormal physiology and extreme agitation. The condit...

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LiVE-STROKE: Live video from bystander to the medical dispatcher in potential stroke cases - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Background Identification of stroke during an emergency call remains challenging. We aimed to explore performed stroke examination with prehospital live video transmission during an emergency call fro...

Rischel, E., Iversen, H.K., Christensen, H. et al. LiVE-STROKE: Live video from bystander to the medical dispatcher in potential stroke cases. Scand J Trauma Resusc Emerg Med (2026). doi.org/10.1186/s130...

Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit - Scandinavian Journal of... Background Early identification and correct triage of stroke in the prehospital setting are essential for timely treatment and improved outcomes. In Region Zealand, Denmark, ambulance personnel are in...

Drejøe, A.M.B., Glerup, M., Wienecke, T. et al. Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit. Scand J Trauma Resusc Emerg Med (2026). doi.org/10.1186/s130...

Improving prehospital and emergency care for patients with mental dysregulation: a comprehensive research agenda - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Objective To develop a research agenda on mental dysregulation in emergency care settings, that is informed and prioritized by patients' lived experiences, professional expertise from multiple emergen...

Galenkamp, N., van de Glind, G., Schut, B. et al. Improving prehospital and emergency care for patients with mental dysregulation: a comprehensive research agenda. Scand J Trauma Resusc Emerg Med (2026). doi.org/10.1186/s130...

Emergency care for avalanche buried patients - a narrative review - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Avalanches claim the lives of around 160 winter recreationists and workers in hazardous snow-covered mountain regions worldwide. These fatalities result from asphyxia, trauma, and hypothermia. Surviva...

Strapazzon, G., Thomassen, O., Van Tilburg, C. et al. Emergency care for avalanche buried patients - a narrative review. Scand J Trauma Resusc Emerg Med (2026). doi.org/10.1186/s130...

Prehospital diagnosis and management of supraventricular tachycardia – a scoping review - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Background Supraventricular tachycardias (SVTs) are tachyarrhythmias that may result in haemodynamic instability and require prompt recognition and management in the prehospital setting. Current guide...

Gamberini, L., Moro, F., Dallari, C. et al. Prehospital diagnosis and management of supraventricular tachycardia – a scoping review. Scand J Trauma Resusc Emerg Med (2026). doi.org/10.1186/s130...

Pain management of adults in the prehospital setting: a scoping review - BMC Emergency Medicine BMC Emergency Medicine - The most effective treatment for pain in prehospital adults remains uncertain. This scoping review aimed to descriptively synthesize the evidence and identify research gaps...

Burgert, J.M., Vadas, D., Heneghan, C.J. et al. Pain management of adults in the prehospital setting: a scoping review. BMC Emerg Med (2026). doi.org/10.1186/s128...

Patterns and determinants of medication use by paramedics in German prehospital emergency care: a six-year multicenter analysis - BMC Emergency Medicine BMC Emergency Medicine - Medication administration is a fundamental component of paramedic-provided prehospital emergency care within a physician-based EMS-System. In Germany, the Emergency...

Hohenstein, C., Nix, S.W. Patterns and determinants of medication use by paramedics in German prehospital emergency care: a six-year multicenter analysis. BMC Emerg Med 26, 62 (2026). doi.org/10.1186/s128...

Does a physician’s base specialty influence on‑scene efficiency? A four‑year analysis of 11,315 missions from five Austrian physician‑staffed HEMS bases - BMC Emergency Medicine BMC Emergency Medicine - Physician-staffed helicopter emergency medical services (HEMS) in Austria operate under a uniform, high-accreditation framework: all physicians complete the same advanced...

Staribacher, D., Feigl, G.C. & Kuzmin, D. Does a physician’s base specialty influence on‑scene efficiency? A four‑year analysis of 11,315 missions from five Austrian physician‑staffed HEMS bases. BMC Emerg Med (2026). doi.org/10.1186/s128...

Striving to make the right decision when seeking emergency care: patients’ stories of navigating support alternatives in a digital society, a qualitative study - BMC Emergency Medicine BMC Emergency Medicine - Healthcare systems struggle with an imbalance between the required resources and existing demand. The number of patients seeking emergency care has increased steadily,...

Axelsson, A., Goienetxea Uriarte, A., van Laere, J. et al. Striving to make the right decision when seeking emergency care: patients’ stories of navigating support alternatives in a digital society, a qualitative study. BMC Emerg Med (2026). doi.org/10.1186/s128...

Decision to initiate transport to either Stroke Unit or local emergency department for patients with suspected stroke – a cohort study - BMC Emergency Medicine BMC Emergency Medicine - Timely access to specialized stroke treatment is critical for patient outcomes onset of stroke. In Region Zealand, Denmark, stroke care is centralized to a single Stroke...

Plambech, M.Z., Blomberg, S.N., Wienecke, T. et al. Decision to initiate transport to either Stroke Unit or local emergency department for patients with suspected stroke – a cohort study. BMC Emerg Med (2026). doi.org/10.1186/s128...

Noninvasive Positive Pressure Ventilation Use in the Prehospital Setting: A Preliminary Cross-Sectional Analysis of State Protocols and Nationwide Clinical Practice Prehospital respiratory distress is a common and high-risk condition that often requires critical interventions, including noninvasive positive pressure ventilation (NIPPV).

Noninvasive Positive Pressure Ventilation Use in the Prehospital Setting: A Preliminary Cross-Sectional Analysis of State Protocols and Nationwide Clinical Practice - Journal of Emergency Medicine www.jem-journal.com/article/S073...

Management of Agitation in Emergency Medical Services for Older Adults: A Qualitative Exploration Introduction Emergency medical services (EMS) providers are often first responders to agitated older adults, providing critical clinical care and transport. However, significant knowledge gaps persi...

Management of Agitation in Emergency Medical Services for Older Adults: A Qualitative Exploration - Shah - 2026 - Academic Emergency Medicine - Wiley Online Library onlinelibrary.wiley.com/doi/full/10....

Duration of emergency medical services-initiated prehospital cardiopulmonary resuscitation efforts and survival for pediatric patients with out-of-hospital cardiac arrest While longer duration of cardiopulmonary resuscitation (CPR) is associated with unfavorable patient outcomes after pediatric out-of-hospital cardiac arrest (OHCA), it remains unclear how the probabili...

Duration of emergency medical services-initiated prehospital cardiopulmonary resuscitation efforts and survival for pediatric patients with out-of-hospital cardiac arrest - Resuscitation www.resuscitationjournal.com/article/S030...

Low Dose Ketamine as an Alternative to Morphine for Prehospital Analgesia in STEMI: The SCAKet Retrospective Feasibility Study Optimal analgesic in acute coronary syndrome (ACS) remains debated, particularly in the prehospital setting. Opioids, particularly morphine, are widely used despite concerns over adverse effects an...

Low Dose Ketamine as an Alternative to Morphine for Prehospital Analgesia in STEMI: The SCAKet Retrospective Feasibility Study: Prehospital Emergency Care: Vol 0, No 0 - Get Access www.tandfonline.com/doi/full/10....

Low Dose Ketamine as an Alternative to Morphine for Prehospital Analgesia in STEMI: The SCAKet Retrospective Feasibility Study Optimal analgesic in acute coronary syndrome (ACS) remains debated, particularly in the prehospital setting. Opioids, particularly morphine, are widely used despite concerns over adverse effects an...

Low Dose Ketamine as an Alternative to Morphine for Prehospital Analgesia in STEMI: The SCAKet Retrospective Feasibility Study: Prehospital Emergency Care: Vol 0, No 0 - Get Access www.tandfonline.com/doi/full/10....

Prehospital pathway offering oral dissociative procedural sedation for patients with learning disabilities Barriers to accessing healthcare, delays in diagnosis and suboptimal treatment have resulted in inequitable healthcare for people with learning disabilities. For people with learning disabilities, hea...

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Association Between Prehospital Blood Transfusion in Helicopter Emergency Medical Services and Survival: A Retrospective Population-Based Cohort Study Critical hemorrhage is a life-threatening condition in which blood transfusion is an essential lifesaving intervention. Although the importance of prehospital blood transfusion is increasingly recogni...

Association Between Prehospital Blood Transfusion in Helicopter Emergency Medical Services and Survival: A Retrospective Population-Based Cohort Study - Air Medical Journal www.airmedicaljournal.com/article/S106...

Predictors of Brain Death After Hanging-Induced Cardiac Arrest Short title: Brain Death After Near-Hanging Background. Brain death after hanging–induced cardiac arrest is a fatal complication about which few data are available. We aimed at identifying the early predictors of progression to brain death in p...

Predictors of Brain Death After Hanging-Induced Cardiac Arrest Short title: Brain Death After Near-Hanging - Resuscitation www.resuscitationjournal.com/article/S030...

Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with Out-of-Hospital Cardiac Arrest Out-of-hospital cardiac arrest is associated with high mortality and substantial healthcare costs. The British Cardiovascular Interventional Society’s conveyance algorithm prioritises direct transfer ...

Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with Out-of-Hospital Cardiac Arrest - Resuscitation www.resuscitationjournal.com/article/S030...

The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study Transcutaneous pacing (TCP) is used to treat bradycardia with hemodynamic compromise. Prior data suggested that electrical capture was uncommon during prehospital TCP. We aimed to determine the preval...

The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study - Resuscitation www.resuscitationjournal.com/article/S030...

Tracheal intubation vs. supraglottic airway devices during mechanical intra-arrest-ventilation with volume-controlled-ventilation in out-of-hospital cardiac arrest: a cohort study This study examines the influence of supraglottic airway (SGA) devices versus tracheal intubation (TI) on key ventilation parameters during intra-arrest-ventilation using volume-controlled-ventilation...

Tracheal intubation vs. supraglottic airway devices during mechanical intra-arrest-ventilation with volume-controlled-ventilation in out-of-hospital cardiac arrest: a cohort study - Resuscitation www.resuscitationjournal.com/article/S030...

Low bone mineral density increases the risk of multiple rib and sternal fractures during cardiopulmonary resuscitation In the sudden event of an out-of-hospital cardiac arrest (OHCA), any member of the general population can initiate cardiopulmonary resuscitation (CPR), so-called bystander CPR, prior to arrival of pro...

Low bone mineral density increases the risk of multiple rib and sternal fractures during cardiopulmonary resuscitation - Resuscitation www.resuscitationjournal.com/article/S030...

Delays in chest compressions during out-of-hospital cardiac arrest: carotid versus subxiphoid point of care ultrasound Point-of-care cardiac ultrasonography (POCUS) is commonly used for pulse determination in cardiac arrest. It is unknown whether pulse determination using carotid artery POCUS can be obtained more quic...

Delays in chest compressions during out-of-hospital cardiac arrest: carotid versus subxiphoid point of care ultrasound - Resuscitation www.resuscitationjournal.com/article/S030...