A free index of peer-reviewed research in prehospital emergency care, tagged by topic, intervention and study type.

Doctoral theses in prehospital and emergency care from Sweden since 2000, each reviewed by hand against published rules. New theses on the first Thursday of each month.

Background: Digital decision-support tools, such as the Stroke Triage App (STA), may enhance prehospital triage and clinical decision-making for suspected patients with stroke. However, implementation of decision-support tools and their impact on clinical practice remains insufficiently studied. Objective: This study aimed to investigate paramedics’ experiences with the implementation of the STA in prehospital practice by evaluating the implementation process, the implementation outcomes, and its impact on clinical workflows, while considering contextual factors that may have influenced these dimensions. Methods: STA implementation was evaluated among paramedics in 2 emergency medical services regions in the Netherlands using a sequential mixed methods approach. Actual usage data were extracted from the STA dashboard. Usability, perceived impact, and contextual factors were explored using an online survey and semistructured interviews. Results: Monthly triages ranged from 52 to 153 (median 120, IQR 107‐131). Paramedics’ individual STA use ranged from 1 to 47 times (median 7, IQR 3‐13). Out of 246 paramedics with an account, 76 (31%) completed the survey, and 9 (4%) participated in semistructured interviews. The STA was generally well accepted, supporting structured neurological assessment and communication. Swift technical support, frequent promotion, and use of local ambassadors facilitated STA use. Clinical urgency, poor workflow integration, and limited perceived added value hampered STA use. Users recommended improvements in mobile interface, login features, and additional explanation with triage advice. Conclusions: This study demonstrates that the STA achieved substantial reach and initial adoption within the prehospital setting. However, widespread acceptance did not consistently translate into routine integration in daily practice. Successful implementation depends as much on addressing organizational and human factors as on technical performance.

29 peer-reviewed studies in prehospital and emergency care, sorted by topic.

Hypertensive disorders of pregnancy (HDP) contribute to maternal and fetal morbidity and mortality and require time-sensitive intervention. In April 2025, the American College of Obstetricians and ...

Hypertensive disorders of pregnancy (HDP) contribute to maternal and fetal morbidity and mortality and require time-sensitive intervention. In April 2025, the American College of Obstetricians and ...

Older adults who present as low-acuity falls requiring mobilization assistance, commonly referred to as a “lift assist”, represent a common reason for EMS activation. These encounters often involve...

Background Norway has a well-established emergency care system and prehospital infrastructure. However, an ageing population and the increasing prevalence of chronic diseases create a growing need to ...

320,707+ Paramedics & EMTs: emergency medical technicians and paramedics who provide prehospital emergency care and transport. Free 20-contact sample.

As part of the “lethal triad”, hypothermia (<95°F, <35°C) is associated with increased morbidity and mortality in trauma patients by worsening coagulopathy and acidosis. Emergency Medical Service prov...

BACKGROUND: In the post-late-window thrombectomy era, reliable characterization of the range of large vessel occlusion (LVO) prevalence is essential to inform stroke systems of care, prehospital triag...

Helicopter emergency medical services (HEMS) are frequently dispatched for high-acuity emergencies, assuming that advanced, life-saving interventions can be initiated more rapidly than by ground EMS (...

Background Emergency medical services (EMS) provide prehospital care. To reduce response times, ambulances may use lights, sirens, and traffic exemptions, increasing risks for EMS personnel and other ...

Objectives Pain management is integral to prehospital trauma care. However, due to multiple challenges, pain is frequently undertreated despite important physiologic and psychologic implications. Am...

Trauma surgeon Dr. Martin Schreiber on why whole blood and prehospital transfusion are returning to trauma care, and how reaching patients sooner saves lives.

Objective Evaluate prehospital care quality and outcomes for traumatic brain injury (TBI) patients in Vietnam. Methods We conducted a retrospective multicentre audit at three tertiary Hanoi hospita...

Pediatric criteria remain limited for identifying injured children who may benefit from early blood transfusion for hemorrhagic shock. This study evaluated whether emergency medical services (EMS)-...

Critical Care Paramedics (CCPs) are paramedics with advanced training and an expanded scope of practice who provide high‑acuity medical care in the prehospital environment. A ground‑based CCP Program ...

Emergency department overcrowding and access block are now among the most consequential patient-safety problems facing acute hospitals globally.1 The associated harm is measurable, dose-dependent, and...

Out-of-hospital cardiac arrest (OHCA) remains a major global public health problem characterized by persistently high mortality and poor neurological outcomes (1). The global incidence of OHCA is esti...