A peer-reviewed scholarly journal for paramedicine / emergency medical services (EMS) professionals.

Current Issue

No. 15 (2026): July-September, 2026

July-September, 2026

Published: 2026-07-15

Full Issue

Full Issue (pdf) Abstracts Only (pdf) Abstracts Only (epub)

Frontmatter

Frontmatter

Cover, Masthead, & Table of Contents

1-9

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Editorials

When Healthcare Becomes a Target

The Impact of Hybrid Warfare on Prehospital Emergency Care

Fredrik Granholm, MD, Stephen O´Neill, GDip EMS AP, MSc IC, DipATACC RCS

10-15

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Research Reports

Prehospital Protocols for Transcutaneous Pacing in the United States

A Cross-Sectional Descriptive Analysis

Jacob Stebel, BA, NRP, CCP-C, Anxhelo Mara, CCP, James T. White, MS, NRP, FP-C, CCP-C, Susan J. Burnett, PhD, NRP, FAEMS, Kathryn Chadason, FP-C, Eva Sturgeon, FP-C, Nelea K. Fong, BA, NRP, Ian D. Ross, BS, NRP, FP-C, Christopher M. Wanka, NRP, PA-C, Peter Jung, RN, EMT-P, CCP-C, Ariana Carranza Cedrón, Baruch Schwartz, BA, EMT, Joshua Ross Rasco, BS, Maria Rampersaud, NRP, Evan R. Ashley, NRP, CCP-C, Aditya C. Shekhar, MBE, Kevin Chason, DO, FACEP, Judah A. Kreinbrook, BS, Joshua M. Kimbrell, BA, NRP

16-37

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Urban Paramedics’ Perspectives on Workplace Learning

A Thematic Analysis

Sara M. Telles-Langdon, MSc, Aman Hussain, PhD, David Telles-Langdon, PhD

39-52

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Experienced Agencies, Faster Chute Times

Determinants of EMS Response in the United States

Jennifer Ziemke, PhD, EMT-P

53-69

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Association Between Stroke Center and County-Level Emergency Medical Services Bypass Policies and Proportion of Stroke Patients Receiving Thrombolytic Therapy

Pranjal B. Gupta, MD, Megha D. Tandel, MPH, Ariadna Garcia, MS, Stefanie S. Sebok-Syer, PhD, Prasanthi Govindarajan, MD

71-82

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Acceptance and Perceptions of Mothers and Providers on Paramedic-Led Midwifery Services in Maternal Care Deserts

Elizabeth Haydu Travis, DHSc, NRP, Kathleen Mathieson, PhD, CIP

84-102

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Comparative Diagnostic Accuracy of Large Language Models for STEMI Classification

An Exploratory Study Using De-Identified Emergency Department Cases

Catherine Royzman, Jonathan Spagnola, MD, Ruben Kandov, MD

103-112

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Diagnosis Feedback

A Prospective Survey on Paramedic Perspectives and Clinical Impact

Jana Khanafer, HBSc, Jennifer Doyle, MEd, Kristine Van Aarsen, MSc, Jay Loosley, BEd, Michael Lewell, MD, Matthew Davis, MD, MSc

113-123

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Applying the Modified Los Angeles Prehospital Stroke Screen to a Retrospective Cohort of Children

Melanie M. Randall, MD, Tia Mackintosh, MD, Amy Russell, MD, Andrew Pachon, MD

124-130

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A Time-driven, Activity-based Costing Analysis of Alternative ED Transport Options

Treatment-in-Place and Transport to Alternative Destination

Aaron B. Klassen, MD, MA, Allison Ducharme-Smith, MD, Robert S. Kaplan, PhD, MS, Chad P. Liedl, RN, Christopher E. Warrington, EMT, EMD, Michael P. Fabel, Gabrielle E. Carlson, Rozalina G. McCoy, MD, MS

131-142

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Traction Splint Usage in Prehospital Emergency Medical Services

A Cross-Sectional Analysis of Personnel Knowledge, Application Frequency, and Ergonomic Challenges in the Field

Melahat Kizil, MSc

144-151

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Characteristics of Responses from an Australian Emergency Medical Service that Resulted in Non-Conveyance

A Retrospective Cross-Sectional Study

Robbie King, RP PhD, Bill Lord, AM PhD, Belinda Flanagan, PhD, MPH, MMid, AssocDipSci (Ambulance), Florin I Oprescu, MD, MPH, MBA, PhD

153-166

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Perceptions and Expectations of Academic Knowledge in Swiss Paramedicine (SWISS PEAK)

A National Cross-Sectional Survey of EMS Professionals

Felix Brinkmann, Loric Stuby, Clemens Meier, Thierry Spichiger, Samuel Zünd, André Wilmes, Gian Cajöri, Benedikt Florian Scherr, Armin Gemperli, Sarah Maria Esther Jerjen

167-200

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Reviews

When Guidelines Meet the Road

A CFIR-Informed Systematic Review of Implementation in Ambulance Services

Sonja Maria, PhD, Paramedic, Lyle Brewster, Brianna Gray

201-236

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Community Paramedicine and Mobile Integrated Health for Cardiovascular Risk and Heart Failure

An Analysis and Synthesis of Evidence on Outcomes

Alexander Brady, NRP, FP-C, CCP-C, C-NPT

237-252

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Case Reports

CPR‑Induced Consciousness From The Patient Perspective

A Case Report

Samuel Butler, MCritCareParamed, Daniel Haack, MCritCareParamed, Ryan Glendwyr Davis, GradDipAdvPara

253-261

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Special Reports

Quality Improvement in Crime Scene Access Training for EMS First Responders

Mario Robusti, Nicola Staiti, Elena Giovanna Bignami, Tania Domenichetti, Nicoletta Fulgoni, Jessica Piras, Biagio Amata, Peitro Barbara, Stefano Bozzi, Severio Paolino, Massimiliano Stabile

262-276

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Paramedicine Literature - Tables of Contents

Paramedicine Contents

April-June 2026

Julius McAdams, BME, FP-C, CCP-C, NRP

277-284

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Paramedicine Literature Surveillance

Paramedicine Literature Search

March-May 2026

Brenda M. Morrissey, DPA, FP-C, Shaughn Maxwell, PsyM, EMT-P

285-336

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Journal Guidelines

Guidelines for Authors

337-347

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Addendum, Corrigendum, and Erratum

Addendum, Corrigendum, and Erratum

348

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