Read the trials behind the practice.
Landmark studies and open-access African EMS research we reference on the show — each entry deep-links to the published paper.
Landmark Trials
Studies that changed how pre-hospital care is delivered worldwide.
PARAMEDIC2
Adrenaline in out-of-hospital cardiac arrest
A randomised, double-blind trial of 8,014 patients showed adrenaline improved 30-day survival but with no improvement in favourable neurological outcome — reshaping global ALS protocols.
Read the paperCRASH-2
Tranexamic acid in adult trauma patients
A trial of 20,211 adult trauma patients with significant haemorrhage. TXA within 3 hours of injury reduced mortality with no increase in vascular events. Now standard pre-hospital practice.
Read the paperPRESERVE-PG
Pre-hospital plasma in haemorrhagic shock
Pre-hospital plasma transfusion during medical helicopter transport reduced 30-day mortality in trauma patients at risk of haemorrhagic shock.
Read the paperPARAMEDIC
Mechanical CPR vs manual chest compressions
A cluster-randomised trial of 4,471 patients with out-of-hospital cardiac arrest. No survival benefit of mechanical CPR over high-quality manual compressions.
Read the paperAfrican EMS Research
Studies and reviews focused on emergency care across the African continent.
AFEM Position Papers
African Federation for Emergency Medicine
The African Journal of Emergency Medicine — the continent's flagship peer-reviewed publication for emergency care research, education, and policy.
Read the paperBuilding EMS Systems
A WHO framework for low-resource settings
World Health Organization's pre-hospital trauma care systems guidance — the policy backbone for many African national EMS plans.
Read the paperPAWPER XL Tape
Paediatric weight estimation in resource-limited settings
Goldstein, Wells et al. — South African research that produced the most accurate paediatric weight estimation tool currently in pre-hospital use.
Read the paperMental Health & Wellbeing
Evidence on the mental load of emergency work — and how to look after each other.
PTSD prevalence in pre-hospital providers
A meta-analysis
Estimates of PTSD, depression and anxiety in EMS workers globally — and the protective and risk factors that change outcomes.
Read the paperCritical Incident Stress Management
ICISF evidence library
The International Critical Incident Stress Foundation — peer-support frameworks, debriefing protocols, and the evidence base behind both.
Read the paperClinical Practice & Protocol
Practice-changing reviews and guidelines.
European Resuscitation Council Guidelines
The most-cited resuscitation reference
Updated every 5 years — the comprehensive evidence-based reference for adult, paediatric, neonatal, and special-circumstances resuscitation.
Read the paperJRCALC Clinical Guidelines
UK Joint Royal Colleges Ambulance Liaison Committee
The reference text for UK paramedic practice — adopted across many Commonwealth EMS services.
Read the paperKnow a paper we should add?
If there's a piece of research that changed how you practise — drop us a line and we'll consider it for the library.
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