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                <text>Mobile stroke units (MSUs) are specialist ambulances equipped with scanning and point of care testing that can identify patients eligible for intravenous thrombolysis – medication to dissolve a clot used in ischaemic strokes – and provide this on location. While benefits of MSUs have been demonstrated, this is context dependent. Routine use of MSUs across the English and Welsh National Health Service (NHS) has not yet been considered, and as such no pathway for their operation exists. This study aimed to co-design a viable pathway, detailing dispatch, staffing and treatment decisions, for MSUs within the NHS context.</text>
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                <text>L. Moseley, P. McMeekin, M. Allen, G. A. Ford, M. James, A. Laws, S. McCarthy, G. McClelland, L. J. Park, K. Pearn, D. Phillips, C. Price, L. Shaw, P. White, D. Wilson &amp; J. Scott </text>
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                <text>alidation of the PEACE score for predicting abnormal echocardiographic findings in pulmonary embolism patients</text>
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                <text>Pulmonary embolism (PE) is a life-threatening condition requiring rapid risk stratification for optimal management. The Pulmonary Embolism Advanced Cardiac Evaluation (PEACE) Score is a novel tool integrating clinical, laboratory, and echocardiographic parameters to assess disease severity. This study aimed to evaluate the correlation between PEACE Score and echocardiographic abnormalities in PE patients, and to determine its effectiveness as a rapid risk assessment tool in emergency settings.</text>
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                <text>Kazım Ersin Altınsoy</text>
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                <text>https://link.springer.com/article/10.1186/s12873-025-01259-z</text>
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                <text>Fajar bagus W</text>
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                <text>Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study</text>
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                <text>Survival of in-hospital-cardiac-arrests is lower when they occur at night and at weekends than when they occur during the day. Despite numerous studies, there is little evidence regarding the cardiopulmonary resuscitation quality at night and the influence of a feedback device depending on time of day. The present study investigates the differences between chest compressions at night and during the day, with and without the use of a feedback device.</text>
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                <text>https://link.springer.com/article/10.1186/s12873-025-01249-1</text>
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                <text>Effectiveness of extended reality technologies in cardiopulmonary resuscitation training: a bayesian network meta-analysis</text>
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                <text>High-quality cardiopulmonary resuscitation (CPR) is critical to cardiac arrest patients. Extended Reality (XR) technologies, including Augmented Reality (AR), Virtual Reality (VR), and Mixed Reality (MR), provide immersive and interactive training, potentially enhancing CPR outcomes. This network meta-analysis compared the effectiveness of XR-based CPR training to traditional face-to-face methods.</text>
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                <text>Xiangmin Li, Xinbo Yin, Guoqing Huang &amp; Xiaokai Wang </text>
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                <text>https://link.springer.com/article/10.1186/s12873-025-01256-2</text>
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                <text>National survey on availability, use and clinical impact of point-of-care blood analysis systems in Swedish emergency departments</text>
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                <text>Expedited diagnostic results are important in time sensitive operations like the Emergency Department (ED). Point-of-care testing (POCT) is used for a broad range of blood tests reducing wait times and providing faster decisions on patient management compared to central laboratory analysis. If POCT is to substitute central laboratory analysis as part of the decision making process in the ED, cognizance on the distribution and availability of the required instruments, staff training and workflow integration is essential. The aim of this study was to determine the accessibility of POCT, with particular emphasis on blood gas analysis, in all Swedish EDs and to describe its incorporation into workflow.</text>
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                <text>Matthias Jörg, Tim Lundgren, Jens Wretborn &amp; Daniel B. Wilhelms </text>
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                <text>https://link.springer.com/article/10.1186/s12873-025-01251-7</text>
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                <text>Older adults are a growing demographic in emergency departments (EDs) worldwide, yet traditional triage systems often fail to account for their unique risks, leading to under-triage and adverse outcomes. The Identification of Seniors at Risk (ISAR) tool offers a pragmatic approach to enhance risk stratification, but its integration into ED triage systems remains underexplored.</text>
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                <text>Among 973 patients completing follow-up, 38.1% had an ISAR score ≥ 2. Older patients (≥ 75 years) were more likely to be classified as high risk and had significantly higher rates of adverse outcomes, including ICU admission and 30-day mortality. The revised triage system slightly improved discriminative ability in patients aged ≥ 65 years (AUC 0.697 to 0.714), with stable performance maintained in those aged ≥ 75 years (AUC 0.703). Sensitivity declined slightly, while specificity improved.</text>
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                <text>Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) significantly improves CPR performance by bystanders, increasing the survival of patients. However, emotional stress among family members witnessing out-of-hospital cardiac arrest (OHCA) may hinder their ability to effectively perform CPR, leading to delayed and poorer quality CPR. The influence of the relationships of callers to patients (i.e., family members, friends, and strangers) on DA-CPR outcomes remains insufficiently explored.</text>
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                <text>Liang-Tien Chien, Chien-Hsiung Huang, Hsin-Tzu Yeh, Chip-Jin Ng, Ming-Fang Wang, Chen-Bin Chen, Shang-Li Tsai, Li-Heng Tsai, Kang-Wei Chang, Cheng-Yu Chien &amp; Ching-Ter Chang</text>
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                <text>Haron Ndwiga Njiru, Pryanka Relan, Sk Md Mamunur Rahman Malik, Azad Abdullah, Mukhtar Shube, Ali Haji Adam Abubakar, Ibrahim Nur, Abdinasir Yusuf Osman, Paul Sonethal, Shada Rouhani, Bernard Olayo, Naoko Ohno, Ireneaus Sebit Sindani, Ali Abdirahman Osman, Md Shajib Hossain, Ndithia James, Monther Alabesat &amp; Mohamed Derow </text>
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                <text>Fajar bagus W</text>
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