EMSy Dispatch: Prehospital Emergency Medicine from the Field

Patient in cardiac arrest with "DNR" tattooed on chest: should the rescuer resuscitate? What Law 219/2017 says, what real cases teach us, and how to act. LINK: https://www.emsy.io/en/blog/dnr-tattoo-and-cardiac-arrest-what-should-the-rescuer-do

Each advanced intervention on scene increases time by 41%. A study by London's Air Ambulance on 1,357 patients puts a price in minutes on clinical procedures. And the price changes with geography. LINK: https://www.emsy.io/en/blog/stay-and-play-or-scoop-and-run-what-the-data-says

No new drugs in the 2025 EUSEM acute pain guidelines. What moved is the threshold, the mechanism and the route of administration, and what that means outside the hospital. LINK: https://www.emsy.io/en/blog/acute-pain-emergency-care-eusem-guidelines-2025

Rapid Sequence Airway means sedating, paralysing, and placing a supraglottic device on purpose. What the evidence shows, how the protocols read, and what nobody has studied. LINK: https://www.emsy.io/en/blog/rapid-sequence-airway-supraglottic-first-prehospital

Point-of-care blood gas analysis on every emergency vehicle, performed by nurses in the field. Antoine Belperio describes the COES Arezzo protocol presented at SIMEU 2026. LINK: https://www.emsy.io/en/blog/blood-gas-analysis-before-the-hospital

Secondary transport is a phase of care, not a pause. Ambulance, helicopter, or airplane: how to choose the right vehicle without making mistakes. LINK: https://www.emsy.io/en/blog/secondary-transport-ambulance-helicopter-airplane

What is a USAR team and what does a doctor do under the rubble? Interview with Federico Moro, from the Porto Sant'Elpidio collapse to INSARAG certification: a discipline that Italy needs to know better. LINK: https://www.emsy.io/en/blog/usar-the-doctor-under-the-rubble

Discover what the Maurer algorithm is, how it works, and how to use it to plan health safety at concerts, sporting events, fairs, and other public gatherings. Full Blog Article: https://www.emsy.io/en/blog/maurer-algorithm-assessing-health-risk-in-public-events

Epinephrine yes, but corticosteroids and antihistamines automatically? Recent guidelines say no: why the anaphylaxis cocktail needs to be reconsidered. Full Blog article: https://www.emsy.io/en/blog/corticosteroids-in-anaphylaxis

Two opposite systems, one question. Nick Nudell on fragmentation, governance, and the future of prehospital care across America and Europe. Full article here: https://www.emsy.io/en/blog/different-systems-common-challenges

New PATCH-Trauma study: is tranexamic acid in major trauma only effective within 90 minutes? Critical analysis of the evidence and practical implications for prehospital care. 2g vs 1+1 dosing. Full article here: https://www.emsy.io/en/blog/tranexamic-acid-trauma

Exclusive interview with Dr. Sheldon Cheskes, PI of the DOSE VF trial: 8 questions on double sequential external defibrillation for refractory VF in out-of-hospital cardiac arrest. Full Article: https://www.emsy.io/en/blog/dsed-8-questions-investigator-of-dose-vf

Alternative defibrillation in refractory VF: recent evidence shows how double sequential defibrillation can change the management with DSED LINK: https://www.emsy.io/en/blog/refractory-vf-in-cardiac-arrest-what-to-do-considerations-around-the-dose-vf-study

A study of 497 trauma deaths in London shows that 77% die before reaching hospital, median 12 minutes. The margin for improvement is entirely in the field. LINK: https://www.emsy.io/en/blog/12-minute-window-trauma-patients

WOLS vs TOR: rethinking cessation of CPR in emergency settings. From Italian experience to the need for shared protocols to support families and providers. LINK: https://www.emsy.io/en/blog/termination-of-resuscitation-vs-withdrawal-of-life-support-a-paradigm-question-in-emergency-medicine

The 2025 guidelines on accidental hypothermia (ERC, ILCOR, WMS) formalize the management of afterdrop and NFCI. Focus on multilayer insulation, intermittent CPR, and ECMO.LINK: https://www.emsy.io/en/blog/hypothermia-management-what-has-really-changed-in-2025