From Science to the Scene

Welcome To From Science To The Scene

Produced by the National Registry’s Research Team, From Science to the Scene brings clarity to the most important evidence shaping EMS. Drawing from the curated reading lists hosted by the Prehospital Guidelines Consortium (PGC), influential work from organizations like the American Heart Association (AHA), and even our own peer‑reviewed research, we break down high‑level science into practical insights for Clinicians and leaders. As EMS Research Fellow Chris Gage puts it, “Our mission is to filter the constant influx of new research into what actually matters for you and your patients."

Join the National Registry’s Research Team for a concise look at the science shaping your scene. Stream the latest episode today. 


Latest Episodes

Episode 8: Shooting Victim Management


What do you think is the most common injury leading to preventable death in civilian public mass shooting events? Many individuals might guess severe extremity bleeding, but the data tells a different story.
On this episode of From Science to the Scene, Dr. Ash Panchal breaks down a critical study that every EMS Clinician needs to understand. The research looks closely at autopsy reports to find out what causes potentially preventable death in these terrible situations. The data reveals that civilian injuries are very different from military injuries, meaning our traditional response plans must adapt.
Instead of the extremity wounds often seen on the battlefield, the vast majority of these civilian casualties suffer from hidden, non-hemorrhaging chest wounds, where a tension pneumothorax can quietly become fatal. Compounding this challenge, fewer than one in four of these individuals ever survive long enough to reach a hospital bed. This devastating reality proves that the windows of time for lifesaving medical intervention and rapid scene transport are overlapping and incredibly short.
We must continue to learn how to improve our triage, care, and movement of patients in chaotic environments. Tune in to explore how the SALT mass casualty triage protocol helps us make a difference when every second counts. Read the full study here: https://pubmed.ncbi.nlm.nih.gov/31029762/

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More Episodes

Research Fellow Jacob Kamholz unpacks the clinical versatility of ketamine as a prehospital powerhouse for pain management, sedation, airway induction, and acute agitation. This episode shatters historical myths by proving ketamine is safe for head and eye injuries without causing harmful pressure spikes. Learn the key safety steps, from weight-based pediatric dosing to strict airway monitoring.

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Research Fellow Jacob Kamholz shares a major study showing that layperson-administered naloxone (LAN) surged by over 43% in two years. Interestingly, while public interventions spiked—most frequently in urban homes where speed matters most—overall naloxone administration by EMS clinicians dropped 6%. Discover how national EMS data is proving the success of over-the-counter access and shaping public health policies.

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In this episode of From Science to the Scene, we examine the complexities of resuscitation during transport. Research indicates that moving a patient while their heart is not beating significantly degrades the quality of chest compressions and creates safety risks for the EMS crew. Kayla Riel explains how shifting the focus to on-scene stabilization can give patients a better chance at long-term recovery and returning to their families.

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Discover the nuances of the STAAMP trial and its implications for hemorrhagic shock. This episode explores why the "timing of care" is critical, as survival rates improved specifically for patients receiving TXA in the early stages of injury. By highlighting that there is no increased risk of adverse events, the research provides clinicians with the evidence needed to confidently integrate early TXA administration into their trauma protocols.

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In this episode, National Registry Research Fellow Jacob Kamholz explores a national study on how pain is managed in the field. The research analyzed over 35,000 EMS records of adult patients with confirmed long bone fractures. By linking EMS data with hospital diagnoses, researchers were able to precisely identify the injuries treated by each Clinician.

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In this episode of From Science to the Scene, the National Registry Research Team dives into a massive study of over 19 million EMS calls. Host Chris Gage breaks down the math on whether "driving hot" actually helps or just hurts.

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In the debut episode, Research Director Ash Panchal and Research Fellow Chris Gage introduce a practical approach to turning complex medical literature into actionable patient care. They highlight key systematic reviews and break them down into concise, real-world insights to help EMS Clinicians apply the latest evidence in their day-to-day decisions.

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