Prehospital Paramedic Interventions And Their Impact On Emergency Patient Management: A Systematic Review

Abstract

Paramedics are critical components of prehospital emergency systems, providing life-saving interventions that often determine patient outcomes before hospital arrival. This systematic review examines the scope, effectiveness, and impact of prehospital paramedic interventions on emergency patient management across various clinical contexts, including trauma, cardiac arrest, respiratory distress, and acute coronary syndromes. Literature published between 2016 and 2025 was reviewed using PubMed, Scopus, and Web of Science databases. Studies were included if they evaluated measurable outcomes such as survival rates, time-to-treatment, or reduction in complications. Findings demonstrate that advanced life support (ALS) procedures, airway management, defibrillation, early drug administration, and telemedicine-supported decision-making significantly enhance patient outcomes. However, variability in training, system integration, and availability of equipment across regions remains a challenge. The review highlights the importance of evidence-based paramedic protocols, continuous training, and integration with hospital emergency systems. The study concludes that empowering paramedics through advanced technologies, standardized procedures, and continuous education is vital for optimizing emergency medical service efficiency and improving patient survival rates.