JPER, Journal of Paramedicine and Emergency Response

15/08/2026

The Coverage Paradox: Why Universal Health Insurance Fails the Homeless

A new study applies the Health Belief Model to examine the barrier between universal health coverage and actual medical engagement among homeless populations.

Main findings:
Universal legal entitlement does not guarantee care, as sociodemographic factors account for only 19% of engagement variance while health beliefs account for 41%.
Perceived susceptibility and severity are the primary drivers of healthcare seeking, revealing that normalization of poor health is the key bottleneck.
Street-based health screenings and community navigators are vital to overcoming non-financial barriers.

DOI: https://doi.org/10.1177/10105395261473706

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JPER website: https://jper.org
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Elsevier
Sage Publications
Emerald Publishing
Springer Nature
Wiley
MDPI
Taylor & Francis
World Health Organization (WHO)
UNDRR
UNESCO

24/07/2026

Bleeding on the Frontline: Police Officers Empowered with Life-Saving Hemostasis Training

A JPER study evaluated the impact of a specialized tourniquet and hemorrhage control training program delivered to active-duty police officers.

Main findings:
Out of 1,402 officers surveyed, 99.6% gained confidence in correct tourniquet application and 95.7% expressed willingness to perform hemorrhage control on others.
Over 76% of respondents agreed that gauze, elastic bandages, and tourniquets should become standard issue police equipment.
Training willingness was overwhelmingly positive, with 98.2% showing interest in future basic life support and advanced tactical trauma training.

DOI: https://doi.org/10.30216/JPER.202309/SP.0033

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JPER website: https://jper.org

Elsevier
Sage Publications
Springer Nature
Emerald Publishing
Wiley
MDPI
Taylor & Francis
UNDRR
UNESCO
World Health Organization (WHO)

18/07/2026

AI Energy Heat Runaway: The Fire Within Green Technology
A study in JPER examines international emergency response standards to manage hazards and thermal runaway risks in lithium-ion energy storage facilities.

Main findings:
Traditional HAZMAT protocols lack specific guidelines for advanced energy storage system failures.
Safety depends on mandatory collaboration between system owners, local fire services, and authorities having jurisdiction (AHJ) to co-develop response plans.
Site-specific emergency plans must outline clear risk assessments, data checklists, and clear leadership roles to minimize cascade damages.
DOI: https://doi.org/10.30216/JPER.202309/SP.0005

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JPER website: https://jper.org
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Elsevier
Sage Publications
Emerald Publishing
Springer Nature
Wiley
MDPI
Taylor & Francis
UNDRR
UNESCO
World Health Organization (WHO)

26/06/2026

AI-Driven Clinical Judgment: Predictive Power in Critical Heart Failure Care

A new study in JPER evaluates machine learning models to predict early mortality risks for intensive care heart failure patients.
Main findings:
Advanced algorithms successfully analyzed 21 variables across 6,610 critical care cases.
The XGBoost model performed best in predicting 3-day mortality, achieving an AUROC of 0.8012 and an accuracy of 0.8815.
Integrating AI into clinical decision support systems significantly enhances early risk identification and emergency care efficiency.

DOI: http://dx.doi.org/10.30216/JPER.202512/SP.0006

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JPER website: https://jper.org
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Elsevier
Springer Nature
Sage Publications
Wiley
Taylor & Francis
Emerald Publishing
MDPI
UNDRR
UNESCO
World Health Organization (WHO)

19/06/2026

13/06/2026

Feeling vs. Biology: The Paradox of Level C PPE

A real-world study in JPER monitored EMTs to analyze heat stress and dehydration risks while wearing protective gear.

Main findings:
* Higher tier Level C PPE causes profound subjective discomfort but paradoxically results in lower acute physiological strain and smaller core temperature increases compared to standard vests.
* Severe perceptual strain triggers behavioral self-pacing, causing personnel to subconsciously slow down and protect their bodies.
* Mild fluid deficit occurs across all gear levels, proving that thirst-driven hydration is insufficient during active duty.

DOI: https://doi.org/10.30216/JPER.202602_(7).0004

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JPER website: https://jper.org
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Elsevier
Springer Nature
Sage Publications
Emerald Publishing
Wiley
Taylor & Francis
ResearchGate
UNDRR
World Health Organization (WHO)

06/06/2026

JPER and UNESCO UN Open Science

Diamond OA:
Zero publication fees for authors; immediate free access for readers.
CC BY License:
Free sharing and adaptation with proper attribution.
DOI Archiving:
Permanent digital tracking for all literature.

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JPER Website: https://jper.org

Elsevier
MDPI
Springer Nature
Sage Publications
Wiley
Emerald Publishing
Taylor & Francis
UNESCO
World Health Organization (WHO)
United Nations

30/05/2026

United Nations Goals: JPER and UNESCO Advancing Global Open Science

In solidarity with the United Nations UNESCO Open Science https://en.wikipedia.org/wiki/Open_science framework, JPER champions the borderless distribution of emergency medical research. By offering a Diamond Open Access model, JPER completely removes article processing fees to empower frontline healthcare workers and global researchers alike.

Key Core Actions:

Diamond Open Access: Zero cost for authors and immediate, uninhibited global access for all readers to remove financial barriers.

Public Sharing Rights: Utilization of Creative Commons CC BY licensing to permit free distribution, reuse, and adaptation with credit.

Traceable Archiving: Integration of permanent DOI registration for every piece of emergency response literature to guarantee academic tracking.

Join world leaders at PERIC 2026 (https://perictsp.org) to see how open data transforms disaster response.

JPER Website: https://perictorg.org
JPER LinkedIn: https://rebrand.ly/JPER_LinkedIn

Elsevier
Wiley
Sage Publications
Emerald Publishing
Springer Nature
MDPI
Taylor & Francis
UNDRR
UNESCO
United Nations

23/05/2026

Responsible AI at JPER: Empowering Pracademic Synergy

Artificial intelligence is reshaping research, but ethical integrity remains uniquely human. JPER formally outlines its AI Policy to ensure transparency, accountability, and the enhancement of "pracademic" synergy—bridging frontline emergency experience with rigorous academic standards.

Key Guidelines for Authors:
Human Accountability: AI tools can assist in writing, editing, or data analysis, but cannot be listed as authors or co-authors.
No AI Citations: Generative AI must not be used as an information source or to create unverifiable data and references.
Full Disclosure: Any AI utilization must be explicitly disclosed in the manuscript (Methods or Acknowledgments), detailing the tool name, version, and specific purpose.
Reviewer Confidentiality: Peer reviewers and editors are prohibited from using external generative AI to draft or summarize evaluations to safeguard confidentiality.

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JPER Website: https://jper.org
JPER LinkedIn: https://rebrand.ly/JPER_LinkedIn

Wiley
Elsevier
Sage Publications
Emerald Publishing
Springer Nature
MDPI
Taylor & Francis
UNDRR
World Health Organization (WHO)
United Nations

16/05/2026

Who let the dog out?
Lessons from a Fatal Dog Bite-Induced Femoral Artery Rupture

A critical case study published in JPER details a tragic incident where a 56-year-old male suffered a fatal femoral artery rupture following a bull terrier bite, leading to traumatic Out-of-Hospital Cardiac Arrest (OHCA).

Main Findings:
• Critical Injury: The victim sustained a 15cm x 10cm open wound to the proximal thigh, causing massive hemorrhage.
• Pre-hospital Intervention: EMTs applied dual tourniquets and performed advanced life support, including Lucas device compressions and Epinephrine administration, but the patient could not be resuscitated.
• Future Recommendations: The study emphasizes the need for advanced hemostatic dressings, improved trauma training for massive vessel injuries, and public education on early hemorrhage control.
DOI: http://dx.doi.org/10.30216/JPER.202208_(3).0005

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JPER website: https://jper.org
JPER LinkedIn link: https://rebrand.ly/JPER_LinkedIn

Wiley
Elsevier
Sage Publications
Emerald Publishing
Springer Nature
MDPI
Taylor & Francis
UNDRR
World Health Organization (WHO)
United Nations