{"id":"W4415912671","doi":"10.1007/s43678-025-01047-5","title":"The PULSE Study: Paramedic Upgrade and Life Support Evaluation","year":2025,"lang":"en","type":"article","venue":"Canadian Journal of Emergency Medicine","topic":"Cardiac Arrest and Resuscitation","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Saint John Regional Hospital; Horizon Health Network","funders":"","keywords":"Basic life support; Resuscitation; Advanced life support; Upgrade; Advanced cardiac life support; Cardiopulmonary resuscitation; Emergency medical services; Life support; Airway","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001177349,0.0005194917,0.0009499979,0.0009000693,0.0004890882,0.001198626,0.0005385099,0.001413691,0.002638461],"category_scores_gemma":[0.006312821,0.0003109174,0.0008426849,0.0009911399,0.0002423359,0.001473658,0.0009045876,0.001740768,0.0007619191],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000520927,"about_ca_system_score_gemma":0.001764582,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.005089162,"about_ca_topic_score_gemma":0.00760871,"domain_scores_codex":[0.9992901,0.0002088218,0.00009833283,0.0001102909,0.0001758887,0.0001164733],"domain_scores_gemma":[0.9966091,0.0007890998,0.0007009007,0.0001405068,0.0006771813,0.00108314],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.004678612,0.0009441673,0.9616494,0.0001754835,0.0005654929,0.001345558,0.0001680237,0.0001914011,0.0004406567,0.000195761,0.01011174,0.01953373],"study_design_scores_gemma":[0.0007279428,0.001844915,0.9916385,0.0001371334,0.000366525,0.001432741,0.0003947624,0.0003556518,0.0001789679,0.000238459,0.00264856,0.00003601113],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9816836,0.001321932,0.000385685,0.002395156,0.0002580313,0.0003409754,0.00604575,0.0000277222,0.007541098],"genre_scores_gemma":[0.9836751,0.001519722,0.001128859,0.001406237,0.0006567971,0.0005637965,0.008635474,0.00002864591,0.002385401],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9994791,"threshold_uncertainty_score":0.01011908,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06528594685457373,"score_gpt":0.3863362417473364,"score_spread":0.3210502948927627,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}