Telemedicine in cardiac arrest protocols: Comparative impact of video and audio dispatcher assistance

doi:10.5492/wjccm.v14.i3.103402

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Sep 9, 2025; 14(3): 103402
Published online Sep 9, 2025. doi: 10.5492/wjccm.v14.i3.103402

Telemedicine in cardiac arrest protocols: Comparative impact of video and audio dispatcher assistance

Sarah Hussain, Jonathan Soldera

Sarah Hussain, Acute Medicine, University of South Wales, Cardiff CF37 1DL, United Kingdom

Jonathan Soldera, Department of Acute Medicine and Gastroenterology, University of South Wales, Cardiff CF37 1DL, United Kingdom

Co-first authors: Sarah Hussain and Jonathan Soldera.

Author contributions: Hussain S and Soldera J contributed to study concept and design, drafting of the manuscript contributed to data acquisition, analysis and interpretation and critical revision of the manuscript for important intellectual content, they contributed equally to this article, they are the co-first authors of this manuscript; and all authors thoroughly reviewed and endorsed the final manuscript.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Jonathan Soldera, MD, MSc, PhD, Tutor, Department of Acute Medicine and Gastroenterology, University of South Wales, Llantwit Road, Pontypridd, Cardiff CF37 1DL, United Kingdom. jonathansoldera@gmail.com

Received: November 18, 2024
Revised: February 26, 2025
Accepted: April 1, 2025
Published online: September 9, 2025
Processing time: 242 Days and 18.9 Hours

Core Tip

Core Tip: This systematic review provides an in-depth analysis of the effectiveness of video-assisted cardiopulmonary resuscitation (CPR) compared to audio-assisted CPR. The findings conclude that video-assisted dispatcher CPR significantly enhances the quality of chest compressions and improves survival to hospital discharge. However, the implementation of video-assisted CPR may lead to delays in initiating compressions by dispatchers and presents challenges such as the need for reliable technological infrastructure and comprehensive dispatcher training.