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Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
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The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
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Related Experiment Video

Updated: Jan 7, 2026

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Telemedicine and Bystander CPR Rates.

Shannon N Thompson1, Zachary T Brady1, William Drees2

  • 1San Antonio Uniformed Services Health Education Consortium, San Antonio, TexasUSA.

Prehospital and Disaster Medicine
|January 2, 2026
PubMed
Summary
This summary is machine-generated.

Video telecommunication in emergency dispatch significantly increased bystander cardiopulmonary resuscitation (CPR) rates for out-of-hospital cardiac arrest (OHCA) patients. This technology helps telecommunicators guide lay rescuers, potentially improving survival outcomes.

Keywords:
GoodSAMbystander CPRdispatchpre-arrival CPRtelecommunicationtelemedicine

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Area of Science:

  • Emergency medicine
  • Public health
  • Telecommunication technology

Background:

  • Bystander cardiopulmonary resuscitation (CPR) improves survival rates for out-of-hospital cardiac arrest (OHCA).
  • The GoodSAM platform integrates with dispatch systems, enabling telecommunicators to use caller smartphones for visual and auditory patient assessment.
  • This technology allows real-time guidance and feedback for CPR, including compression rate monitoring.

Purpose of the Study:

  • To evaluate the association between telecommunicator use of video telecommunication and the rate of pre-arrival CPR in OHCA cases.
  • To determine if video-assisted dispatch can increase the incidence of bystander CPR before emergency medical services (EMS) arrive.

Main Methods:

  • A retrospective review of 779 cardiac arrest resuscitations within the San Antonio Fire Department EMS system (July 2021-February 2022).
  • Cases were analyzed based on the use of video telecommunication by paramedic telecommunicators.
  • Pre-arrival CPR was defined as CPR initiated by anyone other than the responding EMS unit.

Main Results:

  • Cases utilizing video telecommunication had a significantly higher rate of pre-arrival CPR (62%) compared to those without (46%), a difference of 16.2% (P = .008).
  • When video telecommunication was used, family members were more likely to perform CPR (35% vs. 17%).

Conclusions:

  • Paramedic clinical dispatch using video telecommunication is associated with increased rates of pre-arrival CPR.
  • Further research is needed to confirm if this approach improves patient survival outcomes in OHCA.