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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
Summary
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.
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.
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