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Non-Resuscitative Telecommunicator-Assisted First Aid: A Scoping Review
Alexei A Birkun1, Matthew J Douma2
1https://ror.org/05erbjx97Medical Institute named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University, Simferopol, Russian Federation.
Prehospital and Disaster Medicine
|June 25, 2026
Summary
Telecommunicator-assisted first aid (TAFA) for non-cardiac arrest emergencies is under-researched, with unclear patient outcomes despite some documented benefits. More studies are needed to understand TAFA
Area of Science:
- Prehospital Medicine
- Emergency Medical Services
- Public Health
Background:
- Telephone pre-arrival instructions (PAI) for first aid in emergencies beyond cardiac arrest are common practice globally.
- Despite widespread use, systematic research summaries on telecommunicator-assisted first aid (TAFA) for non-cardiac arrest conditions are lacking.
Conclusions:
- Non-resuscitative TAFA is an under-explored area in prehospital medicine with limited and inconclusive evidence.
- Further research is crucial to elucidate the effects and practical implications of TAFA.
- The generated evidence map can guide the advancement of non-resuscitative TAFA practices.
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