Telemedicine-assisted vs conventional telephone instruction in cardiopulmonary resuscitation: the TACTIC cluster randomized trial.
ResuscitationJun 26, 2026 (epub)
Sattha Riyapan, Wongsakorn Laopran, Jirayu Chantanakomes et al.
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In 30 seconds
The TACTIC trial compared telemedicine-assisted CPR (TA-CPR) with conventional dispatcher-assisted CPR (DA-CPR) in adult patients with suspected non-traumatic out-of-hospital cardiac arrest. This cluster randomized controlled trial found no significant difference in bystander CPR rates, with 87.3% for TA-CPR versus 92.5% for DA-CPR (p = 0.53).
Key findings
- Bystander CPR rates were 87.3% for TA-CPR and 92.5% for DA-CPR, with no significant difference (p = 0.53).
- Ongoing bystander CPR at EMS arrival was 76.4% for TA-CPR and 84.9% for DA-CPR (p = 0.33).
- Protocol compliance was significantly lower in the TA-CPR group at 69.1% compared to 92.5% in the DA-CPR group (p < 0.01).
Why it matters
Understanding the effectiveness of different CPR instruction methods is crucial for improving bystander response during cardiac emergencies. This study highlights that telemedicine may not enhance CPR rates compared to traditional methods.