Cardiac arrest & resuscitation
Telemedicine-assisted vs conventional telephone instruction in cardiopulmonary resuscitation: the TACTIC cluster randomized trial
Authors' conclusion
TA-CPR did not increase bystander CPR rates compared with conventional DA-CPR in this real-world EMS setting.
Study context
- Population
- Adults with suspected non-traumatic out-of-hospital cardiac arrest (OHCA)
- Participants
- 108 adults
- Comparison
- Telemedicine-assisted CPR (TA-CPR) vs dispatcher-assisted cardiopulmonary resuscitation (DA-CPR)
- Primary endpoint
- Bystander CPR rate
Methodological detailspilot, pragmatic, cluster-randomized, monthly block randomization, Baseline imbalance: TA-CPR patients younger (mean age 63.5 ± 16.2 vs 68.9 ± 14.6 years) and more often initial shockable rhythm (20.0% vs 9.4%)
- Pilot
- Pragmatic
- Cluster-randomized
- Monthly block randomization
- Baseline imbalance: TA-CPR patients younger (mean age 63.5 ± 16.2 vs 68.9 ± 14.6 years) and more often initial shockable rhythm (20.0% vs 9.4%)
Primary result
As reported in the abstract
P = 0.53
Secondary outcomes
| Outcome | Values | P value |
|---|---|---|
| Ongoing bystander CPR at EMS arrivalTA-CPR vs DA-CPR · similar between groups | P = 0.33 | |
| Protocol complianceTA-CPR vs DA-CPR · significantly lower in TA-CPR | TA-CPR 69.1% | P < 0.01 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Telemedicine-assisted vs conventional telephone instruction in cardiopulmonary resuscitation: the TACTIC cluster randomized trial. Resuscitation. Published 26 June 2026. doi:10.
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