Acute cardiac care & resuscitation

Diagnostic performance of a video-assisted cardiac arrest recognition protocol by emergency medical dispatcher in out-of-hospital cardiac arrest

ResuscitationPublished Diagnostic accuracy study

Authors' conclusion

Use of video-assisted cardiac arrest recognition protocol helped recognize additional cardiac arrest cases that could not be recognized with the audio-call in the dispatch center.

Study context

Population
Emergency calls to the Seoul emergency dispatch center with uncertain cardiac arrest recognition on audio call, June–December 2020
Participants
115 emergency calls
Outcome
Presence of cardiac arrest upon EMS arrival, evaluated by EMS providers at the scene
Methodological detailssingle dispatch centre, pilot implementation
  • Single dispatch centre
  • Pilot implementation

Performance

As reported in the abstract

Diagnostic performance for cardiac arrest
Test or modelSensitivitySpecificity
Video-assisted protocol66.7 % (95% CI 43.0-85.4)98.9 % (95% CI 94.2-100)

Video-assisted protocol

Sensitivity66.7 % (95% CI 43.0-85.4)
Specificity98.9 % (95% CI 94.2-100)

Further findings

Cases recognised as cardiac arrest under video-assistance confirmed as cardiac arrest on emergency medical service (EMS) arrival

Recognised cases (15) confirmed as cardiac arrest on EMS arrival
14 (93.3 %)

Original publication

Diagnostic performance of a video-assisted cardiac arrest recognition protocol by emergency medical dispatcher in out-of-hospital cardiac arrest. Resuscitation. Published 22 December 2025. doi:10.1016/j.resuscitation.2025.110936

Summarised from the published abstract; every number is checked against it

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