Acute cardiac care & resuscitationRandomised controlled trial
Telemedicine-assisted vs conventional telephone instruction in cardiopulmonary resuscitation: the TACTIC cluster randomized trial
- pilot pragmatic cluster-randomized controlled trial
- monthly block randomization
Authors' conclusion
TA-CPR did not increase bystander CPR rates compared with conventional DA-CPR in this real-world EMS setting.
Study context
- Population
- Adult patients with suspected non-traumatic OHCApatients included
- Participants
- 108 patients
- Comparison
- bystander CPR rates between Telemedicine-assisted CPR (TA-CPR) and dispatcher-assisted cardiopulmonary resuscitation (DA-CPR)
- TA-CPRn = 55
- DA-CPRn = 53
- Primary endpoint
- Bystander CPR rate
Primary result
As reported in the abstract
P = 0.53
Secondary outcomes
Baseline characteristics
mean age TA-CPR 63.5 ± 16.2 years · DA-CPR 68.9 ± 14.6 years
initial shockable rhythm
Ongoing bystander CPR at EMS arrival · similar between groups · secondary outcome
P = 0.33
Protocol compliance · significantly lower in the TA-CPR group · secondary outcome
P < 0.01
Original publication
Telemedicine-assisted vs conventional telephone instruction in cardiopulmonary resuscitation: the TACTIC cluster randomized trial. Resuscitation. Published 26 June 2026. doi:10.1016/j.resuscitation.2026.111191
Summarised from the published abstract; every number is checked against it