Trisyani , Yanny
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Challenges and Opportunities of Artificial Intelligence Implementation in the Management of Out-of-Hospital Cardiac Arrest: Scoping Review Dalle, Heriyansyah; Trisyani , Yanny; Nuraeni, Aan
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.429

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a major global health challenge with low survival rates. Artificial intelligence (AI) has emerged as a promising tool to enhance early detection, response, and management of OHCA cases. This study explores the current use of AI in OHCA, identifying challenges and opportunities related to its implementation. This scoping review followed the PRISMA-ScR guidelines, utilizing a systematic search of international databases to identify relevant literature. A total of 10 studies were included, comprising cohort studies, observational studies, randomized controlled trials (RCTs), and pilot projects from 10 different countries. AI implementation in OHCA management demonstrated several opportunities, including improved early detection (increasing sensitivity by 5.5–15% and reducing EMS response time by up to 26 seconds), enhanced decision support for termination of resuscitation (with specificity up to 99.0%), and increased bystander engagement through real-time CPR guidance. However, challenges remain, such as data privacy, ethical concerns (especially with visual surveillance and GDPR compliance), infrastructure limitations, and variability in local protocol. The paradox between faster detection and improved CPR quality was also noted. AI has significant potential to improve OHCA outcomes by optimizing detection, response, and clinical decision-making. Successful implementation requires multidisciplinary collaboration, robust external validation, and ethical considerations to address privacy and local adaptation. Integrating AI into emergency systems and public training can enhance survival rates, but further large-scale studies are needed to ensure effectiveness and equity.
The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.