The effectiveness of smartphone applications as an effort to improve cardiopulmonary resuscitation (CPR) : Literatur review

Aris Nur Rahmat, Ridlwan Kamaluddin


Background : Cardiac arrest is a life-threatening emergency. Cardiac arrest must immediately get fast and appropriate treatment through the provision of Cardio Pulmonary Resuscitation (CPR). Doing CPR requires mental and knowledge. Material knowledge is obtained from media that is easily accessible to anyone, such as applications that contain CPR on smartphones.
Objectives : To analyze and assess the quality of articles about the effectiveness of smartphone applications as an effort to improve cardiopulmonary resuscitation (CPR).
Methods : Article search using the Pubmed and Science Direct electronic databases. The search for articles used was the last 10 years with the keywords “Telenursing OR Telehealth OR Smartphone”, AND “Cardiopulmonary OR Cardiac Arrest”.
Results : Results 6 of 13 articles applied the research design with RCTs, the other articles applied retrospective, prospective observation studies, and A mixed-methods evaluation study. The results of the article review show that smartphone feature functions include reports of cardiac arrest cases and learning-based applications regarding CPR. 1 of 13 articles describes the function of the report feature via SMS base system notification. Other articles discuss CPR learning features with video conferencing audio telephone calls instruments, Resusci Anne Skillreporter manikin, Laerdal skillreporting system V.2.2.1 software, use of U-CPR, The VADSS software application, Laerdal resusci-anne simulator, A SimMan simulator (Laerdal, Stavanger, Norway) and cardiac arrest simulation test score, guidelines for basic life support suitability test and system usability scale (SUS), video instructions for Dispatcher-assisted CPR and CPR quality, and CPR manikins and resuscitation council (UK)-endorsed lifesaver VR.
Conclusions : Smartphones have been well developed and used in providing CPR by countries that have developed information systems. In addition, the smartphone feature can improve the quality of CPR, provide layperson CPR, and speed up CPR access. However, further research is needed to ensure the quality of the smartphone and the communication systems that support it so that there is no delay in administering CPR


smartphones; cardiopulmonary resuscitation; cardiac arrest

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Hidayati R. Tingkat Pengetahuan Masyarakat Tentang Penanganan Henti Jantung di Wilayah Jakarta Utara. NERS J Keperawatan. 2020;16(1):10.

2. Buston E, Putri AADP, Ikhwan M, Pitaloka M. Pengaruh Poster Terhadap Peningkatan Pengetahuan Jantung Jurusan Keperawatan , Poltekkes Kemenkes Bengkulu , Jalan Indragiri Nomor 03 Henti jantung ( Cardiac Arrest ) merupakan keadaan dimana hilangnya fungsi jantung untuk memompa darah yang terjadi secar. Mahakam Nursing Journal. 2020;2(7):279–285.

Eko LD, Setianingsih. Peningkatan Pengetahuan Orang Awam Tentang Penanganan Out Of Hospital Cardiac Arrest Melalui Aplikasi Resusitasi Jantung Paru Pada Smartphone Improvement Of Knowledge People About Handling Out Of Hospital Cardiac Arrest Through The Application Of Lung Hea. Jurnal Ilmiah STIKES Kendal. 2020;10(1):97–102. DOI:

Teo MHN, Wong WEJ, Daniel PC-YN, Kweh RHC, Ho RYJ, Koh JH, et al. The use of dispatcher assistance in improving the quality of cardiopulmonary resuscitation: A randomised controlled trial. Resuscitation [Internet]. 2019;138:153–9. Available from:


Nas J, Thannhauser J, Konijnenberg LSF, van Geuns R-JM, van Royen N, Bonnes JL, et al. Long-term Effect of Face-to-Face vs Virtual Reality Cardiopulmonary Resuscitation (CPR) Training on Willingness to Perform CPR, Retention of Knowledge, and Dissemination of CPR Awareness: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw open. 2022 May;5(5):e2212964.

DOI: 10.1001/jamanetworkopen.2022.12964

Linderoth G, Rosenkrantz O, Lippert F, Østergaard D, Ersbøll AK, Meyhoff CS, et al. Live video from bystanders’ smartphones to improve cardiopulmonary resuscitation. Resuscitation. 2021;168:35–43. DOI: 10.1016/j.resuscitation.2021.08.048

Kalz M, Lenssen N, Felzen M, Rossaint R, Tabuenca B, Specht M, et al. Smartphone apps for cardiopulmonary resuscitation training and real incident support: A mixed-methods evaluation study. Journal Medical Internet Research. 2014;16(3):1–15. DOI: 10.2196/jmir.2951

Ahn C, Cho Y, Oh J, Song Y, Lim TH, Kang H, et al. Evaluation of Smartphone Applications for Cardiopulmonary Resuscitation Training in South Korea. Biomed Research International. 2016;2016. DOI: 10.1155/2016/6418710

Low D, Clark N, Soar J, Padkin A, Stoneham A, Perkins GD, et al. A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency. Anaesthesia. 2011;66(4):255–62. DOI: 10.1111/j.1365-2044.2011.06649.x

Hunt EA, Heine M, Shilkofski NS, Bradshaw JH, Nelson-McMillan K, Duval-Arnould J, et al. Exploration of the impact of a voice activated decision support system (VADSS) with video on resuscitation performance by lay rescuers during simulated cardiopulmonary arrest. Emerg Med J. 2015;32(3):189–94. DOI: 10.1136/emermed-2013-202867

Ringh M, Rosenqvist M, Hollenberg J, Jonsson M, Fredman D, Nordberg P, et al. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. New England Journal of Medicine. 2015 Jun;372(24):2316–25.DOI: 10.1056/NEJMoa1406038

Dougherty CM, Thompson EA, Kudenchuk PJ. Patient plus partner trial: A randomized controlled trial of 2 interventions to improve outcomes after an initial implantable cardioverter-defibrillator. Hear Rhythm. 2019 Mar;16(3):453–9. DOI: 10.1016/j.hrthm.2018.10.011

Ahn C, Lee J, Oh J, Song Y, Chee Y, Lim TH, et al. Effectiveness of feedback with a smartwatch for high-quality chest compressions during adult cardiac arrest: A randomized controlled simulation study. PLoS One. 2017;12(4):e0169046.

Kurowski A, Szarpak Ł, Bogdañski Ł, Zas̈ko P, Czyzewski Ł. Comparison of the effectiveness of cardiopulmonary resuscitation with standard manual chest compressions and the use of TrueCPR and PocketCPR feedback devices. Kardiol Pol. 2015;73(10):924–30. DOI: 10.5603/KP.a2015.0084

Caputo N, Azan B, Domingues R, Donner L, Fenig M, Fields D, et al. Emergency Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial (The ENDAO Trial). Academic Emergency Medicine. 2017 Nov;24(11):1387–94. DOI: 10.1111/acem.13274

Stipulante S, Delfosse AS, Donneau AF, Hartsein G, Haus S, D’Orio V, et al. Interactive videoconferencing versus audio telephone calls for dispatcher-assisted cardiopulmonary resuscitation using the ALERT algorithm: A randomized trial. European Journal Emergency Medicine. 2016;23(6):418–24. DOI: 10.1097/MEJ.0000000000000338

Barbara L. Penggunaan Smartphone Dalam Upaya Peningkatan Resusitasi Jantung Paru: Sebuah Systematic Review. Jurnal Keperawatan Widya Gantari Indonesia. 2019;3(2):45.

An M, Kim Y, Cho WK. Effect of smart devices on the quality of CPR training: A systematic review. Resuscitation [Internet]. 2019;144(July):145–56. Available from:

Maghfirah, Veri N, Mutiah C, Dewita, Wahyuni S, Madani B, et al. Pengembangan Video Basic Life Support Terhadap peningkatan Keterampilan Warga Desa Paya Bujuk Beuramo, Kecamatan Langsa Barat, Kota Langsa. Jurnal Penelitian Kesehatan 2022;13(April):562–7. DOI:

Caputo ML, Muschietti S, Burkart R, Benvenuti C, Conte G, Regoli F, et al. Lay persons alerted by mobile application system initiate earlier cardio-pulmonary resuscitation: A comparison with SMS-based system notification. Resuscitation. 2017;114:73–8. DOI: 10.1016/j.resuscitation.2017.03.003

Simangunsong W, Herawati T. Efektifitas Aplikasi Smartphone Dalam Upaya Peningkatan Resusitasi Jantung Paru. Jurnal Inovasi Penelitian. 2021;2(7):2221–9.

Kusumawati PD, Jaya AWD. Efektifitas Simulasi Resusitasi Jantung Paru Terhadap Kemampuan Penatalaksanaan Resusitasi Jantung Paru Anggota Brimob. Jurnal Ilmiah Ilmu Keperawatan Indonesia. 2019;9(04):667–72. DOI:

Riskesdas. Laporan Nasional Riskesdas. Badan Penelitian dan Pengembangan Kesehatan. 2018. p. 674.



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