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Cardiac arrest

AI in cardiac arrest: oversight may be symbolic

Human-in-the-Loop in AI-assisted Resuscitation Protocols: Conceptual Pitfalls and Practical Considerations
Resuscitation Plus · 2026-11 · Added 8 November 2026

A conceptual analysis of AI-assisted OHCA resuscitation protocols argues that time pressure, protocol-driven practice and ambiguous authority can turn human-in-the-loop oversight of AI recommendations into symbolic governance rather than real crew control.

Study type
Other
Design
Conceptual/policy analysis (no empirical data)
Participants
Not reported
Main finding
No empirical data — proposes five policy measures including ecological trialling, designed-in explainability, defined escalation triggers and authority, and protection for justified deviation from AI recommendations
Caveat
Purely conceptual; no data on how crews actually behave with AI recommendations
Bottom line
Context only

Why it matters in Australia (Medium relevance). AI decision support is arriving in dispatch and clinical systems worldwide, and whether crews can meaningfully override it is a governance question every ambulance service will face.

Learning goal

Understand how authority, escalation triggers and justified deviation shape real oversight of AI-assisted resuscitation recommendations.

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