Editorial - Imaging in Medicine (2025) Volume 17, Issue 1

AI Enhanced CPR Revolutionizing Resuscitation with Intelligent Intervention

Vittorio Seba*

Department of Obstetrics and Gynecology, School of Medicine, Stanford University, California, USA

*Corresponding Author:
Vittorio Seba
Department of Obstetrics and Gynecology, School of Medicine, Stanford University, California, USA
E-mail: Vittorio@gmail.com

Received: 17-Jan-2024, Manuscript No. fmim- 25-170121; Editor assigned: 20-Jan-2024, PreQC No. fmim-25-170121 (PQ); Reviewed: 04-October-2024, QC No. fmim-25-170121; Revised: 14-Jan-2024, Manuscript No. fmim- 25-170121 (R); Published: 21-Jan-2024, DOI: 10.47532/1755-5191.2025.17(1).1-3

Introduction

Cardiac arrest remains one of the most time-sensitive emergencies, with survival chances falling sharply as every minute passes. Traditional cardiopulmonary resuscitation (CPR), once a standardized one‑size‑fits‑all technique, is now being fundamentally transformed by artificial intelligence (AI). From real‑time rhythm interpretation during compressions to adaptive robotic systems and feedback‑driven wearable devices, AI‑enhanced CPR is ushering in a new era of individualized, high‑precision resuscitation—one poised to significantly improve outcomes.

Innovations in AI‑Driven CPR Technologies

Closed‑Loop AI Controlled Compression Systems

Pioneering work by researchers at the University of Minnesota and Georgia Tech has resulted in the world’s first AI‑controlled, closed‑loop CPR system. Pre‑clinical studies in porcine models showed this system outperformed both experienced physicians and the established LUCAS mechanical compressor, maintaining superior coronary perfusion over time by dynamically adjusting compression depth and timing using continuous data feedback Medical School+1.

AI‑Enabled CPR Robots

Robotic systems equipped with AI are being developed to autonomously perform chest compressions while optimizing location, depth, and rate based on real‑time biosignals such as end‑tidal CO₂. In experimental ICU and animal models, these AI‑driven robots demonstrated comparable hemodynamic markers and return of spontaneous circulation (ROSC) to mechanical devices like LUCAS 3, with potential benefits in neurological outcomes PubMed.

Deep Learning for Real‑Time Rhythm Analysis

Interrupting chest compressions to check cardiac rhythm or pulse delays outcomes. AI models using convolutional neural networks and ResNet architectures can now analyze ECG signals during ongoing CPR—including mechanical compressions—and distinguish life-threatening shockable rhythms with accuracy meeting American Heart Association standards (sensitivity ≥90 %, specificity ≥95 %) MDPI PubMed. Additional algorithms predict presence of pulse during compressions (AUC ≈ 0.84‑0.89), reducing unnecessary pauses medresearch.umich.edu arxiv.org credihealth.com.

Non‑Invasive Biosignal Wearables for Adaptive Guidance

The INSIGHT‑CPR initiative is developing wearable sensors (e.g., finger/wrist patches) that capture arterial waveform data to estimate diastolic blood pressure in real‑time. Coupled with embedded AI algorithms, this system provides rescuers with optimized hand placement and technique guidance tailored to the patient’s physiology, aiming to improve survival by personalizing CPR actions in the field without invasive monitoring medresearch.umich.edu credihealth.com.

Training, Simulation, and System Integration

Beyond hardware, AI plays a major role in CPR education and deployment strategy. Virtual and augmented reality platforms, powered by AI, are now widely used in CPR skills labs to provide immersive, interactive, real‑time feedback, enhancing learning outcomes and retention Lippincott Journals. AI analytics also optimize placement of AEDs via mapping of high‑risk zones and support drone‑delivered AED deployment to reduce time to defibrillation in out‑of‑hospital cardiac arrest scenarios credihealth.com.

Challenges and Forward Path

While promising, AI‑enhanced CPR faces challenges including clinical validation across diverse patient populations, integration into emergency medical systems, concerns over interpretability and trust (XAI), and regulatory approval pathways. Recent surveys of AI in CPR emphasize reinforcement learning, transformer models, and explainable AI as key trends shaping future innovation, alongside the need for robust datasets and standardization.

Conclusion

AI‑enhanced CPR represents a paradigm shift in emergency cardiac care—transforming CPR from a generic, manual protocol into a precision, data‑driven intervention. Whether through closed‑loop mechanical systems, AI‑assisted robotics, real‑time rhythm detection, or personalized feedback wearables, these technologies hold the promise of reducing interruptions, improving hemodynamics, and ultimately saving more lives. As these systems advance through clinical trials and into real‑world settings, they will demand interdisciplinary collaboration, trustworthiness, and thoughtful integration into resuscitation guidelines.

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