A remote communications system for providing enhanced communication with cardiac devices includes a wearable defibrillator disposed on a torso of a patient and a remote device. The wearable defibrillator includes one or more buttons configured to be actuated by the patient to indicate that the patient is conscious, a speaker configured to communicate information to the patient, a wearable defibrillator transceiver configured to transmit the information, and a processor in communication with the speaker and the wearable defibrillator transceiver. The remote device includes a wireless transceiver for bi-directional communication configured to receive the information from the wearable defibrillator, at least one of a touch screen and a speaker, and a processor configured to cause the remote device to provide via the at least one of the touch screen and the speaker at least one of an alarm, voice message, and prompt based on the received information.