A combined cardio pulmonary resuscitation (CPR) and automated external defibrillator (AED) system for performing an emergency procedure over the clothing of a patient is provided. The system includes a spinal support rest having a cushion that accommodates a neck portion of the patient, a compression pad operatively connected to the spinal support rest and is adapted to be placed over the patient such that the compression pad is aligned above the heart and chest of the patient. A first arm strap and a second arm strap operatively connected to the compression pad. A power button automatically dials an emergency number to contact a medical professional. An interactive communication unit activates a two way real time video conference with the medical professional on the display to receive a set of instructions from the medical professional in real time to enable a user to perform the emergency procedure on the patient.