Purpose Recent evidence indicates an increasing incidence of occupational violence (OV) towards paramedics. Body-worn cameras (BWC) have been posited as an intervention that may deter perpetrators, leading to a growing number of ambulance services introducing BWCs at a considerable financial cost. This study aims to investigate the impact of BWC on the incidence of OV towards paramedics. Design/methodology/approach A systematic review was conducted according to the JBI methodology. EMBASE, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Cochrane reviews, Cochrane Central Register of Controlled Trials, JBI systematic reviews, TROVE and Google Scholar were searched to identify primary research studies reporting on BWCs as an intervention against an outcome of OV incidence. Primary research papers, publicly-accessible government reports, peer-reviewed and grey literature, if published in English, were eligible. Findings The search identified 152 documents, of which 125 were assessed following the removal of duplicates. Following abstract screening then full-text review, there were no studies available to include in the review. Research limitations/implications The introduction of interventions should be supported by evidence and an analysis of associated health economics. There is a need for ambulance services that have implemented BWC initiatives to make evaluation data available publicly for transparent review to inform decision-making elsewhere in the profession. Originality/value To the best of the authors’ knowledge, these findings represent the first investigation of BWCs as a strategy to reduce the incidence of OV towards paramedics. They highlight the need to apply research frameworks rigorously and transparently to OV reduction initiatives to ensure paramedics are protected by evidence-based strategies.