One answer would be to have more high tech communication between the engineer and the "dispatcher" so as to monitor the engineer's vital signs. Many trucks have broadcasting GPS devices so a fleet can be tracked in near real time on a map. It would seem that RRs could do the same. Put broadcasting Web cams in the cab and on the end-of-train device.
It also seems fairly straight forward to have a remote control available to the 'dispatcher to hit the "train" air brakes, throttle down the locomotives, and what ever else is electronically controllable. Even to the point of operating the trains in drone fashion.
Still, modern times are here. (chuckle)