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1. The Lancet Commission to reduce the global burden of sudden cardiac death:a call for multidisciplinary action

Author

Marijon, Eloi, Narayanan, Kumar, Smith, Karen, Barra, Sérgio, Basso, Cristina, Blom, Marieke T., Crotti, Lia, D'Avila, Andre, Deo, Rajat, Dumas, Florence, Dzudie, Anastase, Farrugia, Audrey, Greeley, Kaitlyn, Hindricks, Gerhard, Hua, Wei, Ingles, Jodie, Iwami, Taku, Junttila, Juhani, Koster, Rudolph W., De Waroux, Jean Benoît Le Polain, Olasveengen, Theresa M., Ong, Marcus E. H., Papadakis, Michael, Sasson, Comilla, Shin, Sang Do, Tse, Hung-Fat, Tseng, Zian, Van Der Werf, Christian, Folke, Fredrik, Albert, Christine M., Winkel, Bo Gregers, Marijon, Eloi, Narayanan, Kumar, Smith, Karen, Barra, Sérgio, Basso, Cristina, Blom, Marieke T., Crotti, Lia, D'Avila, Andre, Deo, Rajat, Dumas, Florence, Dzudie, Anastase, Farrugia, Audrey, Greeley, Kaitlyn, Hindricks, Gerhard, Hua, Wei, Ingles, Jodie, Iwami, Taku, Junttila, Juhani, Koster, Rudolph W., De Waroux, Jean Benoît Le Polain, Olasveengen, Theresa M., Ong, Marcus E. H., Papadakis, Michael, Sasson, Comilla, Shin, Sang Do, Tse, Hung-Fat, Tseng, Zian, Van Der Werf, Christian, Folke, Fredrik, Albert, Christine M., and Winkel, Bo Gregers

Abstract

Despite major advancements in cardiovascular medicine, sudden cardiac death (SCD) continues to be an enormous medical and societal challenge, claiming millions of lives every year. Efforts to prevent SCD are hampered by imperfect risk prediction and inadequate solutions to specifically address arrhythmogenesis. Although resuscitation strategies have witnessed substantial evolution, there is a need to strengthen the organisation of community interventions and emergency medical systems across varied locations and health-care structures. With all the technological and medical advances of the 21st century, the fact that survival from sudden cardiac arrest (SCA) remains lower than 10% in most parts of the world is unacceptable. Recognising this urgent need, the Lancet Commission on SCD was constituted, bringing together 30 international experts in varied disciplines. Consistent progress in tackling SCD will require a completely revamped approach to SCD prevention, with wide-sweeping policy changes that will empower the development of both governmental and community-based programmes to maximise survival from SCA, and to comprehensively attend to survivors and decedents’ families after the event. International collaborative efforts that maximally leverage and connect the expertise of various research organisations will need to be prioritised to properly address identified gaps. The Commission places substantial emphasis on the need to develop a multidisciplinary strategy that encompasses all aspects of SCD prevention and treatment. The Commission provides a critical assessment of the current scientific efforts in the field, and puts forth key recommendations to challenge, activate, and intensify efforts by both the scientific and global community with new directions, research, and innovation to reduce the burden of SCD worldwide.

Published
2023

2. The Lancet Commission to reduce the global burden of sudden cardiac death:a call for multidisciplinary action

Author

Marijon, Eloi, Narayanan, Kumar, Smith, Karen, Barra, Sérgio, Basso, Cristina, Blom, Marieke T., Crotti, Lia, D'Avila, Andre, Deo, Rajat, Dumas, Florence, Dzudie, Anastase, Farrugia, Audrey, Greeley, Kaitlyn, Hindricks, Gerhard, Hua, Wei, Ingles, Jodie, Iwami, Taku, Junttila, Juhani, Koster, Rudolph W., De Waroux, Jean Benoît Le Polain, Olasveengen, Theresa M., Ong, Marcus E. H., Papadakis, Michael, Sasson, Comilla, Shin, Sang Do, Tse, Hung-Fat, Tseng, Zian, Van Der Werf, Christian, Folke, Fredrik, Albert, Christine M., Winkel, Bo Gregers, Marijon, Eloi, Narayanan, Kumar, Smith, Karen, Barra, Sérgio, Basso, Cristina, Blom, Marieke T., Crotti, Lia, D'Avila, Andre, Deo, Rajat, Dumas, Florence, Dzudie, Anastase, Farrugia, Audrey, Greeley, Kaitlyn, Hindricks, Gerhard, Hua, Wei, Ingles, Jodie, Iwami, Taku, Junttila, Juhani, Koster, Rudolph W., De Waroux, Jean Benoît Le Polain, Olasveengen, Theresa M., Ong, Marcus E. H., Papadakis, Michael, Sasson, Comilla, Shin, Sang Do, Tse, Hung-Fat, Tseng, Zian, Van Der Werf, Christian, Folke, Fredrik, Albert, Christine M., and Winkel, Bo Gregers

Abstract

Despite major advancements in cardiovascular medicine, sudden cardiac death (SCD) continues to be an enormous medical and societal challenge, claiming millions of lives every year. Efforts to prevent SCD are hampered by imperfect risk prediction and inadequate solutions to specifically address arrhythmogenesis. Although resuscitation strategies have witnessed substantial evolution, there is a need to strengthen the organisation of community interventions and emergency medical systems across varied locations and health-care structures. With all the technological and medical advances of the 21st century, the fact that survival from sudden cardiac arrest (SCA) remains lower than 10% in most parts of the world is unacceptable. Recognising this urgent need, the Lancet Commission on SCD was constituted, bringing together 30 international experts in varied disciplines. Consistent progress in tackling SCD will require a completely revamped approach to SCD prevention, with wide-sweeping policy changes that will empower the development of both governmental and community-based programmes to maximise survival from SCA, and to comprehensively attend to survivors and decedents’ families after the event. International collaborative efforts that maximally leverage and connect the expertise of various research organisations will need to be prioritised to properly address identified gaps. The Commission places substantial emphasis on the need to develop a multidisciplinary strategy that encompasses all aspects of SCD prevention and treatment. The Commission provides a critical assessment of the current scientific efforts in the field, and puts forth key recommendations to challenge, activate, and intensify efforts by both the scientific and global community with new directions, research, and innovation to reduce the burden of SCD worldwide.

Published
2023

3. ERC-ESICM guidelines on temperature control after cardiac arrest in adults.

Author

UCL - (SLuc) Service des urgences, UCL - SSS/IREC - Institut de recherche expérimentale et clinique, Sandroni, Claudio, Nolan, Jerry P, Andersen, Lars W, Böttiger, Bernd W, Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T, Nikolaou, Nikolaos, Olasveengen, Theresa M, Skrifvars, Markus B, Taccone, Fabio S, Soar, Jasmeet, UCL - (SLuc) Service des urgences, UCL - SSS/IREC - Institut de recherche expérimentale et clinique, Sandroni, Claudio, Nolan, Jerry P, Andersen, Lars W, Böttiger, Bernd W, Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T, Nikolaou, Nikolaos, Olasveengen, Theresa M, Skrifvars, Markus B, Taccone, Fabio S, and Soar, Jasmeet

Abstract

The aim of these guidelines is to provide evidence‑based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 °C) for at least 72 h. There was insufficient evidence to recommend for or against temperature control at 32-36 °C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC.

Published
2022

4. 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Author

Wyckoff, Myra H., Greif, Robert, Morley, Peter T., Ng, Kee-Chong, Olasveengen, Theresa M., Singletary, Eunice M., Soar, Jasmeet, Cheng, Adam, Drennan, Ian R., Liley, Helen G., Scholefield, Barnaby R., Smyth, Michael A., Welsford, Michelle, Zideman, David A., Acworth, Jason, Aickin, Richard, Andersen, Lars W., Atkins, Diane, Berry, David C., Bhanji, Farhan, Bierens, Joost, Borra, Vere, Bottiger, Bernd W., Bradley, Richard N., Bray, Janet E., Breckwoldt, Jan, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Chung, Sung Phil, Considine, Julie, Costa-Nobre, Daniela T., Couper, Keith, Couto, Thomaz Bittencourt, Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Djarv, Therese, Donnino, Michael W., Douma, Matthew J., Duff, Jonathan P., Dunne, Cody L., Eastwood, Kathryn, El-Naggar, Walid, Fabres, Jorge G., Fawke, Joe, Finn, Judith, Foglia, Elizabeth E., Folke, Fredrik, Gilfoyle, Elaine, Goolsby, Craig A., Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hirsch, Karen G., Holmberg, Mathias J., Hosono, Shigeharu, Hsieh, Ming-Ju, Hsu, Cindy H., Ikeyama, Takanari, Isayama, Tetsuya, Johnson, Nicholas J., Kapadia, Vishal S., Kawakami, Mandira Daripa, Kim, Han-Suk, Kleinman, Monica, Kloeck, David A., Kudenchuk, Peter J., Lagina, Anthony T., Lauridsen, Kasper G., Lavonas, Eric J., Lee, Henry C., Lin, Yiqun (Jeffrey), Lockey, Andrew S., Maconochie, Ian K., Madar, R. John, Hansen, Carolina Malta, Masterson, Siobhan, Matsuyama, Tasuku, McKinlay, Christopher J. D., Meyran, Daniel, Morgan, Patrick, Morrison, Laurie J., Nadkarni, Vinay, Nakwa, Firdose L., Nation, Kevin J., Nehme, Ziad, Nemeth, Michael, Neumar, Robert W., Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Norii, Tatsuya, Nuthall, Gabrielle A., O'Neill, Brian J., Ong, Yong-Kwang Gene, Orkin, Aaron M., Paiva, Edison F., Parr, Michael J., Patocka, Catherine, Pellegrino, Jeffrey L., Perkins, Gavin D., Perlman, Jeffrey M., Rabi, Yacov, Reis, Amelia G., Reynolds, Joshua C., Ristagno, Giuseppe, Rodriguez-Nunez, Antonio, Roehr, Charles C., Rudiger, Mario, Sakamoto, Tetsuya, Sandroni, Claudio, Sawyer, Taylor L., Schexnayder, Steve M., Schmolzer, Georg M., Schnaubelt, Sebastian, Semeraro, Federico, Skrifvars, Markus B., Smith, Christopher M., Sugiura, Takahiro, Tijssen, Janice A., Trevisanuto, Daniele, Van de Voorde, Patrick, Wang, Tzong-Luen, Weiner, Gary M., Wyllie, Jonathan P., Yang, Chih-Wei, Yeung, Joyce, Nolan, Jerry P., Berg, Katherine M., Wyckoff, Myra H., Greif, Robert, Morley, Peter T., Ng, Kee-Chong, Olasveengen, Theresa M., Singletary, Eunice M., Soar, Jasmeet, Cheng, Adam, Drennan, Ian R., Liley, Helen G., Scholefield, Barnaby R., Smyth, Michael A., Welsford, Michelle, Zideman, David A., Acworth, Jason, Aickin, Richard, Andersen, Lars W., Atkins, Diane, Berry, David C., Bhanji, Farhan, Bierens, Joost, Borra, Vere, Bottiger, Bernd W., Bradley, Richard N., Bray, Janet E., Breckwoldt, Jan, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Chung, Sung Phil, Considine, Julie, Costa-Nobre, Daniela T., Couper, Keith, Couto, Thomaz Bittencourt, Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Djarv, Therese, Donnino, Michael W., Douma, Matthew J., Duff, Jonathan P., Dunne, Cody L., Eastwood, Kathryn, El-Naggar, Walid, Fabres, Jorge G., Fawke, Joe, Finn, Judith, Foglia, Elizabeth E., Folke, Fredrik, Gilfoyle, Elaine, Goolsby, Craig A., Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hirsch, Karen G., Holmberg, Mathias J., Hosono, Shigeharu, Hsieh, Ming-Ju, Hsu, Cindy H., Ikeyama, Takanari, Isayama, Tetsuya, Johnson, Nicholas J., Kapadia, Vishal S., Kawakami, Mandira Daripa, Kim, Han-Suk, Kleinman, Monica, Kloeck, David A., Kudenchuk, Peter J., Lagina, Anthony T., Lauridsen, Kasper G., Lavonas, Eric J., Lee, Henry C., Lin, Yiqun (Jeffrey), Lockey, Andrew S., Maconochie, Ian K., Madar, R. John, Hansen, Carolina Malta, Masterson, Siobhan, Matsuyama, Tasuku, McKinlay, Christopher J. D., Meyran, Daniel, Morgan, Patrick, Morrison, Laurie J., Nadkarni, Vinay, Nakwa, Firdose L., Nation, Kevin J., Nehme, Ziad, Nemeth, Michael, Neumar, Robert W., Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Norii, Tatsuya, Nuthall, Gabrielle A., O'Neill, Brian J., Ong, Yong-Kwang Gene, Orkin, Aaron M., Paiva, Edison F., Parr, Michael J., Patocka, Catherine, Pellegrino, Jeffrey L., Perkins, Gavin D., Perlman, Jeffrey M., Rabi, Yacov, Reis, Amelia G., Reynolds, Joshua C., Ristagno, Giuseppe, Rodriguez-Nunez, Antonio, Roehr, Charles C., Rudiger, Mario, Sakamoto, Tetsuya, Sandroni, Claudio, Sawyer, Taylor L., Schexnayder, Steve M., Schmolzer, Georg M., Schnaubelt, Sebastian, Semeraro, Federico, Skrifvars, Markus B., Smith, Christopher M., Sugiura, Takahiro, Tijssen, Janice A., Trevisanuto, Daniele, Van de Voorde, Patrick, Wang, Tzong-Luen, Weiner, Gary M., Wyllie, Jonathan P., Yang, Chih-Wei, Yeung, Joyce, Nolan, Jerry P., and Berg, Katherine M.

Abstract

This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for futu

Published
2022

5. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Author

Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Boettiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Costa-Nobre, Daniela T., Couper, Keith, Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djarv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, Guinsburg, Ruth, Hatanaka, Tetsuo, Hazinski, Mary Fran, Heriot, George S., Hirsch, Karen G., Holmberg, Mathias J., Hosono, Shigeharu, Hsieh, Ming-Ju, Hung, Kevin K. C., Hsu, Cindy H., Ikeyama, Takanari, Isayama, Tetsuya, Kapadia, Vishal S., Kawakami, Mandira Daripa, Kim, Han-Suk, Kloeck, David A., Kudenchuk, Peter J., Lagina, Anthony T., Lauridsen, Kasper G., Lavonas, Eric J., Lockey, Andrew S., Hansen, Carolina Malta, Markenson, David, Matsuyama, Tasuku, McKinlay, Christopher J. D., Mehrabian, Amin, Merchant, Raina M., Meyran, Daniel, Morley, Peter T., Morrison, Laurie J., Nation, Kevin J., Nemeth, Michael, Neumar, Robert W., Nicholson, Tonia, Niermeyer, Susan, Nikolaou, Nikolaos, Nishiyama, Chika, O'Neil, Brian J., Orkin, Aaron M., Osemeke, Osokogu, Parr, Michael J., Patocka, Catherine, Pellegrino, Jeffrey L., Perkins, Gavin D., Perlman, Jeffrey M., Rabi, Yacov, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Sawyer, Taylor, Schmolzer, Georg M., Schnaubelt, Sebastian, Semeraro, Federico, Skrifvars, Markus B., Smith, Christopher M., Smyth, Michael A., Soll, Roger F., Sugiura, Takahiro, Taylor-Phillips, Sian, Trevisanuto, Daniele, Vaillancourt, Christian, Wang, Tzong-Luen, Weiner, Gary M., Welsford, Michelle, Wigginton, Jane, Wyllie, Jonathan P., Yeung, Joyce, Nolan, Jerry P., Berg, Katherine M., Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Boettiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Costa-Nobre, Daniela T., Couper, Keith, Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djarv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, Guinsburg, Ruth, Hatanaka, Tetsuo, Hazinski, Mary Fran, Heriot, George S., Hirsch, Karen G., Holmberg, Mathias J., Hosono, Shigeharu, Hsieh, Ming-Ju, Hung, Kevin K. C., Hsu, Cindy H., Ikeyama, Takanari, Isayama, Tetsuya, Kapadia, Vishal S., Kawakami, Mandira Daripa, Kim, Han-Suk, Kloeck, David A., Kudenchuk, Peter J., Lagina, Anthony T., Lauridsen, Kasper G., Lavonas, Eric J., Lockey, Andrew S., Hansen, Carolina Malta, Markenson, David, Matsuyama, Tasuku, McKinlay, Christopher J. D., Mehrabian, Amin, Merchant, Raina M., Meyran, Daniel, Morley, Peter T., Morrison, Laurie J., Nation, Kevin J., Nemeth, Michael, Neumar, Robert W., Nicholson, Tonia, Niermeyer, Susan, Nikolaou, Nikolaos, Nishiyama, Chika, O'Neil, Brian J., Orkin, Aaron M., Osemeke, Osokogu, Parr, Michael J., Patocka, Catherine, Pellegrino, Jeffrey L., Perkins, Gavin D., Perlman, Jeffrey M., Rabi, Yacov, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Sawyer, Taylor, Schmolzer, Georg M., Schnaubelt, Sebastian, Semeraro, Federico, Skrifvars, Markus B., Smith, Christopher M., Smyth, Michael A., Soll, Roger F., Sugiura, Takahiro, Taylor-Phillips, Sian, Trevisanuto, Daniele, Vaillancourt, Christian, Wang, Tzong-Luen, Weiner, Gary M., Welsford, Michelle, Wigginton, Jane, Wyllie, Jonathan P., Yeung, Joyce, Nolan, Jerry P., and Berg, Katherine M.

Abstract

The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

Published
2022

6. ERC-ESICM guidelines on temperature control after cardiac arrest in adults

Author

Sandroni, Claudio, Nolan, Jerry P., Andersen, Lars W., Bottiger, Bernd W., Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T., Nikolaou, Nikolaos, Olasveengen, Theresa M., Skrifvars, Markus B., Taccone, Fabio S., Soar, Jasmeet, Sandroni, Claudio, Nolan, Jerry P., Andersen, Lars W., Bottiger, Bernd W., Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T., Nikolaou, Nikolaos, Olasveengen, Theresa M., Skrifvars, Markus B., Taccone, Fabio S., and Soar, Jasmeet

Abstract

The aim of these guidelines is to provide evidence-based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 degrees C) for at least 72 h. There was insufficient evidence to recommend for or against temperature control at 32-36 degrees C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC.

Published
2022

7. ERC-ESICM guidelines on temperature control after cardiac arrest in adults

Author

Nolan, Jerry P., Sandroni, Claudio, Andersen, Lars W., Boettiger, Bernd W., Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T., Nikolaou, Nikolaos, Olasveengen, Theresa M., Skrifvars, Markus B., Taccone, Fabio S., Soar, Jasmeet, Nolan, Jerry P., Sandroni, Claudio, Andersen, Lars W., Boettiger, Bernd W., Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela, Morley, Peter T., Nikolaou, Nikolaos, Olasveengen, Theresa M., Skrifvars, Markus B., Taccone, Fabio S., and Soar, Jasmeet

Abstract

The aim of these guidelines is to provide evidence based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 degrees C) for at least 72 hours. There was insufficient evidence to recommend for or against temperature control at 32-36 degrees C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC.

Published
2022

8. 2021 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Author

Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Böttiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castrén, Maaret, Chang, Wei Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Costa-Nobre, Daniela T., Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djärv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, Guinsburg, Ruth, Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Böttiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castrén, Maaret, Chang, Wei Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Costa-Nobre, Daniela T., Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djärv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, and Guinsburg, Ruth

Abstract

The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

Published
2022

9. 2021 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Author

Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Böttiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castrén, Maaret, Chang, Wei Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Costa-Nobre, Daniela T., Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djärv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, Guinsburg, Ruth, Wyckoff, Myra H., Singletary, Eunice M., Soar, Jasmeet, Olasveengen, Theresa M., Greif, Robert, Liley, Helen G., Zideman, David, Bhanji, Farhan, Andersen, Lars W., Avis, Suzanne R., Aziz, Khalid, Bendall, Jason C., Berry, David C., Borra, Vere, Böttiger, Bernd W., Bradley, Richard, Bray, Janet E., Breckwoldt, Jan, Carlson, Jestin N., Cassan, Pascal, Castrén, Maaret, Chang, Wei Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Costa-Nobre, Daniela T., Dainty, Katie N., Davis, Peter G., de Almeida, Maria Fernanda, de Caen, Allan R., de Paiva, Edison F., Deakin, Charles D., Djärv, Therese, Douma, Matthew J., Drennan, Ian R., Duff, Jonathan P., Eastwood, Kathryn J., El-Naggar, Walid, Epstein, Jonathan L., Escalante, Raffo, Fabres, Jorge G., Fawke, Joe, Finn, Judith C., Foglia, Elizabeth E., Folke, Fredrik, Freeman, Karoline, Gilfoyle, Elaine, Goolsby, Craig A., Grove, Amy, and Guinsburg, Ruth

Abstract

The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

Published
2022

10. Systems saving lives European Resuscitation Council Guidelines 2021

Author

Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, Monsieurs, Koenraad G., Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and Monsieurs, Koenraad G.

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The following topics are covered: chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging the community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatchers.

Published
2021

11. European Resuscitation Council Guidelines 2021 Systems saving lives

Author

Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, Monsieurs, Koenraad G., Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and Monsieurs, Koenraad G.

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatcher.

Published
2021

12. Systems saving lives European Resuscitation Council Guidelines 2021

Author

Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, Monsieurs, Koenraad G., Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and Monsieurs, Koenraad G.

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The following topics are covered: chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging the community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatchers.

Published
2021

13. European Resuscitation Council Guidelines 2021 Systems saving lives

Author

Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, Monsieurs, Koenraad G., Semeraro, Federico, Greif, Robert, Boettiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and Monsieurs, Koenraad G.

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatcher.

Published
2021

14. Systems saving lives:European Resuscitation Council Guidelines 2021

Author

Semeraro, Federico, Greif, Robert, Böttiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, Monsieurs, Koenraad G., Semeraro, Federico, Greif, Robert, Böttiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, Lockey, Andrew S., Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and Monsieurs, Koenraad G.

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The following topics are covered: chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging the community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatchers.

Published
2021

15. European Resuscitation Council Guidelines 2021:Systems saving lives

Author

Semeraro, Federico, Greif, Robert, Böttiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, S Lockey, Andrew, Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, G Monsieurs, Koenraad, Semeraro, Federico, Greif, Robert, Böttiger, Bernd W., Burkart, Roman, Cimpoesu, Diana, Georgiou, Marios, Yeung, Joyce, Lippert, Freddy, S Lockey, Andrew, Olasveengen, Theresa M., Ristagno, Giuseppe, Schlieber, Joachim, Schnaubelt, Sebastian, Scapigliati, Andrea, and G Monsieurs, Koenraad

Abstract

The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatcher.

Published
2021

16. Renewed KIDS SAVE LIVES campaign to further increase awareness and fight sudden cardiac death in the era of COVID-19

Author

Semeraro, Federico, Ristagno, Giuseppe, Greif, Robert, Lockey, Andrew, Monsieurs, Koenraad G., Nolan, Jerry P., Olasveengen, Theresa M., Perkins, Gavin D., Scapigliati, Andrea, Boettiger, Bernd W., Semeraro, Federico, Ristagno, Giuseppe, Greif, Robert, Lockey, Andrew, Monsieurs, Koenraad G., Nolan, Jerry P., Olasveengen, Theresa M., Perkins, Gavin D., Scapigliati, Andrea, and Boettiger, Bernd W.

Published
2020

17. Renewed KIDS SAVE LIVES campaign to further increase awareness and fight sudden cardiac death in the era of COVID-19

Author

Semeraro, Federico, Ristagno, Giuseppe, Greif, Robert, Lockey, Andrew, Monsieurs, Koenraad G., Nolan, Jerry P., Olasveengen, Theresa M., Perkins, Gavin D., Scapigliati, Andrea, Boettiger, Bernd W., Semeraro, Federico, Ristagno, Giuseppe, Greif, Robert, Lockey, Andrew, Monsieurs, Koenraad G., Nolan, Jerry P., Olasveengen, Theresa M., Perkins, Gavin D., Scapigliati, Andrea, and Boettiger, Bernd W.

Published
2020

18. Occurrence of shockable rhythm in out-of-hospital cardiac arrest over time:A report from the COSTA group

Author

Oving, Iris, de Graaf, Corina, Karlsson, Lena, Jonsson, Martin, Kramer-Johansen, Jo, Berglund, Ellinor, Hulleman, Michiel, Beesems, Stefanie G, Koster, Rudolph W, Olasveengen, Theresa M, Ringh, Mattias, Claessen, Andreas, Lippert, Freddy, Hollenberg, Jacob, Folke, Fredrik, Tan, Hanno L, Blom, Marieke T, Oving, Iris, de Graaf, Corina, Karlsson, Lena, Jonsson, Martin, Kramer-Johansen, Jo, Berglund, Ellinor, Hulleman, Michiel, Beesems, Stefanie G, Koster, Rudolph W, Olasveengen, Theresa M, Ringh, Mattias, Claessen, Andreas, Lippert, Freddy, Hollenberg, Jacob, Folke, Fredrik, Tan, Hanno L, and Blom, Marieke T

Abstract

BACKGROUND: Prior research suggests that the proportion of a shockable initial rhythm in out-of-hospital cardiac arrest (OHCA) declined during the last decades. This study aims to investigate if this decline is still ongoing and explore the relationship between location of OHCA and proportion of a shockable initial rhythm as initial rhythm.METHODS: We calculated the proportion of patients with a shockable initial rhythm between 2006-2015 using pooled data from the COSTA-group (Copenhagen, Oslo, Stockholm, Amsterdam). Analyses were stratified according to location of OHCA (residential vs. public).RESULTS: A total of 19,054 OHCA cases were included. Overall, the total proportion of cases with a shockable initial rhythm decreased from 42% to 37% (P < 0.01) from 2006 to 2015. When stratified according to location, the proportion of cases with a shockable initial rhythm decreased for OHCAs at a residential location (34% to 27%; P = 0.03), while the proportion of a shockable initial rhythm was stable among OHCAs in public locations (59%-57%; P = 0.2). During the last years of the study period (2011-2015), the overall proportion of a shockable initial rhythm remained stable (38%-37%; P = 0.45); this was observed for both residential and public OHCA.CONCLUSION: We found a decline in the proportion of patients with a shockable initial rhythm in OHCAs at a residential location; this decline levelled off during the second half of the study period (2011-2015). In public locations, we observed no decline in shockable initial rhythm over time.

Published
2020

19. Occurrence of shockable rhythm in out-of-hospital cardiac arrest over time:A report from the COSTA group

Author

Oving, Iris, de Graaf, Corina, Karlsson, Lena, Jonsson, Martin, Kramer-Johansen, Jo, Berglund, Ellinor, Hulleman, Michiel, Beesems, Stefanie G, Koster, Rudolph W, Olasveengen, Theresa M, Ringh, Mattias, Claessen, Andreas, Lippert, Freddy, Hollenberg, Jacob, Folke, Fredrik, Tan, Hanno L, Blom, Marieke T, Oving, Iris, de Graaf, Corina, Karlsson, Lena, Jonsson, Martin, Kramer-Johansen, Jo, Berglund, Ellinor, Hulleman, Michiel, Beesems, Stefanie G, Koster, Rudolph W, Olasveengen, Theresa M, Ringh, Mattias, Claessen, Andreas, Lippert, Freddy, Hollenberg, Jacob, Folke, Fredrik, Tan, Hanno L, and Blom, Marieke T

Abstract

BACKGROUND: Prior research suggests that the proportion of a shockable initial rhythm in out-of-hospital cardiac arrest (OHCA) declined during the last decades. This study aims to investigate if this decline is still ongoing and explore the relationship between location of OHCA and proportion of a shockable initial rhythm as initial rhythm.METHODS: We calculated the proportion of patients with a shockable initial rhythm between 2006-2015 using pooled data from the COSTA-group (Copenhagen, Oslo, Stockholm, Amsterdam). Analyses were stratified according to location of OHCA (residential vs. public).RESULTS: A total of 19,054 OHCA cases were included. Overall, the total proportion of cases with a shockable initial rhythm decreased from 42% to 37% (P < 0.01) from 2006 to 2015. When stratified according to location, the proportion of cases with a shockable initial rhythm decreased for OHCAs at a residential location (34% to 27%; P = 0.03), while the proportion of a shockable initial rhythm was stable among OHCAs in public locations (59%-57%; P = 0.2). During the last years of the study period (2011-2015), the overall proportion of a shockable initial rhythm remained stable (38%-37%; P = 0.45); this was observed for both residential and public OHCA.CONCLUSION: We found a decline in the proportion of patients with a shockable initial rhythm in OHCAs at a residential location; this decline levelled off during the second half of the study period (2011-2015). In public locations, we observed no decline in shockable initial rhythm over time.

Published
2020

20. 2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Author

Soar, Jasmeet, Maconochie, Ian, Wyckoff, Myra H., Olasveengen, Theresa M., Singletary, Eunice M., Greif, Robert, Aickin, Richard, Bhanji, Farhan, Donnino, Michael W., Mancini, Mary E., Wyllie, Jonathan P., Zideman, David, Andersen, Lars W., Atkins, Dianne L., Aziz, Khalid, Bendall, Jason, Berg, Katherine M., Berry, David C., Bigham, Blair L., Bingham, Robert, Couto, Thomaz Bittencourt, Bottiger, Bernd W., Borra, Vere, Bray, Janet E., Breckwoldt, Jan, Brooks, Steven C., Buick, Jason, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Couper, Keith, Dainty, Katie N., Dawson, Jennifer Anne, de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Drennan, Ian R., Duff, Jonathan P., Epstein, Jonathan L., Escalante, Raffo, Gazmuri, Raul J., Gilfoyle, Elaine, Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hatanaka, Tetsuo, Holmberg, Mathias J., Hood, Natalie, Hosono, Shigeharu, Hsieh, Ming-Ju, Isayama, Tetsuya, Iwami, Taku, Jensen, Jan L., Kapadia, Vishal, Kim, Han-Suk, Kleinman, Monica E., Kudenchuk, Peter J., Lang, Eddy, Lavonas, Eric, Liley, Helen, Lim, Swee Han, Lockey, Andrew, Lofgren, Bo, Ma, Matthew Huei-Ming, Markenson, David, Meaney, Peter A., Meyran, Daniel, Mildenhall, Lindsay, Monsieurs, Koenraad G., Montgomery, William, Morley, Peter T., Morrison, Laurie J., Nadkarni, Vinay M., Nation, Kevin, Neumar, Robert W., Ng, Kee-Chong, Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Nuthall, Gabrielle, Ohshimo, Shinichiro, Okamoto, Deems, O'Neil, Brian, Ong, Gene Yong-Kwang, Paiva, Edison F., Parr, Michael, Pellegrino, Jeffrey, I, Perkins, Gavin D., Perlman, Jeffrey, Rabi, Yacov, Reis, Amelia, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Schexnayder, Stephen M., Scholefield, Barnaby R., Shimizu, Naoki, Skrifvars, Markus B., Smyth, Michael A., Stanton, David, Swain, Janel, Szyld, Edgardo, Tijssen, Janice, Travers, Andrew, Trevisanuto, Daniele, Vaillancourt, Christian, Van de Voorde, Patrick, Velaphi, Sithembiso, Wang, Tzong-Luen, Weiner, Gary, Welsford, Michelle, Woodin, Jeff A., Yeung, Joyce, Nolan, Jerry P., Hazinski, Mary Fran, Soar, Jasmeet, Maconochie, Ian, Wyckoff, Myra H., Olasveengen, Theresa M., Singletary, Eunice M., Greif, Robert, Aickin, Richard, Bhanji, Farhan, Donnino, Michael W., Mancini, Mary E., Wyllie, Jonathan P., Zideman, David, Andersen, Lars W., Atkins, Dianne L., Aziz, Khalid, Bendall, Jason, Berg, Katherine M., Berry, David C., Bigham, Blair L., Bingham, Robert, Couto, Thomaz Bittencourt, Bottiger, Bernd W., Borra, Vere, Bray, Janet E., Breckwoldt, Jan, Brooks, Steven C., Buick, Jason, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Couper, Keith, Dainty, Katie N., Dawson, Jennifer Anne, de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Drennan, Ian R., Duff, Jonathan P., Epstein, Jonathan L., Escalante, Raffo, Gazmuri, Raul J., Gilfoyle, Elaine, Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hatanaka, Tetsuo, Holmberg, Mathias J., Hood, Natalie, Hosono, Shigeharu, Hsieh, Ming-Ju, Isayama, Tetsuya, Iwami, Taku, Jensen, Jan L., Kapadia, Vishal, Kim, Han-Suk, Kleinman, Monica E., Kudenchuk, Peter J., Lang, Eddy, Lavonas, Eric, Liley, Helen, Lim, Swee Han, Lockey, Andrew, Lofgren, Bo, Ma, Matthew Huei-Ming, Markenson, David, Meaney, Peter A., Meyran, Daniel, Mildenhall, Lindsay, Monsieurs, Koenraad G., Montgomery, William, Morley, Peter T., Morrison, Laurie J., Nadkarni, Vinay M., Nation, Kevin, Neumar, Robert W., Ng, Kee-Chong, Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Nuthall, Gabrielle, Ohshimo, Shinichiro, Okamoto, Deems, O'Neil, Brian, Ong, Gene Yong-Kwang, Paiva, Edison F., Parr, Michael, Pellegrino, Jeffrey, I, Perkins, Gavin D., Perlman, Jeffrey, Rabi, Yacov, Reis, Amelia, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Schexnayder, Stephen M., Scholefield, Barnaby R., Shimizu, Naoki, Skrifvars, Markus B., Smyth, Michael A., Stanton, David, Swain, Janel, Szyld, Edgardo, Tijssen, Janice, Travers, Andrew, Trevisanuto, Daniele, Vaillancourt, Christian, Van de Voorde, Patrick, Velaphi, Sithembiso, Wang, Tzong-Luen, Weiner, Gary, Welsford, Michelle, Woodin, Jeff A., Yeung, Joyce, Nolan, Jerry P., and Hazinski, Mary Fran

Abstract

The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.

Published
2019

21. 2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Author

Soar, Jasmeet, Maconochie, Ian, Wyckoff, Myra H., Olasveengen, Theresa M., Singletary, Eunice M., Greif, Robert, Aickin, Richard, Bhanji, Farhan, Donnino, Michael W., Mancini, Mary E., Wyllie, Jonathan P., Zideman, David, Andersen, Lars W., Atkins, Dianne L., Aziz, Khalid, Bendall, Jason, Berg, Katherine M., Berry, David C., Bigham, Blair L., Bingham, Robert, Couto, Thomaz Bittencourt, Bottiger, Bernd W., Borra, Vere, Bray, Janet E., Breckwoldt, Jan, Brooks, Steven C., Buick, Jason, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Couper, Keith, Dainty, Katie N., Dawson, Jennifer Anne, de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Drennan, Ian R., Duff, Jonathan P., Epstein, Jonathan L., Escalante, Raffo, Gazmuri, Raul J., Gilfoyle, Elaine, Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hatanaka, Tetsuo, Holmberg, Mathias J., Hood, Natalie, Hosono, Shigeharu, Hsieh, Ming-Ju, Isayama, Tetsuya, Iwami, Taku, Jensen, Jan L., Kapadia, Vishal, Kim, Han-Suk, Kleinman, Monica E., Kudenchuk, Peter J., Lang, Eddy, Lavonas, Eric, Liley, Helen, Lim, Swee Han, Lockey, Andrew, Lofgren, Bo, Ma, Matthew Huei-Ming, Markenson, David, Meaney, Peter A., Meyran, Daniel, Mildenhall, Lindsay, Monsieurs, Koenraad G., Montgomery, William, Morley, Peter T., Morrison, Laurie J., Nadkarni, Vinay M., Nation, Kevin, Neumar, Robert W., Ng, Kee-Chong, Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Nuthall, Gabrielle, Ohshimo, Shinichiro, Okamoto, Deems, O'Neil, Brian, Ong, Gene Yong-Kwang, Paiva, Edison F., Parr, Michael, Pellegrino, Jeffrey, I, Perkins, Gavin D., Perlman, Jeffrey, Rabi, Yacov, Reis, Amelia, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Schexnayder, Stephen M., Scholefield, Barnaby R., Shimizu, Naoki, Skrifvars, Markus B., Smyth, Michael A., Stanton, David, Swain, Janel, Szyld, Edgardo, Tijssen, Janice, Travers, Andrew, Trevisanuto, Daniele, Vaillancourt, Christian, Van de Voorde, Patrick, Velaphi, Sithembiso, Wang, Tzong-Luen, Weiner, Gary, Welsford, Michelle, Woodin, Jeff A., Yeung, Joyce, Nolan, Jerry P., Hazinski, Mary Fran, Soar, Jasmeet, Maconochie, Ian, Wyckoff, Myra H., Olasveengen, Theresa M., Singletary, Eunice M., Greif, Robert, Aickin, Richard, Bhanji, Farhan, Donnino, Michael W., Mancini, Mary E., Wyllie, Jonathan P., Zideman, David, Andersen, Lars W., Atkins, Dianne L., Aziz, Khalid, Bendall, Jason, Berg, Katherine M., Berry, David C., Bigham, Blair L., Bingham, Robert, Couto, Thomaz Bittencourt, Bottiger, Bernd W., Borra, Vere, Bray, Janet E., Breckwoldt, Jan, Brooks, Steven C., Buick, Jason, Callaway, Clifton W., Carlson, Jestin N., Cassan, Pascal, Castren, Maaret, Chang, Wei-Tien, Charlton, Nathan P., Cheng, Adam, Chung, Sung Phil, Considine, Julie, Couper, Keith, Dainty, Katie N., Dawson, Jennifer Anne, de Almeida, Maria Fernanda, de Caen, Allan R., Deakin, Charles D., Drennan, Ian R., Duff, Jonathan P., Epstein, Jonathan L., Escalante, Raffo, Gazmuri, Raul J., Gilfoyle, Elaine, Granfeldt, Asger, Guerguerian, Anne-Marie, Guinsburg, Ruth, Hatanaka, Tetsuo, Holmberg, Mathias J., Hood, Natalie, Hosono, Shigeharu, Hsieh, Ming-Ju, Isayama, Tetsuya, Iwami, Taku, Jensen, Jan L., Kapadia, Vishal, Kim, Han-Suk, Kleinman, Monica E., Kudenchuk, Peter J., Lang, Eddy, Lavonas, Eric, Liley, Helen, Lim, Swee Han, Lockey, Andrew, Lofgren, Bo, Ma, Matthew Huei-Ming, Markenson, David, Meaney, Peter A., Meyran, Daniel, Mildenhall, Lindsay, Monsieurs, Koenraad G., Montgomery, William, Morley, Peter T., Morrison, Laurie J., Nadkarni, Vinay M., Nation, Kevin, Neumar, Robert W., Ng, Kee-Chong, Nicholson, Tonia, Nikolaou, Nikolaos, Nishiyama, Chika, Nuthall, Gabrielle, Ohshimo, Shinichiro, Okamoto, Deems, O'Neil, Brian, Ong, Gene Yong-Kwang, Paiva, Edison F., Parr, Michael, Pellegrino, Jeffrey, I, Perkins, Gavin D., Perlman, Jeffrey, Rabi, Yacov, Reis, Amelia, Reynolds, Joshua C., Ristagno, Giuseppe, Roehr, Charles C., Sakamoto, Tetsuya, Sandroni, Claudio, Schexnayder, Stephen M., Scholefield, Barnaby R., Shimizu, Naoki, Skrifvars, Markus B., Smyth, Michael A., Stanton, David, Swain, Janel, Szyld, Edgardo, Tijssen, Janice, Travers, Andrew, Trevisanuto, Daniele, Vaillancourt, Christian, Van de Voorde, Patrick, Velaphi, Sithembiso, Wang, Tzong-Luen, Weiner, Gary, Welsford, Michelle, Woodin, Jeff A., Yeung, Joyce, Nolan, Jerry P., and Hazinski, Mary Fran

Abstract

The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.

Published
2019

22. European Resuscitation Council Guidelines for Resuscitation: 2018 Update - Antiarrhythmic drugs for cardiac arrest

Author

Soar, Jasmeet, Perkins, Gavin D., Maconochie, Ian, Böttiger, Bernd W., Deakin, Charles D., Sandroni, Claudio, Olasveengen, Theresa M., Wyllie, Jonathan, Greif, Robert, Lockey, Andrew, Semeraro, Federico, Van de Voorde, Patrick, Lott, Carsten, Bossaert, Leo, Monsieurs, Koenraad G., Nolan, Jerry P., Sandroni, Claudio (ORCID:0000-0002-8878-2611), Soar, Jasmeet, Perkins, Gavin D., Maconochie, Ian, Böttiger, Bernd W., Deakin, Charles D., Sandroni, Claudio, Olasveengen, Theresa M., Wyllie, Jonathan, Greif, Robert, Lockey, Andrew, Semeraro, Federico, Van de Voorde, Patrick, Lott, Carsten, Bossaert, Leo, Monsieurs, Koenraad G., Nolan, Jerry P., and Sandroni, Claudio (ORCID:0000-0002-8878-2611)

Abstract

This European Resuscitation Council (ERC) Guidelines for Resuscitation 2018 update is focused on the role of antiarrhythmic drugs during advanced life support for cardiac arrest with shock refractory ventricular fibrillation/pulseless ventricular tachycardia in adults, children and infants. This update follows the publication of the International Liaison Committee on Resuscitation (ILCOR) 2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR). The ILCOR CoSTR suggests that any beneficial effects of amiodarone or lidocaine are similar. This ERC update does not make any major changes to the recommendations for the use of antiarrhythmic drugs during advanced life support for shock refractory cardiac arrest.

Published
2019

23. 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary

Author

Olasveengen, Theresa M., de Caen, Allan R., Mancini, Mary E., Maconochie, Ian K., Aickin, Richard, Atkins, Dianne L., Berg, Robert A., Bingham, Robert M., Brooks, Steven C., Castrén, Maaret, Chung, Sung Phil, Considine, Julie, Couto, Thomaz Bittencourt, Escalante, Raffo, Gazmuri, Raúl J., Guerguerian, Anne-Marie, Hatanaka, Tetsuo, Koster, Rudolph W., Kudenchuk, Peter J., Lang, Eddy, Lim, Swee Han, Løfgren, Bo, Meaney, Peter A., Montgomery, William H., Morley, Peter T., Morrison, Laurie J., Nation, Kevin J., Ng, Kee-Chong, Nadkarni, Vinay M., Nishiyama, Chika, Nuthall, Gabrielle, Ong, Gene Yong-Kwang, Perkins, Gavin D., Reis, Amelia G., Ristagno, Giuseppe, Sakamoto, Tetsuya, Sayre, Michael R., Schexnayder, Stephen M., Sierra, Alfredo F., Singletary, Eunice M., Shimizu, Naoki, Smyth, Michael A., Stanton, David, Tijssen, Janice A., Travers, Andrew, Vaillancourt, Christian, Van de Voorde, Patrick, Hazinski, Mary Fran, Nolan, Jerry P., ILCOR Collaborators, Olasveengen, Theresa M., de Caen, Allan R., Mancini, Mary E., Maconochie, Ian K., Aickin, Richard, Atkins, Dianne L., Berg, Robert A., Bingham, Robert M., Brooks, Steven C., Castrén, Maaret, Chung, Sung Phil, Considine, Julie, Couto, Thomaz Bittencourt, Escalante, Raffo, Gazmuri, Raúl J., Guerguerian, Anne-Marie, Hatanaka, Tetsuo, Koster, Rudolph W., Kudenchuk, Peter J., Lang, Eddy, Lim, Swee Han, Løfgren, Bo, Meaney, Peter A., Montgomery, William H., Morley, Peter T., Morrison, Laurie J., Nation, Kevin J., Ng, Kee-Chong, Nadkarni, Vinay M., Nishiyama, Chika, Nuthall, Gabrielle, Ong, Gene Yong-Kwang, Perkins, Gavin D., Reis, Amelia G., Ristagno, Giuseppe, Sakamoto, Tetsuya, Sayre, Michael R., Schexnayder, Stephen M., Sierra, Alfredo F., Singletary, Eunice M., Shimizu, Naoki, Smyth, Michael A., Stanton, David, Tijssen, Janice A., Travers, Andrew, Vaillancourt, Christian, Van de Voorde, Patrick, Hazinski, Mary Fran, Nolan, Jerry P., and ILCOR Collaborators

Published
2017

24. Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Author

Travers, Andrew H., Perkins, Gavin D., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian, Basic Life Support Chapter Collaborators, Travers, Andrew H., Perkins, Gavin D., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian, and Basic Life Support Chapter Collaborators

Abstract

This review comprises the most extensive literature search and evidence evaluation to date on the most important international BLS interventions, diagnostics, and prognostic factors for cardiac arrest victims. It reemphasizes that the critical lifesaving steps of BLS are (1) prevention, (2) immediate recognition and activation of the emergency response system, (3) early high-quality CPR, and (4) rapid defibrillation for shockable rhythms. Highlights in prevention indicate the rational and judicious deployment of search-and-rescue operations in drowning victims and the importance of education on opioid-associated emergencies. Other 2015 highlights in recognition and activation include the critical role of dispatcher recognition and dispatch-assisted chest compressions, which has been demonstrated in multiple international jurisdictions with consistent improvements in cardiac arrest survival. Similar to the 2010 ILCOR BLS treatment recommendations, the importance of high quality was reemphasized across all measures of CPR quality: rate, depth, recoil, and minimal chest compression pauses, with a universal understanding that we all should be providing chest compressions to all victims of cardiac arrest. This review continued to focus on the interface of BLS sequencing and ensuring high-quality CPR with other important BLS interventions, such as ventilation and defibrillation. In addition, this consensus statement highlights the importance of EMS systems, which employ bundles of care focusing on providing high-quality chest compressions while extricating the patient from the scene to the next level of care. Highlights in defibrillation indicate the global importance of increasing the number of sites with public-access defibrillation programs. Whereas the 2010 ILCOR Consensus on Science provided important direction for the “what” in resuscitation (ie, what to do), the 2015 consensus has begun with the GRADE methodology to provide direction for the quality of

Published
2015

25. Apples to apples or apples to oranges? : International variation in reporting of process and outcome of care for out-of-hospital cardiac arrest

Author

Nishiyama, Chika, Brown, Siobhan P., May, Susanne, Iwami, Taku, Koster, Rudolph W., Beesems, Stefanie G., Kuisma, Markku, Salo, Ari, Jacobs, Ian, Finn, Judith, Sterz, Fritz, Nuernberger, Alexander, Smith, Karen, Morrison, Laurie, Olasveengen, Theresa M., Callaway, Clifton W., Do Shin, Sang, Graesner, Jan-Thorsten, Daya, Mohamud, Ma, Matthew Huei-Ming, Herlitz, Johan, Strömsöe, Anneli, Aufderheide, Tom P., Masterson, Siobhan, Wang, Henry, Christenson, Jim, Stiell, Ian, Davis, Dan, Huszti, Ella, Nichol, Graham, Nishiyama, Chika, Brown, Siobhan P., May, Susanne, Iwami, Taku, Koster, Rudolph W., Beesems, Stefanie G., Kuisma, Markku, Salo, Ari, Jacobs, Ian, Finn, Judith, Sterz, Fritz, Nuernberger, Alexander, Smith, Karen, Morrison, Laurie, Olasveengen, Theresa M., Callaway, Clifton W., Do Shin, Sang, Graesner, Jan-Thorsten, Daya, Mohamud, Ma, Matthew Huei-Ming, Herlitz, Johan, Strömsöe, Anneli, Aufderheide, Tom P., Masterson, Siobhan, Wang, Henry, Christenson, Jim, Stiell, Ian, Davis, Dan, Huszti, Ella, and Nichol, Graham

Abstract

Objectives: Survival after out-of-hospital cardiac arrest (OHCA) varies between communities, due in part to variation in the methods of measurement. The Utstein template was disseminated to standardize comparisons of risk factors, quality of care, and outcomes in patients with OHCA. We sought to assess whether OHCA registries are able to collate common data using the Utstein template. A subsequent study will assess whether the Utstein factors explain differences in survival between emergency medical services (EMS) systems. Study design: Retrospective study. Setting: This retrospective analysis of prospective cohorts included adults treated for OHCA, regardless of the etiology of arrest. Data describing the baseline characteristics of patients, and the process and outcome of their care were grouped by EMS system, de-identified, and then collated. Included were core Utstein variables and timed event data from each participating registry. This study was classified as exempt from human subjects' research by a research ethics committee. Measurements and main results: Thirteen registries with 265 first-responding EMS agencies in 13 countries contributed data describing 125,840 cases of OHCA. Variation in inclusion criteria, definition, coding, and process of care variables were observed. Contributing registries collected 61.9% of recommended core variables and 42.9% of timed event variables. Among core variables, the proportion of missingness was mean 1.9 +/- 2.2%. The proportion of unknown was mean 4.8 +/- 6.4%. Among time variables, missingness was mean 9.0 +/- 6.3%. Conclusions: International differences in measurement of care after OHCA persist. Greater consistency would facilitate improved resuscitation care and comparison within and between communities.

Published
2014
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