2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary

Abstract

The International Liaison Committee on Resuscitation has initiated a near-continuous review of cardiopulmonary resuscitation science that replaces the previous 5-year cyclic batch-and-queue approach process. This is the first of an annual series of International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations summary articles that will include the cardiopulmonary resuscitation science reviewed by the International Liaison Committee on Resuscitation in the previous year. The review this year includes 5 basic life support and 1 paediatric Consensuses on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Each of these includes a summary of the science and its quality based on Grading of Recommendations, Assessment, Development, and Evaluation criteria and treatment recommendations. Insights into the deliberations of the International Liaison Committee on Resuscitation task force members are provided in Values and Preferences sections. Finally, the task force members have prioritised and listed the top 3 knowledge gaps for each population, intervention, comparator, and outcome question.

2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

“…1 It aligns with the International Liaison Committee on Resuscitation's continuous evidence review process, and updates are published when the International Liaison Committee on Resuscitation completes a literature review based on new science. A description of the evidence review process is available in the "2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary," 1 and a glossary of terms is available in that document. The International Liaison Committee on Resuscitation's Grading of Recommendations Assessment, Development, and Evaluation assessments were converted to the American College of Cardiology/American Heart Association Classes of Recommendations and Levels of Evidence (Table).…”

State of the Evidence for Emergency Medical Services (EMS) Care: The Evolution and Current Methodology of the Prehospital Evidence-Based Practice (PEP) Program

“…There are many other evidence appraisal methods, each with advantages and disadvantages ( Atkins et al 2004 ), some of which are continuously re-developed to overcome identified shortcomings. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach has been widely implemented ( Guyatt et al 2008 ), including into the International Liaison Committee on Resuscitation (ILCOR) evidence review process ( Olasveengen et al 2017 ). GRADE evaluates evidence for specific questions by outcome, which differs from PEP, which evaluates all related evidence per specific intervention.…”

Efficacy of Manual Ventilation Techniques During Cardiopulmonary Resuscitation in Dogs

“…Compression only CPR maybe associated with poorer outcomes than conventional CPR in human clinical patients ( 22 – 24 ). Despite this, it is currently recommended for out of hospital CPR in humans for untrained rescuers, as it has been found to be associated with a higher rate of bystander CPR provision ( 25 , 26 ).…”