2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

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; Zideman, David; Andersen, Lars W.; Atkins, Dianne L.; Aziz, Khalid; Bendall, Jason C; Berg, Katherine M.; Berry, David; Bigham, Blair L.; Bingham, Robert; Couto, Thomaz Bittencourt; Böttiger, Bernd W.; Borra, Vere; Bray, Janet; Breckwoldt, Jan; Brooks, Steven C.; Buick, Jason E.; Callaway, Clifton W.; Carlson, Jestin N.; Cassan, Pascal; Castrèn, Maaret; Chang, Wei; Charlton, Nathan P.; Cheng, Adam; Chung, Sung Phil; Considine, Julie; Couper, Keith; Dainty, Katie N.; Dawson, Jennifer A; Almeida, Maria Fernanda de; Caen, Allan R. de; Deakin, Charles D.; Drennan, Ian R.; Duff, Jonathan P.; Epstein, Jonathan; Escalante, Raffo; Gazmuri, Raúl 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; Kapadia, Vishal; Kim, Han Suk; Kleinman, Monica E.; Kudenchuk, Peter J.; Lang, Eddy; Lavonas, Eric J.; Liley, Helen; Lim, Swee Han; Lockey, Andrew; Løfgren, Bo; Ming, Matthew Huei; Markenson, David; Meaney, Peter A; Meyrán, Daniel; Mildenhall, Lindsay; Monsieurs, Koenraad G.; Montgomery, William; Morley, Peter; Morrison, Laurie J.; Nadkarni, Vinay; Nation, Kevin; Neumar, Robert W.; Ng, Kee Chong; Nicholson, Tonia; Νικολάου, Νικόλαος; Nishiyama, Chika; Nuthall, Gabrielle; Ohshimo, Shinichiro; Okamoto, Deems; O’Neil, Brian J.; Ong, Gene Yong Kwang; Paiva, Edison F.; Parr, Michael J.; Pellegrino, Jeffrey L.; Perkins, Gavin D; Perlman, Jeffrey M.; Rabi, Yacov; Reis, Amélia G.; Reynolds, Joshua C.; Ristagno, Giuseppe; Roehr, Charles Christoph; 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 A.; Travers, Andrew H.; Trevisanuto, Daniele; Vaillancourt, Christian; Voorde, Patrick Van de; Velaphi, Sithembiso; Wang, Tzong Luen; Weiner, Gary M.; Welsford, Michelle; Woodin, Jeff A.; Yeung, Joyce; Nolan, Jerry P.; Hazinski, Mary Fran

doi:10.1016/j.resuscitation.2019.10.016

Cited by 131 publications

(142 citation statements)

References 203 publications

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“…All EMS providers performed CPR according to the Japanese CPR guidelines, which are based on the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. 8 Because EMS personnel in Japan are legally prohibited from terminating resuscitation in the field, most out-of-hospital cardiac arrest patients undergo EMS-provided CPR and are transported to hospitals, except in cases in which death is certain. The Fire and Disaster Management Agency recommends transporting out-of-hospital cardiac arrest patients to tertiary emergency medical centers.…”

Section: Materials and Methods Study Designmentioning

confidence: 99%

Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest After Traffic Accidents and Termination of Resuscitation

Shibahashi

Sugiyama

Hamabe

2020

Annals of Emergency Medicine

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We describe the characteristics and outcomes of pediatric traumatic out-of-hospital cardiac arrest after traffic accidents and validate the termination of resuscitation clinical criteria for adult traumatic out-of-hospital cardiac arrest in pediatrics. Methods: We analyzed the records of pediatric (18 years) traumatic out-of-hospital cardiac arrest cases after traffic accidents in a prospectively collected nationwide database (2012 to 2016). Endpoints were 1-month favorable neurologic outcomes and 1month survival. Validation of termination of resuscitation criteria, cardiac arrest at the scene, and unsuccessful resuscitation after cardiopulmonary resuscitation (CPR) greater than 15 minutes was performed based on specificity and positive predictive value. Results: Of the 582 patients who were eligible for analyses, 8 (1.4%) and 20 (3.4%) had 1-month favorable neurologic outcome and survival, respectively. All patients with favorable neurologic outcomes had out-of-hospital return of spontaneous circulation, and the duration of CPR was significantly shorter than for those with unfavorable neurologic outcomes (4 versus 23 minutes; absolute difference-21.9 minutes; 95% confidence interval-36.3 to-7.4 minutes). The duration of out-of-hospital CPR beyond which the possibility of favorable neurologic outcomes and survival diminished to less than 1% was 15 minutes. For predicting unfavorable neurologic outcomes, the termination of resuscitation criteria provided a specificity of 1.00 (95% confidence interval 0.52 to 1.00) and a positive predictive value of 1.00 (95% confidence interval 0.99 to 1.00). Conclusion: The outcomes of pediatric patients with traumatic out-of-hospital cardiac arrest after traffic accidents were as poor as those of adults in previous studies. Out-of-hospital return of spontaneous circulation was a significant indicator of favorable outcomes, and the duration of out-of-hospital CPR beyond which the possibility of favorable neurologic outcomes and survival diminished to less than 1% was 15 minutes. Termination of resuscitation criteria provided an excellent positive predictive value for 1-month unfavorable neurologic outcomes after out-of-hospital cardiac arrest. [

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Section: Materials and Methods Study Designmentioning

confidence: 99%

Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest After Traffic Accidents and Termination of Resuscitation

Shibahashi

Sugiyama

Hamabe

2020

Annals of Emergency Medicine

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“…The recent ILCOR systematic review on compression to ventilation ratios for CPR identified no new evidence to guide in-hospital CPR that has been published since the previous review in 2015 [49,50].…”

Section: In-hospital Adult Cpr [15]mentioning

confidence: 99%

European Resuscitation Council Guidelines for Resuscitation: 2017 update

et al. 2018

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“…A recent meta-analysis has demonstrated the beneficial survival outcome DA-CPR [10]. The recent international consensus strongly recommends that emergency medical dispatch service centers have a proper system to support DA-CPR services [11]. DOI: http://dx.doi.org/10.5772/intechopen.91866…”

Section: Cpr (Dispatcher-assisted)mentioning

confidence: 99%

Cardiopulmonary Resuscitation: Recent Advances

Kumar¹,

Yadav²,

Garg³

2020

Sudden Cardiac Death

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Cardiac arrest is the most significant reason for mortality and morbidities worldwide. With a better understanding of the pathophysiology of cardiac arrest, simple adaptations in basic life support to upcoming modifications in postresuscitation care have been proposed by various resuscitation councils throughout the globe. Role of point of care cardiac ultrasound during cardiopulmonary resuscitation (CPR) has been explored and its contribution for identifying reversible causes and its real time management has been explored. A higher blood and tissue oxygenation levels contributed to an increased rate of return of spontaneous circulation (ROSC) which has to lead us to explore more options to increase the oxygenation. Starting from the CPR training, the use of sensors for spirometric feedback in ventilation maneuvers can help improve the quality of CPR. High flow nasal oxygenation during CPR has shown promising results. Extracorporeal CPR is another entity that has shown survival benefits in a selected group of patients. The aim of the newer advances has always been to decrease the morbidity and improve survival outcomes in terms of neurological deficit as well. These guidelines are reviewed and updated regularly to improve knowledge and training based on the current evidence. This chapter shall focus on recent advances in cardiopulmonary resuscitation.

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2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Cited by 131 publications

References 203 publications

Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest After Traffic Accidents and Termination of Resuscitation

Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest After Traffic Accidents and Termination of Resuscitation

European Resuscitation Council Guidelines for Resuscitation: 2017 update

Cardiopulmonary Resuscitation: Recent Advances

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