Concordance between the 2010 and 2015 Resuscitation Guidelines of International Liaison Committee of Resuscitation Councils (ILCOR) members and the ILCOR Consensus of Science and Treatment Recommendations (CoSTRs)

Abstract

BackgroundCardiac arrests are associated with poor outcomes. The International Liaison Committee on Resuscitation (ILCOR) evaluates resuscitation science and produced, until 2015, five-yearly consensus statements on treatment recommendations (CoSTRs), informing global resuscitation guidelines (RGs).We aimed to identify similarities/differences in RGs from ILCOR members, noting concurrence over time, and CoSTRs influence on these guidelines. MethodsWe considered the component elements of paediatric and adult, basic and advanced RGs, published in 2010 and 2015, along with matching ILCOR CoSTRs to examine their influence. We contacted the responsible councils when guidelines were unavailable online. ResultsComplete RGs were found for six of the seven ILCOR council members. The Resuscitation Council of Asia only had adult basic life support (BLS) guidelines in English. Three members used the AHA guidelines. Therefore, five rather than seven sets of RGs were compared to the CoSTRs. Concurrence between CoSTRs recommendations and ILCOR council member'sRGs has improved over time. Minor variations were identified in both basic and advanced life support, with most variance in paediatric guidelines, but these narrowed over time. ConclusionThe improved concurrence across the RGs with the CoSTRs suggests that ILCOR members accept and hence incorporate CoSTRs recommendations to inform their own RGs. This is one step towards the development of international universal guidelines for adult and paediatric resuscitation.

Sudden cardiac arrest pharmacotherapy with prefilled syringes improves adherence to Advanced Life Support protocol in understaffed resuscitation pre-hospital care teams

“…Although its administration is recommended in SCA subjects in valid guidelines of the European Resuscitation Council (ERC), the outcomes of its use in these individuals are not consistent [13][14][15][16]. According to the aforementioned recommendations, the first dose of adrenaline should be administered immediately after insertion intravenous or interosseous cannula in initial non-shockable whereas after the third shock in the shockable rhythms [17]. Therefore, in our study we did not test the impact of adrenaline injection itself on CPR efficacy nor its outcomes, but we assessed the significance of two different and available methods of drug preparation prior to its application.…”

Comparison of paediatric basic life support guidelines endorsed by member councils of Resuscitation Council of Asia

“…While there had been a common RCA basic life support algorithm for adults, there has not been a common RCA algorithm for paediatric life support. 9 , 10 .…”