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Adult Basic Life Support 2020: International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Olasveengen, TM, Mancini, ME, Perkins, GD, Avis, S ORCID: 0000-0002-9543-1991, Brooks, S, Castren, M, Chung, SP, Considine, J, Couper, K, Escalante, R, Hatanaka, T, Hung, KKC, Kudenchuk, P, Lim, P, Nishiyama, C, Ristagno, G, Semeraro, F, Smith, CM, Smyth, MA, Vaillancourt, C, Nolan, JP, Hazinski, MF and Morley, PT 2020 , 'Adult Basic Life Support 2020: International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations' , Circulation, vol. 142, no. (suppl , S41–S91 , doi: 10.1161/CIR.0000000000000892.

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Abstract

This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 22 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 5 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review.Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest.The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

Item Type: Article
Authors/Creators:Olasveengen, TM and Mancini, ME and Perkins, GD and Avis, S and Brooks, S and Castren, M and Chung, SP and Considine, J and Couper, K and Escalante, R and Hatanaka, T and Hung, KKC and Kudenchuk, P and Lim, P and Nishiyama, C and Ristagno, G and Semeraro, F and Smith, CM and Smyth, MA and Vaillancourt, C and Nolan, JP and Hazinski, MF and Morley, PT
Keywords: AHA Scientific Statements, cardiopulmonary resuscitation, defibrillators, drowning, emergency medical services communication systems, heart arrest, heart massage, respiration, artificial
Journal or Publication Title: Circulation
Publisher: Lippincott Williams & Wilkins
ISSN: 0009-7322
DOI / ID Number: 10.1161/CIR.0000000000000892
Copyright Information:

Copyright 2020 American Heart Association, Inc., European Resuscitation Council, and International Liaison Committee on Resuscitation

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