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

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 2015, Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations, Circulation, vol. 132, no. 16 Suppl 1, pp. S51-S83, doi: 10.1161/CIR.0000000000000272.

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Title 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(s) Travers, Andrew H.
Perkins, Gavin D.
Berg, Robert A.
Castren, Maaret
Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
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
Journal name Circulation
Volume number 132
Issue number 16 Suppl 1
Start page S51
End page S83
Total pages 34
Publisher American Heart Association
Place of publication Dallas, Tex.
Publication date 2015-10-20
ISSN 1524-4539
Keyword(s) arrhythmia
cardiac arrest
cardiopulmonary resuscitation
emergency department
resuscitation
Adult
Age Factors
Analgesics, Opioid
Child
Defibrillators
Electric Countershock
Emergencies
Emergency Medical Services
Health Education
Heart Arrest
Heart Massage
Humans
Naloxone
Near Drowning
Observational Studies as Topic
Randomized Controlled Trials as Topic
Ventricular Fibrillation
Basic Life Support Chapter Collaborators
Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Peripheral Vascular Disease
Cardiovascular System & Cardiology
Summary 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 resuscitation. We hope that resuscitation councils and other stakeholders will be able to translate this body of knowledge of international consensus statements to build their own effective resuscitation guidelines.
Language eng
DOI 10.1161/CIR.0000000000000272
Field of Research 111799 Public Health and Health Services not elsewhere classified
1103 Clinical Sciences
1102 Cardiovascular Medicine And Haematology
1117 Public Health And Health Services
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2015, American Heart Association, Inc., European Resuscitation Council, and International Liaison Committee on Resuscitation.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089046

Document type: Journal Article
Collections: School of Nursing and Midwifery
Centre for Quality and Patient Safety
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