considine-part3adult-2015.pdf (627.5 kB)
Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations
journal contribution
posted on 2015-10-20, 00:00 authored by A H Travers, G D Perkins, R A Berg, M Castren, Julie ConsidineJulie Considine, R Escalante, R J Gazmuri, R W Koster, S H Lim, K J Nation, T M Olasveengen, T Sakamoto, M R Sayre, A Sierra, M A Smyth, D Stanton, C Vaillancourt, Basic Life Support Chapter CollaboratorsThis 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.
History
Journal
CirculationVolume
132Issue
16 Suppl 1Pagination
S51 - S83Publisher
American Heart AssociationLocation
Dallas, Tex.Publisher DOI
Link to full text
eISSN
1524-4539Language
engPublication classification
C1.1 Refereed article in a scholarly journal; C Journal articleCopyright notice
2015, American Heart Association, Inc., European Resuscitation Council, and International Liaison Committee on Resuscitation.Usage metrics
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arrhythmiacardiac arrestcardiopulmonary resuscitationemergency departmentresuscitationAdultAge FactorsAnalgesics, OpioidChildDefibrillatorsElectric CountershockEmergenciesEmergency Medical ServicesHealth EducationHeart ArrestHeart MassageHumansNaloxoneNear DrowningObservational Studies as TopicRandomized Controlled Trials as TopicVentricular FibrillationScience & TechnologyLife Sciences & BiomedicineCardiac & Cardiovascular SystemsPeripheral Vascular DiseaseCardiovascular System & CardiologyHOSPITAL CARDIAC-ARRESTPUBLIC-ACCESS DEFIBRILLATIONPRIORITY DISPATCH SYSTEMCHEST COMPRESSION RATESTIME AUDIOVISUAL FEEDBACKLATER RHYTHM ANALYSISCARDIOCEREBRAL RESUSCITATIONVENTRICULAR-FIBRILLATIONSPONTANEOUS CIRCULATIONMEDICAL-SERVICESBasic Life Support Chapter Collaborators
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