2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Circulation. 2019 Dec 10;140(24):e826-e880. doi: 10.1161/CIR.0000000000000734. Epub 2019 Nov 14.

Abstract

The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.

Keywords: AHA Scientific Statements; airway management; cardiopulmonary resuscitation; child; epinephrine; extracorporeal circulation; heart arrest; infant.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiopulmonary Resuscitation / standards*
  • Child
  • Emergency Medical Services / standards*
  • Emergency Service, Hospital / standards
  • Emergency Treatment* / standards
  • Humans
  • Hypothermia, Induced / standards*
  • Out-of-Hospital Cardiac Arrest / therapy