2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff, Myra H.; Singletary, Eunice M.; Soar, Jasmeet; Olasveengen, Theresa M.; Greif, Robert; Liley, Helen; Zideman, David; Bhanji, Farhan; Andersen, Lars W.; Avis, Suzanne R; Aziz, Khalid; Bendall, Jason C; Berry, David; Borra, Vere; Böttiger, Bernd W.; Bradley, Richard N; Bray, Janet; Breckwoldt, Jan; Carlson, Jestin N.; Cassan, Pascal; Castrèn, Maaret; Chang, Wei‐Tien; Charlton, Nathan P.; Cheng, Adam; Chung, Sung Phil; Considine, Julie; Costa-Nobre, Daniela Testoni; Couper, Keith; Dainty, Katie N.; Davis, Peter G; Almeida, Maria Fernanda de; Caen, Allan R. de; Paiva, Edison Ferreira de; Deakin, Charles D.; Djärv, Therese; Douma, Matthew J.; Drennan, Ian R.; Duff, Jonathan P.; Eastwood, Kathryn; Epstein, Jonathan; Escalante, Raffo; Fabres, Jorge; Fawke, Joe; Finn, Judith; Foglia, Elizabeth E.; Folke, Fredrik; Freeman, Karoline; Gilfoyle, Elaine; Goolsby, Craig; Grove, Amy; Guinsburg, Ruth; Hatanaka, Tetsuo; Hazinski, Mary Fran; Heriot, George S; Hirsch, Karen G.; Holmberg, Mathias J.; Hosono, Shigeharu; Hsieh, Ming‐Ju; Hung, Kevin Kei Ching; Hsu, Cindy H.; Ikeyama, Takanari; Isayama, Tetsuya; Kapadia, Vishal; Kawakami, Mandira Daripa; Kim, Han-Suk; Kloeck, David; Kudenchuk, Peter J.; Lagina, Anthony T.; Lauridsen, Kasper Glerup; Lavonas, Eric J.; Lockey, Andrew; Hansen, Carolina Malta; Markenson, David; Matsuyama, Tasuku; McKinlay, Christopher J.D.; Mehrabian, Amin; Merchant, Raina M.; Meyrán, Daniel; Morley, Peter; Morrison, Laurie J.; Nation, Kevin; Nemeth, Michael; Neumar, Robert W.; Nicholson, Tonia; Niermeyer, Susan; Νικολάου, Νικόλαος; Nishiyama, Chika; O’Neil, Brian J.; Orkin, Aaron; Osokogu, Osemeke U.; Parr, Michael; Patocka, Catherine; Pellegrino, Jeffrey L.; Perkins, Gavin D; Perlman, Jeffrey M.; Rabi, Yacov; Reynolds, Joshua C.; Ristagno, Giuseppe; Roehr, Charles Christoph; Sakamoto, Tetsuya; Sandroni, Claudio; Sawyer, Taylor; Schmölzer, Georg M.; Schnaubelt, Sebastian; Semeraro, Federico; Skrifvars, Markus B.; Smith, Christopher M.; Smyth, Michael A.; Soll, Roger F.; Sugiura, T.; Taylor‐Phillips, Sian; Trevisanuto, Daniele; Vaillancourt, Christian; Wang, Tzong-Luen; Weiner, Gary M.; Welsford, Michelle; Wigginton, Jane G.; Wyllie, Jonathan; Yeung, Joyce; Nolan, Jerry P.; Berg, Katherine M.

doi:10.1016/j.resuscitation.2021.10.040

Cited by 98 publications

(23 citation statements)

References 548 publications

(194 reference statements)

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“…Video communication is one of the innovations in the emergency dispatch arena. Although a recent systematic review identified limited scientific evidence for this practice, it has become one of the avenues being monitored within the continuous evidence evaluation process with ILCOR is actively encouraging further research [9 ▪ ]. Significant efforts have been made to build further on the collaboration between emergency services and the community.…”

Section: Early High Quality Cardiopulmonary Resuscitationmentioning

confidence: 99%

“…This new approach was feasible and associated with an immediate rise in resuscitation rates during implementation followed by a sustained doubling of the number of patients being resuscitated (relative risk [RR] 1.90 [95% confidence interval (CI) 1.61–2.26] compared to standard CPR). Head-up CPR might have the potential to improve survival, but the certainty of evidence remains very low, since it was evaluated as a bundle with mechanical CPR with active decompression and the use of an impedance threshold device [9 ▪ ].…”

Section: Novel Cardiopulmonary Resuscitation Strategiesmentioning

confidence: 99%

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Resuscitation guideline highlights

Olasveengen¹,

Ristagno²,

Smyth³

2022

Current Opinion in Critical Care

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Purpose of reviewThe purpose of this review was to give an overview of the most significant updates in resuscitation guidelines and provide some insights into the new topics being considered in upcoming reviews.Recent findingsRecent updates to resuscitation guidelines have highlighted the importance of the earlier links in the chain-of-survival aimed to improve early recognition, early cardiopulmonary resuscitation (CPR) and defibrillation. Empowering lay rescuers with the support of emergency medical dispatchers or telecommunicators and engaging the community through dispatching volunteers and Automated External Defibrillators, are considered key in improving cardiac arrest outcomes. Novel CPR strategies such as passive insufflation and head-up CPR are being explored, but lack high-certainty evidence. Increased focus on survivorship also highlights the need for more evidence based guidance on how to facilitate the necessary follow-up and rehabilitation after cardiac arrest. Many of the systematic and scoping reviews performed within cardiac arrest resuscitation domains identifies significant knowledge gaps on key elements of our resuscitation practices. There is an urgent need to address these gaps to further improve survival from cardiac arrest in all settings.SummaryA continuous evidence evaluation process for resuscitation after cardiac arrest is triggered by new evidence or request by the resuscitation community, and provides more current and relevant guidance for clinicians.

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Section: Early High Quality Cardiopulmonary Resuscitationmentioning

confidence: 99%

Section: Novel Cardiopulmonary Resuscitation Strategiesmentioning

confidence: 99%

Resuscitation guideline highlights

Olasveengen¹,

Ristagno²,

Smyth³

2022

Current Opinion in Critical Care

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“…Norteados por evidencias cientificas órgãos responsáveis por normatizar e orientar as práticas em saúde no Brasil e no mundo, como a Organização Mundial da Saúde (OMS), International Liaison Committee on Resuscitation (ILCOR), American Heart Association (ASA), Ministério da Saúde do Brasil, Sociedade Brasileira de Pediatria (SBP) entre outras, tem adotado e ressaltado a importância e os benefícios do CTCU, frente a saúde neonatal e na primeira infância, bem como o manejo mais fisiológico e menos invasivo do parto. (BRASIL, 2013;BRASIL, 2014;OMS, 2014;GOES et al 2017;RABE et al 2019;ALMEIDA E GUINSBURG, 2021;WYCKOFF et al 2015;WYCKOFF et al 2021).…”

Section: Clampeamento Do Cordão Umbilicalunclassified

“…A cada ano ocorrem mais de 130 milhões de nascimentos em todo o mundo e o manejo do cordão umbilical está presente em todos estes afetando cada recém-nascido (RN) (WHO, 2018;WYCKOFF et al 2021).…”

Section: Introductionunclassified

Técnicas Utilizadas Para O Favorecimento Do Parto Através Da Ambiência Em Mulheres Primíparas

Rocha¹,

Torres²

2022

Tópicos Em Ciências Da Saúde

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“…Instead, cardiopulmonary resuscitation and application of an automated external defibrillator (AED) are indicated. 11 Therefore, it is necessary to initially assess and continuously monitor the subject for deterioration and indications for resuscitative interventions.…”

Section: Introductionmentioning

confidence: 99%