2023 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

Abstract

The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science. Draft Consensus on Science With Treatment Recommendations are posted online throughout the year, and this annual summary provides more concise versions of the final Consensus on Science With Treatment Recommendations from all task forces for the year. Topics addressed by systematic reviews this year include resuscitation of cardiac arrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiac arrest, double sequential defibrillation, neuroprognostication after cardiac arrest for adults and children, maintaining normal temperature after preterm birth, heart rate monitoring methods for diagnostics in neonates, detection of exhaled carbon dioxide in neonates, family presence during resuscitation of adults, and a stepwise approach to resuscitation skills training. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, using 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. In addition, the task forces list priority knowledge gaps for further research. Additional topics are addressed with scoping reviews and evidence updates.

Neurological outcomes and quality of life in post-cardiac arrest patients with return of spontaneous circulation supported by ECMO: A retrospective case series

“…These factors include the presence of witnesses, a short duration of cardiopulmonary resuscitation (CPR), a shockable rhythm and early identification of the cause of the cardiac arrest. [16,17] These factors were consistent with the findings in your study, where the cardiac arrest occurred in an intrahospital setting, had a short duration, and the most common rhythm observed was ventricular fibrillation. At the International Symposium of the European Society of Anesthesiology (ESA), determinants of neurological prognosis were identified, such as the time elapsed from cardiac arrest to the initiation of CPR, the duration of hypoperfusion (low cardiac output during resuscitation), and the quality of CPR.…”

Efficiency of two-member crews in delivering prehospital advanced life support cardiopulmonary resuscitation: A scoping review

“…The use of disposable electrodes and metronomes in field defibrillators and monitors is currently accepted. 4 , 16 …”

“…Although international ALS CPR guidelines are created through a very careful and rigorous process aimed at assessing patient outcomes, less attention is paid to the deliverability of individual steps under certain conditions. 4 , 16 No comprehensive work has yet been published that would establish a protocol for a two-member crew, optimizing all major approaches described above in line with current recommendations. Adapting disposable equipment for the two-member crew OHCA ALS CPR is also necessary.…”

“… 14 , 15 However, despite its practical importance in the initial CPR phase until a larger crew has gathered on-site, the implementation of ALS protocols 4 for two professional rescuers is not covered in current research directions. 16 …”

Resuscitative endovascular balloon occlusion of the aorta (REBOA) during cardiac resuscitation increased cerebral perfusion to occurrence of cardiopulmonary resuscitation-induced consciousness, a case report

“…Cardiopulmonary resuscitation (CPR) aims to improve oxygen delivery to the brain and the heart during cardiac arrest, to prevent or delay hypoxic damage to the brain and achieve return of spontaneous circulation (ROSC). 1 Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a well-known technique to limit blood loss in management of major trauma 2 ( Fig. 1 ).…”