European Resuscitation Council Guidelines for Resuscitation 2015

Abstract

These Guidelines are based on the International Liaison Committee on Resuscitation (ILCOR) 2015 Consensus on Science and Treatment Recommendations (CoSTR) for ALS. 4 The 2015 ILCOR review focused on 42 topics organised in the approximate sequence of ALS interventions: defibrillation, airway, oxygenation and ventilation, circulatory support, monitoring during CPR, and drugs during CPR. For these Guidelines the ILCOR recommendations were supplemented by focused literature reviews undertaken by the ERC ALS Writing Group for those topics not reviewed in the 2015 ILCOR CoSTR. Guidelines were drafted and agreed by the ALS Writing Group members before final approval by the ERC General Assembly and ERC Board. Summary of changes since 2010 GuidelinesThe 2015 ERC ALS Guidelines have a change in emphasis aimed at improved care and implementation of these guidelines in order to improve patient focused outcomes. 5 The 2015 ERC ALS Guidelines do not include any major changes in core ALS interventions since the previous ERC guidelines published in 2010. 1,2 The key changes since 2010 are:• Continuing emphasis on the use of rapid response systems for care of the deteriorating patient and prevention of in-hospital cardiac arrest. • Continued emphasis on minimally interrupted high-quality chest compressions throughout any ALS intervention: chest

International Federation for Emergency Medicine Consensus Statement: Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest

“…Current recommendations from the International Liaison Committee on Resuscitation and its member organisations were provided to the panel. 9,10 The final SHoC protocol and operator Checklist received panel consensus approval (SHoC-hypotension received 82%, and SHoC-cardiac arrest received 83% approval of panel members). The IFEM Board approved the final recommendations.…”

Exploring the Waveform Characteristics of Tidal Breathing Carbon Dioxide, Measured Using the N-Tidal C Device in Different Breathing Conditions (The General Breathing Record Study): Protocol for an Observational, Longitudinal Study (Preprint)

“…Capnometers have been a standard of care in general anaesthesia for over 30 years and are also widely used in critically unwell patients [13]. Their use is now even recommended to assess adequate cardiopulmonary resuscitation in hospital cardiac arrests [14,15]. However, use is currently limited to these specialist hospital areas in part due to the high cost of capnometers and the requirement for integrated information systems by which data is displayed.…”

2015 Resuscitation Guidelines

“…In BLS, there is emphasis on the rescuer calling the emergency medical services for the victim who is unresponsive and not breathing normallythe 'open airway' instruction has now disappeared from the BLS algorithm [8]. In ALS, the use of waveform capnography is emphasised and the use of extracorporeal life-support techniques are acknowledged [9]. The post-resuscitation care guidelines are now in a separate section and have been written in collaboration with the European Society of Intensive Care Medicine [10].…”