Part 1: Executive summary: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations☆,☆☆
Section snippets
Toward international consensus on science
The International Liaison Committee on Resuscitation (ILCOR) was formed in 1993 and currently includes representatives from the American Heart Association (AHA), the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Australian and New Zealand Committee on Resuscitation, the Resuscitation Council of Southern Africa, the InterAmerican Heart Foundation, and the Resuscitation Council of Asia. The ILCOR mission is to identify and review international science and
Evidence evaluation process
The 2015 evidence evaluation process started in 2012 when ILCOR representatives formed 7 task forces: BLS, ALS, ACS, pediatric BLS and ALS, neonatal resuscitation, EIT, and, for the first time, first aid. Each task force performed detailed systematic reviews based on the recommendations of the Institute of Medicine of the National Academies,4 and the criteria of a measurement tool to assess systematic reviews (AMSTAR).5 The task forces used the methodologic approach for evidence evaluation and
Management of potential conflicts of interest
A rigorous conflict of interest (COI) management policy was followed at all times and is described in more detail in “Part 2: Evidence Evaluation and Management of Conflicts of Interest” of this 2015 CoSTR. A full description of these policies and their implementation can be found in “Part 4: Conflict of Interest Management Before, During, and After the 2010 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment
From consensus on science to guidelines
This publication presents international consensus statements that summarize the science of resuscitation and first aid and, wherever possible, treatment recommendations. ILCOR member organizations will subsequently publish resuscitation guidelines that are consistent with the science in this consensus publication, but they will also take into account geographic, economic, and system differences in practice and the availability of medical devices and drugs and the ease or difficulty of training.
Newest developments in resuscitation: 2010–2015
There is good evidence that survival rates after OHCA are improving.18, 19, 20, 21, 22 This is particularly true for those cases of witnessed arrest when the first monitored rhythm is shockable (i.e., associated with ventricular fibrillation [VF] or pulseless ventricular tachycardia [pVT]), but increases in survival from nonshockable rhythms are also well documented.23 These improvements in survival have been associated with the increased emphasis on CPR quality as well as improved consistency
Summary of the 2015 ILCOR consensus on science with treatment recommendations
The following sections contain summaries of the key systematic reviews of the 2015 CoSTR. These summaries are organized by task force. Note that there are few references cited in the summaries; we refer the reader to the detailed information prepared by each task force in other Parts of the 2015 CoSTR.
Future directions
The science of resuscitation is evolving rapidly. It would not be in the best interests of patients if we waited 5 or more years to inform healthcare professionals of therapeutic advances in this field. ILCOR members will continue to review new science and, when necessary, publish interim advisory statements to update treatment guidelines so that resuscitation practitioners may provide state-of-the-art patient care. Existing gaps in our knowledge will be closed only by continuing high-quality
Disclosures
Empty Cell Employment Research grant Other research support Speakers’ Bureau/Honoraria Expert witness Ownership interest Consultant/Advisory Board Other Writing group member Jerry P. Nolan Royal United Hospital, Bath NIHR Programme Development Grant*; NIHR Health Technology Assessment Programme Grant* None None None None None None Mary Fran Hazinski Vanderbilt None None None None None American Heart Association† None Richard Aickin Starship Children's Hospital None None
Acknowledgments
We acknowledge the considerable contributions made by the late Professor Ian Jacobs, PhD, to this 2015 CoSTR. Professor Jacobs led ILCOR with passion and vision from 2011 to October 19, 2014.
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Part 1: executive summary: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations
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Part 4: conflict of interest management before, during and after the 2010 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
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Cited by (157)
The association of delayed advanced airway management and neurological outcome after out-of-hospital cardiac arrest in Japan
2022, American Journal of Emergency MedicineEssential and complementary cardiopulmonary resuscitation
2021, Atencion PrimariaFast hypothermia induced by extracorporeal circuit cooling alleviates renal and intestinal injury after cardiac arrest in swine
2021, American Journal of Emergency MedicineDiagnostic ability of a newly developed system for recognition of cardiac arrests
2021, Journal of Cardiology
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The European Resuscitation Council requests that this document be cited as follows: Jerry P. Nolan, Mary Fran Hazinski, Richard Aicken, Farhan Bhanji, John E. Billi, Clifton W. Callaway, Maaret Castren, Allan R. de Caen, Jose Maria Ferrer, Judith C. Finn, Lana M. Gent, Russell E. Griffin, Sandra Iverson, Eddy Lang, Swee Han Lim, Ian K. Maconochie, William H. Montgomery, Peter T. Morley, Vinay M. Nadkarni, Robert W. Neumar, Nikolaos I. Nikolaou, Gavin D. Perkins, Jeffrey M. Perlman, Eunice M. Singletary, Jasmeet Soar, Andrew H. Travers, Michelle Welsford, Jonathan Wylie, David A. Zideman. Part 1: Executive summary. 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation 2015;95:e1–e31.
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This article has been copublished in “Circulation”.
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Co-Chairs and equal first co-authors.