The study group.

European Resuscitation Council Guidelines for Resuscitation 2015

As with other Parts of the 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC), Part 5 is based on the International Liaison Committee on Resuscitation (ILCOR) 2015 international evidence review process. ILCOR Basic Life Support (BLS) Task Force members identified and prioritized topics and questions with the newest or most controversial evidence, or those that were thought to be most important for resuscitation. This 2015 Guidelines Update is based on the systematic reviews and recommendations of the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations , “Part 3: Adult Basic Life Support and Automated External Defibrillation.”1,2 In the online version of this document, live links are provided so the reader can connect directly to the systematic reviews on the ILCOR Scientific Evidence Evaluation and Review System (SEERS) website. These links are indicated by a combination of letters and numbers (eg, BLS 740). We encourage readers to use the links and review the evidence and appendix.

As with all AHA Guidelines, each 2015 recommendation is labeled with a Class of Recommendation (COR) and a Level of Evidence (LOE). The 2015 Guidelines Update uses the newest AHA COR and LOE classification system, which contains modifications of the Class III recommendation and introduces LOE B-R (randomized studies) and B-NR (nonrandomized studies) as well as LOE C-LD (based on limited data) and LOE C-EO (consensus of expert opinion).

The AHA process for identification and management of potential conflicts of interest was used, and potential conflicts for writing group members are listed at the end of each Part of the 2015 Guidelines Update. For additional information about the systematic review process or management of potential conflicts of interest, see “Part 2: Evidence Evaluation and Management of Conflicts of Interest” in this …

Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary

Alexis A. Topjian, MD, MSCE, Chair; Tia T. Raymond, MD, Vice-Chair; Dianne Atkins, MD; Melissa Chan, MD; Jonathan P. Duff, MD, Med; Benny L. Joyner Jr, MD, MPH; Javier J. Lasa, MD; Eric J. Lavonas, MD, MS; Arielle Levy, MD, Med; Melissa Mahgoub, PhD; Garth D. Meckler, MD, MSHS; Kathryn E. Roberts, MSN, RN; Robert M. Sutton, MD, MSCE; Stephen M. Schexnayder, MD; On behalf of the Pediatric Basic and Advanced Life Support Collaborators

https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916

Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

https://medest118.files.wordpress.com/2013/12/chest-compression-depth-and-survival-in-out-of-hospital-cardiac-arrest.pdf

Chest compression depth and survival in out-of-hospital cardiac arrest

CPR variability during ground ambulance transport of patients in cardiac arrest.

Objective: Preshock pause (PSP_time from last chest compression [CC] to defibrillation) is believed to be an important component of CPR quality, but the relationship between PSP and survival is unknown. We sought to determine if a dedicated intervention to improve prehospital CPR quality and minimize PSPs would result in a shortened preshock interval and improve survival from out-of-hospital cardiac arrest (OHCA). Methods: Data were extracted from prehospital care reports and defibrillators (E Series, ZOLL) of 2 EMS agencies (combined population-500,000) participating in a CPR quality improvement program. Consecutive non-traumatic adult OHCA of presumed cardiac etiology were included. Phase 1 (P1): 19 months of baseline data with real-time audiovisual feedback (RTAVF) disabled (9/08-3/10). Interventions: 1) Scenario-based training of ∼450 EMTs, 2) RTAVF enabled, 3) activation of “Charging During Compressions” feature, 4) EMT post-code debriefings. Phase 2 (P2):16 months immediately following implementatio...

Mark Venuti

Papers

Chest compression depth and survival in out-of-hospital cardiac arrest

CPR variability during ground ambulance transport of patients in cardiac arrest.

Abstract 135: The Association of Preshock Pause and Survival from Out-of-Hospital Cardiac Arrest

Chest compression quality declines in the minutes preceding scene departure in out-of-hospital cardiac arrest

Pre-hospital chest compression quality is improved with scenario based training and use of novel defibrillator technology