Part 3: Adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Andrew H. Travers, Gavin D. Perkins, Robert A. Berg, Maaret Castren, Julie Considine, Raffo Escalante, Raul J. Gazmuri, Rudolph W. Koster, Swee Han Lim, Kevin J. Nation, Theresa M. Olasveengen, Tetsuya Sakamoto, Michael R. Sayre, Alfredo Sierra, Michael A. Smyth, David Stanton, Christian Vaillancourt, Joost J L M Bierens, Emmanuelle Bourdon, Hermann BruggerJason E. Buick, Manya L. Charette, Sung Phil Chung, Keith Couper, Mohamud Ramzan Daya, Ian R. Drennan, Jan Thorsten Gräsner, Ahamed H. Idris, E. Brooke Lerner, Husein Lockhat, Bo Løfgren, Carl McQueen, Koenraad G. Monsieurs, Nicolas Mpotos, Aaron M. Orkin, Linda Quan, Violetta Raffay, Joshua C. Reynolds, Giuseppe Ristagno, Andrea Scapigliati, Tyler F. Vadeboncoeur, Volker Wenzel, Joyce Yeung

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

This review comprises the most extensive literature search and evidence evaluation to date on the most important international BLS interventions, diagnostics, and prognostic factors for cardiac arrest victims. It reemphasizes that the critical lifesaving steps of BLS are (1) prevention, (2) immediate recognition and activation of the emergency response system, (3) early high-quality CPR, and (4) rapid defibrillation for shockable rhythms. Highlights in prevention indicate the rational and judicious deployment of search-and-rescue operations in drowning victims and the importance of education on opioid-associated emergencies. Other 2015 highlights in recognition and activation include the critical role of dispatcher recognition and dispatch-assisted chest compressions, which has been demonstrated in multiple international jurisdictions with consistent improvements in cardiac arrest survival. Similar to the 2010 ILCOR BLS treatment recommendations, the importance of high quality was reemphasized across all measures of CPR quality: rate, depth, recoil, and minimal chest compression pauses, with a universal understanding that we all should be providing chest compressions to all victims of cardiac arrest. This review continued to focus on the interface of BLS sequencing and ensuring high-quality CPR with other important BLS interventions, such as ventilation and defibrillation. In addition, this consensus statement highlights the importance of EMS systems, which employ bundles of care focusing on providing high-quality chest compressions while extricating the patient from the scene to the next level of care. Highlights in defibrillation indicate the global importance of increasing the number of sites with public-access defibrillation programs. Whereas the 2010 ILCOR Consensus on Science provided important direction for the "what" in resuscitation (ie, what to do), the 2015 consensus has begun with the GRADE methodology to provide direction for the quality of resuscitation. We hope that resuscitation councils and other stakeholders will be able to translate this body of knowledge of international consensus statements to build their own effective resuscitation guidelines.

Original languageEnglish (US)
Pages (from-to)S51-S83
JournalCirculation
Volume132
DOIs
StatePublished - Oct 20 2015
Externally publishedYes

Fingerprint

Cardiopulmonary Resuscitation
Emergency Medical Services
Resuscitation
Thorax
Heart Arrest
Patient Care Bundles
Emergencies
Therapeutics
Opioid Analgesics
Ventilation
Guidelines
Education
Survival
Direction compound

Keywords

  • Arrhythmia
  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Emergency department
  • Resuscitation

ASJC Scopus subject areas

  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine

Cite this

Part 3 : Adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. / Travers, Andrew H.; Perkins, Gavin D.; Berg, Robert A.; Castren, Maaret; Considine, Julie; Escalante, Raffo; Gazmuri, Raul J.; Koster, Rudolph W.; Lim, Swee Han; Nation, Kevin J.; Olasveengen, Theresa M.; Sakamoto, Tetsuya; Sayre, Michael R.; Sierra, Alfredo; Smyth, Michael A.; Stanton, David; Vaillancourt, Christian; Bierens, Joost J L M; Bourdon, Emmanuelle; Brugger, Hermann; Buick, Jason E.; Charette, Manya L.; Chung, Sung Phil; Couper, Keith; Daya, Mohamud Ramzan; Drennan, Ian R.; Gräsner, Jan Thorsten; Idris, Ahamed H.; Lerner, E. Brooke; Lockhat, Husein; Løfgren, Bo; McQueen, Carl; Monsieurs, Koenraad G.; Mpotos, Nicolas; Orkin, Aaron M.; Quan, Linda; Raffay, Violetta; Reynolds, Joshua C.; Ristagno, Giuseppe; Scapigliati, Andrea; Vadeboncoeur, Tyler F.; Wenzel, Volker; Yeung, Joyce.

In: Circulation, Vol. 132, 20.10.2015, p. S51-S83.

Research output: Contribution to journalArticle

Travers, AH, Perkins, GD, Berg, RA, Castren, M, Considine, J, Escalante, R, Gazmuri, RJ, Koster, RW, Lim, SH, Nation, KJ, Olasveengen, TM, Sakamoto, T, Sayre, MR, Sierra, A, Smyth, MA, Stanton, D, Vaillancourt, C, Bierens, JJLM, Bourdon, E, Brugger, H, Buick, JE, Charette, ML, Chung, SP, Couper, K, Daya, MR, Drennan, IR, Gräsner, JT, Idris, AH, Lerner, EB, Lockhat, H, Løfgren, B, McQueen, C, Monsieurs, KG, Mpotos, N, Orkin, AM, Quan, L, Raffay, V, Reynolds, JC, Ristagno, G, Scapigliati, A, Vadeboncoeur, TF, Wenzel, V & Yeung, J 2015, 'Part 3: Adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations', Circulation, vol. 132, pp. S51-S83. https://doi.org/10.1161/CIR.0000000000000272
Travers, Andrew H. ; Perkins, Gavin D. ; Berg, Robert A. ; Castren, Maaret ; Considine, Julie ; Escalante, Raffo ; Gazmuri, Raul J. ; Koster, Rudolph W. ; Lim, Swee Han ; Nation, Kevin J. ; Olasveengen, Theresa M. ; Sakamoto, Tetsuya ; Sayre, Michael R. ; Sierra, Alfredo ; Smyth, Michael A. ; Stanton, David ; Vaillancourt, Christian ; Bierens, Joost J L M ; Bourdon, Emmanuelle ; Brugger, Hermann ; Buick, Jason E. ; Charette, Manya L. ; Chung, Sung Phil ; Couper, Keith ; Daya, Mohamud Ramzan ; Drennan, Ian R. ; Gräsner, Jan Thorsten ; Idris, Ahamed H. ; Lerner, E. Brooke ; Lockhat, Husein ; Løfgren, Bo ; McQueen, Carl ; Monsieurs, Koenraad G. ; Mpotos, Nicolas ; Orkin, Aaron M. ; Quan, Linda ; Raffay, Violetta ; Reynolds, Joshua C. ; Ristagno, Giuseppe ; Scapigliati, Andrea ; Vadeboncoeur, Tyler F. ; Wenzel, Volker ; Yeung, Joyce. / Part 3 : Adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. In: Circulation. 2015 ; Vol. 132. pp. S51-S83.
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T2 - Adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

AU - Travers, Andrew H.

AU - Perkins, Gavin D.

AU - Berg, Robert A.

AU - Castren, Maaret

AU - Considine, Julie

AU - Escalante, Raffo

AU - Gazmuri, Raul J.

AU - Koster, Rudolph W.

AU - Lim, Swee Han

AU - Nation, Kevin J.

AU - Olasveengen, Theresa M.

AU - Sakamoto, Tetsuya

AU - Sayre, Michael R.

AU - Sierra, Alfredo

AU - Smyth, Michael A.

AU - Stanton, David

AU - Vaillancourt, Christian

AU - Bierens, Joost J L M

AU - Bourdon, Emmanuelle

AU - Brugger, Hermann

AU - Buick, Jason E.

AU - Charette, Manya L.

AU - Chung, Sung Phil

AU - Couper, Keith

AU - Daya, Mohamud Ramzan

AU - Drennan, Ian R.

AU - Gräsner, Jan Thorsten

AU - Idris, Ahamed H.

AU - Lerner, E. Brooke

AU - Lockhat, Husein

AU - Løfgren, Bo

AU - McQueen, Carl

AU - Monsieurs, Koenraad G.

AU - Mpotos, Nicolas

AU - Orkin, Aaron M.

AU - Quan, Linda

AU - Raffay, Violetta

AU - Reynolds, Joshua C.

AU - Ristagno, Giuseppe

AU - Scapigliati, Andrea

AU - Vadeboncoeur, Tyler F.

AU - Wenzel, Volker

AU - Yeung, Joyce

PY - 2015/10/20

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KW - Arrhythmia

KW - Cardiac arrest

KW - Cardiopulmonary resuscitation

KW - Emergency department

KW - Resuscitation

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