Guideline: The International Liaison Committee on Resuscitation provides a summary of treatment recommendations for CPR and emergency CV care.
Soar J, Maconochie I, Wyckoff MH, et al. 2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. 2019 Dec;145:95-150. doi: 10.1016/j.resuscitation.2019.10.016. Epub 2019 Nov 14.

The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the 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. The task forces also listed priority knowledge gaps for further research.

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Specialty Area Score
Intensivist/Critical Care
Emergency Medicine
Hospital Doctor/Hospitalists
Internal Medicine
Cardiology
Comments from MORE raters

Cardiology

This is the first CPR guideline I have seen which provides a Grade pro approach. As a recommendation, it is better to summarize their recommendation on a separate table which can be easy to read and useful for physicians.

Emergency Medicine

The review of existing evidence on cardiac arrest in adults and pediatrics is relatively limited. To sum it up: bystander CPR is good and dispatcher instructions can help more people get bystander CPR. Waiting for EMS to arrive is not good. Supraglottic airways are probably the way to go if an airway is going to be used (and it might be okay to just do BVM; although, particularly in adults, it is often a challenge to ventilate or oxygenate effectively with BVM).

Hospital Doctor/Hospitalists

It's good to know that most interventions showed an improvement but it's disappointing that the supporting evidence was high only for epinephrine.

Intensivist/Critical Care

This is not disruptive, but a good consensus on available science (not much ...) and a set of recommendations with a large pediatric and NLS portion!

Internal Medicine

There is a good overview of current concepts and useful information for the providers.

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