Abstract
Background
Cardiac arrests are associated with poor outcomes. The International Liaison Committee
on Resuscitation (ILCOR) evaluates resuscitation science and produced, until 2015,
five-yearly consensus on science and treatment recommendations (CoSTRs), informing
global resuscitation guidelines.
We aimed to identify similarities/differences in resuscitation guidelines from ILCOR
members, noting concurrence over time, and CoSTRs influence on these guidelines.
Methods
We considered the component elements of paediatric and adult, basic and advanced resuscitation
guidelines, published in 2010 and 2015, along with matching ILCOR CoSTRs to examine
their influence. We contacted the responsible councils when guidelines were unavailable
online.
Results
Complete resuscitation guidelines were found for six of the seven ILCOR council members.
The Resuscitation Council of Asia only had adult basic life support (BLS) guidelines
in English. Three members used the AHA guidelines. Therefore, five rather than seven
sets of resuscitation guidelines were compared to the CoSTRs.
Concurrence between CoSTRs recommendations and ILCOR council member's resuscitation
guidelines has improved over time. Minor variations were identified in both basic
and advanced life support, with most variance in paediatric guidelines, but these
narrowed over time.
Conclusion
The improved concurrence across the resuscitation guidelines with the CoSTRs suggests
that ILCOR members accept and hence incorporate CoSTRs recommendations to inform their
own resuscitation guidelines. This is one step towards the development of international
universal guidelines for adult and paediatric resuscitation.
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Article info
Publication history
Published online: April 09, 2020
Accepted:
April 1,
2020
Received in revised form:
August 12,
2019
Received:
August 19,
2018
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
