Part 1: Executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care

Robert W. Neumar, Michael Shuster, Clifton W. Callaway, Lana M. Gent, Dianne L. Atkins, Farhan Bhanji, Steven C. Brooks, Allan R. De Caen, Michael W. Donnino, Jose Maria E Ferrer, Monica E. Kleinman, Steven L. Kronick, Eric J. Lavonas, Mark S. Link, Mary E. Mancini, Laurie J. Morrison, Robert E. O'Connor, Ricardo A. Samson, Steven M. Schexnayder, Eunice M. SingletaryElizabeth H. Sinz, Andrew H. Travers, Myra H. Wyckoff, Mary Fran Hazinski

Research output: Contribution to journalArticle

385 Scopus citations

Abstract

The 2015 AHA Guidelines Update for CPR and ECC incorporated the evidence from the systematic reviews completed as part of the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations. This 2015 Guidelines Update marks the transition from periodic review and publication of new science-based recommendations to a more continuous process of evidence evaluation and guideline optimization designed to more rapidly translate new science into resuscitation practice that will save more lives. The Appendix to this Part contains a list of all recommendations published in the 2015 Guidelines Update and, in addition, lists the recommendations from the 2010 Guidelines. The 2015 recommendations were made consistent with the new AHA Classification System for describing the risk-benefit ratio for each Class and the Levels of Evidence supporting them. (Please see Figure 1 in "Part 2: Evidence Evaluation and Management of Conflicts of Interest.") Survival from both IHCA and OHCA has increased over the past decade, but there is still tremendous potential for improvement. It is clear that successful resuscitation depends on coordinated systems of care that start with prompt rescuer actions, require delivery of high-quality CPR, and continue through optimized ACLS and post-cardiac arrest care. Systems that monitor and report qualityof-care metrics and patient-centered outcomes will have the greatest opportunity through quality improvement to save the most lives.

Original languageEnglish (US)
Pages (from-to)S315-S367
JournalCirculation
Volume132
Issue number18
DOIs
StatePublished - Oct 20 2015

Keywords

  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Emergency
  • Resuscitation

ASJC Scopus subject areas

  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine

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    Neumar, R. W., Shuster, M., Callaway, C. W., Gent, L. M., Atkins, D. L., Bhanji, F., Brooks, S. C., De Caen, A. R., Donnino, M. W., Ferrer, J. M. E., Kleinman, M. E., Kronick, S. L., Lavonas, E. J., Link, M. S., Mancini, M. E., Morrison, L. J., O'Connor, R. E., Samson, R. A., Schexnayder, S. M., ... Hazinski, M. F. (2015). Part 1: Executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 132(18), S315-S367. https://doi.org/10.1161/CIR.0000000000000252