[Chinese consensus on CPR and American guidelines on CPR]
Lixiang Wang1, Qingyi Meng, Tao Yu
1Emergency Center, General Hospital of Chinese People's Armed Police Forces, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Beijing 100039, China (Wang LX); Department of Emergency, Chinese PLA General Hospital, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Beijing 100853, China (Meng QY); Department of Emergency, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Guangzhou 510120, Guangdong, China (Yu T). Corresponding author: Wang Lixiang, Email: wjjjwlx@163.com; Meng Qingyi, Email: mqy301@sina.com; Yu Tao,
Objective:
In the article, we compared "2016 national consensus on cardiopulmonary resuscitation in China" and "2015 American Heart Association guidelines on cardiopulmonary resuscitation and emergency cardiovascular care" with their definition, orientation, characterization, quantifying and thinking mode. Chinese consensus on cardiopulmonary resuscitation (CPR) emphasizes the concept of "survival cycle" and focuses on the victim, it defines the rate of survival in its broad sense, and the thinking mode of the document is typically oriental style. However, American guidelines on CPR emphasize the concept of "survival chain" and the rescuer, it defines the rate of survival in its narrow sense, and the thinking mode is western style. The Chinese consensus cited American guidelines as part of references, and specialized them locally according to the current situation in China. In Chinese consensus, the cycle of survival covers three periods, pre-arrest phase, intra-arrest phase and post-resuscitation phase. In the pre-arrest phase, "three-prevention" policies should be adopted, which are precaution, pre-identification and early warning. During intra-arrest phase, CPR should be carried out with "three-ways" strategies, which are standardization, diversification and individuation. The "three lives" general plans should be considered during the post-resuscitation phase, which are demutation, transcending and extension. Chinese consensus on CPR has provided an omnibearing, overall-process and three-dimensional program with Chinese wisdom.


