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Published on: January 30, 2020
Expert opinion on evidence after the 2020 Korean Cardiopulmonary Resuscitation Guidelines: a secondary publication
Sung Phil Chung1, Youdong Sohn2, Jisook Lee3
1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
Insights
This review examines recent cardiopulmonary resuscitation (CPR) evidence and International Liaison Committee on Resuscitation (ILCOR) recommendations. Expert opinions were formed to update the Korean CPR Guidelines based on new scientific findings.
Area of Science:
- Emergency Medicine
- Cardiology
- Resuscitation Science
Background:
- New evidence on cardiopulmonary resuscitation (CPR) has emerged since the 2020 Korean CPR Guidelines.
- The International Liaison Committee on Resuscitation (ILCOR) annually releases Consensus on CPR and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR).
Purpose of the Study:
- To provide expert opinions on recent CPR evidence and ILCOR treatment recommendations.
- To review and potentially revise the current Korean CPR Guidelines based on updated scientific literature.
Main Methods:
- Systematic or scoping reviews were conducted for PICO (patient, intervention, comparison, outcome) questions.
- Two independent experts reviewed each topic, followed by a consensus conference for discussion and decision-making.
- The review encompassed 43 questions across basic life support, advanced life support, pediatric and neonatal life support, education, teams, first aid, and COVID-19.
Main Results:
- The current Korean CPR Guideline was maintained for 28 reviewed questions.
- Expert opinions and suggested revisions were proposed for 15 questions.
- The review covered a broad spectrum of resuscitation topics, including life support for different age groups and team dynamics.
Conclusions:
- The review provides updated expert opinions to inform the Korean CPR Guidelines.
- Specific recommendations for revision or additional description were identified for certain guideline topics.
- This process ensures the Korean CPR Guidelines remain current with global resuscitation science.
Abstract:
Considerable evidence has been published since the 2020 Korean Cardiopulmonary Resuscitation Guidelines were reported. The International Liaison Committee on Resuscitation (ILCOR) also publishes the Consensus on CPR and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR) summary annually. This review provides expert opinions by reviewing the recent evidence on CPR and ILCOR treatment recommendations. The authors reviewed the CoSTR summary published by ILCOR in 2021 and 2022. PICO (patient, intervention, comparison, outcome) questions for each topic were reviewed using a systemic or scoping review methodology. Two experts were appointed for each question and reviewed the topic independently. Topics suggested by the reviewers for revision or additional description of the guidelines were discussed at a consensus conference. Forty-three questions were reviewed, including 15 on basic life support, seven on advanced life support, two on pediatric life support, 11 on neonatal life support, six on education and teams, one on first aid, and one related to COVID-19. Finally, the current Korean CPR Guideline was maintained for 28 questions, and expert opinions were suggested for 15 questions.
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