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.

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