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Resuscitation 95 (2015) 1–80

Contents lists available at ScienceDirect

Resuscitation

j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / r e s u s c i t a t i o n

European Resuscitation Council Guidelines for Resuscitation 2015 Section 1. Executive summary

Koenraad G. Monsieurs a,b, , Jerry P. Nolan c,d , Leo L. Bossaert e , Robert Greif f,g , Ian K. Maconochie h , Nikolaos I. Nikolaou i , Gavin D. Perkins j,p , Jasmeet Soar k , Anatolij Truhlárˇ l,m , Jonathan Wyllie n , David A. Zideman o,

on behalf of the ERC Guidelines 2015 Writing Group1

a Emergency Medicine, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium b Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium

c Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK d School of Clinical Sciences, University of Bristol, Bristol, UK

e University of Antwerp, Antwerp, Belgium

f Department of Anaesthesiology and Pain Medicine, University Hospital Bern, Bern, Switzerland g University of Bern, Bern, Switzerland

h Paediatric Emergency Medicine Department, Imperial College Healthcare NHS Trust and BRC Imperial NIHR, Imperial College, London, UK i Cardiology Department, Konstantopouleio General Hospital, Athens, Greece

j Warwick Medical School, University of Warwick, Coventry, UK

k Anaesthesia and Intensive Care Medicine, Southmead Hospital, Bristol, UK

l Emergency Medical Services of the Hradec Králové Region, Hradec Králové, Czech Republic

m Department of Anaesthesiology and Intensive Care Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic n Department of Neonatology, The James Cook University Hospital, Middlesbrough, UK

o Imperial College Healthcare NHS Trust, London, UK

p Heart of England NHS Foundation Trust, Birmingham, UK

Introduction

This executive summary provides the essential treatment algorithms for the resuscitation of children and adults and highlights the main guideline changes since 2010. Detailed guidance is provided in each of the ten sections, which are published as individual papers within this issue of Resuscitation. The sections of the ERC Guidelines 2015 are:

1.Executive summary

2.Adult basic life support and automated external defibrillation1

3.Adult advanced life support2

4.Cardiac arrest in special circumstances3

5.Post-resuscitation care4

6.Paediatric life support5

7.Resuscitation and support of transition of babies at birth6

8.Initial management of acute coronary syndromes7

9.First aid8

10.Principles of education in resuscitation9

11.The ethics of resuscitation and end-of-life decisions10

Corresponding author.

E-mail address: koen.monsieurs@uza.be (K.G. Monsieurs).

1 See Appendix 1 for the ERC 2015 Guidelines Writing Group.

The ERC Guidelines 2015 that follow do not define the only way that resuscitation can be delivered; they merely represent a widely accepted view of how resuscitation should be undertaken both safely and effectively. The publication of new and revised treatment recommendations does not imply that current clinical care is either unsafe or ineffective.

Summary of the changes since the 2010 Guidelines

Adult basic life support and automated external defibrillation

The ERC Guidelines 2015 highlight the critical importance of the interactions between the emergency medical dispatcher, the bystander who provides CPR and the timely deployment of an AED. An effective, co-ordinated community response that draws these elements together is key to improving survival from out- of-hospital cardiac arrest (Fig. 1.1).

The emergency medical dispatcher plays an important role in the early diagnosis of cardiac arrest, the provision of dispatcherassisted CPR (also known as telephone CPR), and the location and dispatch of an AED.

The bystander who is trained and able should assess the collapsed victim rapidly to determine if the victim is unresponsive and not breathing normally and then immediately alert the emergency services.

http://dx.doi.org/10.1016/j.resuscitation.2015.07.038

0300-9572/© 2015 European Resuscitation Council. Published by Elsevier Ireland Ltd. All rights reserved.

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