2015 AHA Guidelines update for CPR and ECC

1 2015 AHA Guidelines update for CPR and ECCC irculation Volume 132 Number 18 Supplement 2 November 3, 2015 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 1: Executive Summary: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Robert W. Neumar, Chair; 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. Singletary; Elizabeth H. Sinz; Andrew H. Travers; Myra H. Wyckoff; Mary Fran Hazinski Part 2: Evidence Evaluation and Management of Conflicts of Interest: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Laurie J.

2 Morrison, Chair; Lana M. Gent; Eddy Lang; Mark E. Nunnally; Melissa J. Parker; Clifton W. Callaway; Vinay M. Nadkarni; Antonio R. Fernandez; John E. Billi; Jonathan R. Egan; Russell E. Griffin; Michael Shuster; Mary Fran Hazinski Part 3: Ethical Issues: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Mary E. Mancini, Chair; Douglas S. Diekema; Theresa A. Hoadley; Kelly D. Kadlec; Marygrace H. Leveille; Jane E. McGowan; Michele M. Munkwitz; Ashish R. Panchal; Michael R. Sayre; Elizabeth H. Sinz Part 4: Systems of Care and Continuous Quality Improvement: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Steven L. Kronick, Chair; Michael C. Kurz; Steve Lin; Dana P. Edelson; Robert A. Berg; John E. Billi; Jose G. Cabanas; David C. Cone; Deborah B. Diercks; James (Jim) Foster; Reylon A. Meeks; Andrew H. Travers; Michelle Welsford Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Monica E.

3 Kleinman, Chair; Erin E. Brennan; Zachary D. Goldberger; Robert A. Swor; Mark Terry; Bentley J. Bobrow; Ra l J. Gazmuri; Andrew H. Travers; Thomas Rea Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Steven C. Brooks, Chair; Monique L. Anderson; Eric Bruder; Mohamud R. Daya; Alan Gaffney; Charles W. Otto; Adam J. Singer; Ravi R. Thiagarajan; Andrew H. Travers Part 7: Adult Advanced Cardiovascular Life Support: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Mark S. Link, Chair; Lauren C. Berkow; Peter J. Kudenchuk; Henry R. Halperin; Erik P. Hess; Vivek K. Moitra; Robert W. Neumar; Brian J. O Neil; James H. Paxton; Scott M. Silvers; Roger D. White; Demetris Yannopoulos; Michael W. Donnino Part 8: Post Cardiac Arrest Care: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Clifton W.

4 Callaway, Chair; Michael W. Donnino; Ericka L. Fink; Romergryko G. Geocadin; Eyal Golan; Karl B. Kern; Marion Leary; William J. Meurer; Mary Ann Peberdy; Trevonne M. Thompson; Janice L. Zimmerman Part 9: Acute Coronary Syndromes: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Robert E. O Connor, Chair; Abdulaziz S. Al Ali; William J. Brady; Chris A. Ghaemmaghami; Venu Menon; Michelle Welsford; Michael Shuster Part 10: Special Circumstances of Resuscitation: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Eric J. Lavonas, Chair; Ian R. Drennan; Andrea Gabrielli; Alan C. Heffner; Christopher O. Hoyte; Aaron M. Orkin; Kelly N. Sawyer; Michael W. Donnino Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Dianne L.

5 Atkins, Chair; Stuart Berger; Jonathan P. Duff; John C. Gonzales; Elizabeth A. Hunt; Benny L. Joyner; Peter A. Meaney; Dana E. Niles; Ricardo A. Samson; Stephen M. Schexnayder Part 12: Pediatric Advanced Life Support: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Allan R. de Caen, Chair; Marc D. Berg; Leon Chameides; Cheryl K. Gooden; Robert W. Hickey; Halden F. Scott; Robert M. Sutton; Janice A. Tijssen; Alexis Topjian; lise W. van der Jagt; Stephen M. Schexnayder; Ricardo A. Samson Part 13: Neonatal Resuscitation: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Myra H. Wyckoff, Chair; Khalid Aziz; Marilyn B. Escobedo; Vishal S. Kapadia; John Kattwinkel; Jeffrey M. Perlman; Wendy M. Simon; Gary M. Weiner; Jeanette G. Zaichkin Part 14: Education: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Farhan Bhanji, Chair; Aaron J.

6 Donoghue; Margaret S. Wolff; Gustavo E. Flores; Louis P. Halamek; Jeffrey M. Berman; Elizabeth H. Sinz; Adam Cheng 2015 american Heart association and american Red Cross Guidelines update for First Aid Part 15: First Aid: 2015 american Heart association and american Red Cross Guidelines update for First Aid Eunice M. Singletary, Chair; Nathan P. Charlton; Jonathan L. Epstein; Jeffrey D. Ferguson; Jan L. Jensen; Andrew I. MacPherson; Jeffrey L. Pellegrino; William Will R. Smith; Janel M. Swain; Luis F. Lojero-Wheatley; David A. Zideman S315 IntroductionPublication of the 2015 american Heart association (AHA) Guidelines update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) marks 49 years since the first CPR Guidelines were published in 1966 by an Ad Hoc Committee on Cardiopulmonary Resuscitation estab-lished by the National Academy of Sciences of the National Research Since that time, periodic revisions to the Guidelines have been published by the AHA in 1974,2 1980,3 1986,4 1992,5 2000,6 2005,7 2010,8 and now 2015 .

7 The 2010 AHA Guidelines for CPR and ECC provided a comprehensive review of evidence-based recommendations for resuscitation, ECC, and first aid. The 2015 AHA Guidelines update for CPR and ECC focuses on topics with significant new science or ongoing controversy, and so serves as an update to the 2010 AHA Guidelines for CPR and ECC rather than a complete revision of the purpose of this Executive Summary is to provide an overview of the new or revised recommendations contained in the 2015 Guidelines update . This document does not contain extensive reference citations; the reader is referred to Parts 3 through 9 for more detailed review of the scientific evidence and the recommendations on which they are have been several changes to the organization of the 2015 Guidelines update compared with 2010. Part 4: Systems of Care and Continuous Quality Improvement is an important new Part that focuses on the integrated struc-tures and processes that are necessary to create systems of care for both in-hospital and out-of-hospital resuscitation capable of measuring and improving quality and patient out-comes.

8 This Part replaces the CPR Overview Part of the 2010 new Part of the 2015 Guidelines update is Part 14: Education, which focuses on evidence-based recommen-dations to facilitate widespread, consistent, efficient and effec-tive implementation of the AHA Guidelines for CPR and ECC into practice. These recommendations will target resuscitation education of both lay rescuers and healthcare providers. This Part replaces the 2010 Part titled Education, Implementation, and Teams. The 2015 Guidelines update does not include a separate Part on adult stroke because the content would rep-licate that already offered in the most recent AHA/ american Stroke association Guidelines for the management of acute ,10 Finally, the 2015 Guidelines update marks the begin-ning of a new era for the AHA Guidelines for CPR and ECC, because the Guidelines will transition from a 5-year cycle of periodic revisions and updates to a Web-based format that is continuously updated.

9 The first release of the Web-based inte-grated Guidelines , now available online at is based on the comprehensive 2010 Guidelines plus the 2015 Guidelines update . Moving forward, these Guidelines will be updated by using a continuous evidence evaluation process to facilitate more rapid translation of new scientific discoveries into daily patient of practice Guidelines is only 1 link in the chain of knowledge translation that starts with laboratory and clini-cal science and culminates in improved patient outcomes. The AHA ECC Committee has set an impact goal of doubling bystander CPR rates and doubling cardiac arrest survival by 2020. Much work will be needed across the entire spectrum of knowledge translation to reach this important Review and Guidelines Development ProcessThe process used to generate the 2015 AHA Guidelines update for CPR and ECC was significantly different from the process used in prior releases of the Guidelines , and marks the planned transition from a 5-year cycle of evidence review to a continuous evidence evaluation process.

10 The AHA con-tinues to partner with the International Liaison Committee on Resuscitation (ILCOR) in the evidence review process. However, for 2015 , ILCOR prioritized topics for systematic review based on clinical significance and availability of new 2015 american Heart association , is available at DOI: american Heart association requests that this document be cited as follows: Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, Brooks SC, de Caen AR, Donnino MW, Ferrer JME, Kleinman ME, Kronick SL, Lavonas EJ, Link MS, Mancini ME, Morrison LJ, O Connor RE, Sampson RA, Schexnayder SM, Singletary EM, Sinz EH, Travers AH, Wyckoff MH, Hazinski MF. Part 1: executive summary: 2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 ;132(suppl 2):S315 S367.(Circulation. 2015 ;132[suppl 2]:S315 S367. DOI: )Part 1: Executive Summary2015 american Heart association Guidelines update for Cardiopulmonary Resuscitation and Emergency Cardiovascular CareRobert W.