Top Things to Know: 2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Published: November 14, 2024
- Providing CPR on a firm surface remains important, but this must be balanced with avoiding delays in CPR initiation.
- Following return of spontaneous circulation (ROSC) after cardiac arrest, a mean arterial pressure of at least 60-65mmHg is suggested for adults; a systolic blood pressure > 10th percentile for age should be targeted for children.
- Treatment of seizures after ROSC is suggested in both adults and children. Seizure prophylaxis is not suggested.
- A good practice statement supports the use of ECMO in very select cases of children with signs of pulmonary hypertensive crisis, before cardiac arrest or for refractory cardiac arrest as a bridge to recovery or as a bridge to the evaluation for organ replacement and transplantation in very select cases
- Deferring umbilical cord clamping for at least 60 seconds is recommended in infants born at <37 weeks who do not require immediate resuscitation.
- The use of therapeutic hypothermia for term newborn infants with evolving moderate-to-severe hypoxic-ischemic encephalopathy in low- and middle-income countries in settings where a suitable level of supportive neonatal care is available is suggested.
- Use of cognitive aids is suggested for healthcare professionals in resuscitation, but such aids are not recommended for lay persons initiating CPR.
- Consideration of the use of gamified learning in resuscitation education is proposed.
- Incorporation of rapid-cycle deliberate practice in resuscitation training is suggested.
- When treating a patient who reports a history of COPD, a good practice statement suggests that first aid providers who are trained to administer supplemental oxygen should use pulse oximetry, and target an oxygen saturation of 88-92%.
Citation
Greif R, Bray JE, Djarv T, Drennan IR, Liley HG, Ng K-C, Cheng A, Douma MJ, Scholefield BR, Smyth M, et al. 2024 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science withtreatment recommendations: summary from the Basic Life Support; Advanced Life Support; Pediatric Life Support;Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces. Circulation. Published online November 14, 2024. doi: 10.1161/CIR.0000000000001288