2025 International Consensus on Cardiopulmonary Resuscitation and ECC Science Treatment

• Sudden cardiac arrest, occurring in the out-of-hospital or in-hospital setting, remains a leading cause of death worldwide. While outcomes have gradually improved over the past 25 years, mortality and morbidity remain high. In the United States and Europe in recent years, for example, survival after EMS-treated adult out-of-hospital cardiac arrest averaged 10.2%. In 2023 the US Get-With-The-Guidelines Resuscitation registry documented a survival rate to hospital discharge of 23.6% after in-hospital cardiac arrest.
• The International Liaison Committee on Resuscitation (ILCOR) mission is to promote, disseminate and advocate for international implementation of evidence-informed resuscitation and first aid, using transparent evaluation and consensus summary of scientific data. The goal of this 2025 CoSTR Summary is to provide a summary of the most recent analyses of published resuscitation evidence, as well as the resulting ILCOR Task Force treatment recommendations, to aid ILCOR member councils in the development of evidence-based resuscitation and first aid guidelines and training materials.
• The 2025 CoSTR Chapter topics include: advanced life support, basic life support, pediatric life support, neonatal life support, education implementation and teams, and first aid.

See the full articles in Circulation

1. Executive SUMMARY: 2025 ILCOR/CoSTR

2. Methodology and Conflict of Interest Management

3. Basic Life Support

4. Advanced Life Support

5. Pediatric Life Support

6. Neonatal Life Support

7. Education, Implementation, and Teams

8. First Aid