Interpretation of the 2020 American Heart Association Guidelines for CardiopulmonaryResuscitation and Emergency Cardiovascular Care-Adult Basic and Advanced Life Support_West China Medical Journal

Authors：

HE Yarong ^1,2 , ZHENG Yue ^1,2 , ZHOU Fating ^1,2 , YAO Peng ^1,2 , TANG Songling ^1,2 , CHU Lili ^1,2 , ZHOU Tingyuan ^1,2 , WANG Zhiyuan ^1,2 , JIANG Zhen ^1,2 , GU Zhihan ^1,2 , LIU Bofu ^1,2 , CHENG Tao ^1,2 , ZHOU Yaxiong ^1,2 , YU Haifang ^1,2 ,  CAO Yu ^1,2

1. Department of Emergency Medicine / Laboratory of Emergency Medicine, West China Hospital / West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Disaster Medical Center, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CAO Yu, Email: yuyuer@126.com

Keywords：

Guideline; Cardiac arrest; Cardiopulmonary resuscitation; Resuscitation quality; Epinephrine; Defibrillation

DOI：

10.7507/1002-0179.202011084

Video：

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American Heart Association issued American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care in October 2020. A sixth link, recovery, has been added to both the adult out-of-hospital cardiac arrest chain and in-hospital cardiac arrest chain in this version of the guidelines to emphasize the importance of recovery and survivorship for resuscitation outcomes. Analogous chains of survival have also been developed for adult out-of-hospital cardiac arrest and in-hospital cardiac arrest. The major new and updated recommendations involve the early initiation of cardiopulmonary resuscitation by lay rescuers, early administration of epinephrine, real-time audiovisual feedback, physiologic monitoring of cardiopulmonary resuscitation quality, double sequential defibrillation not supported, intravenous access preferred over intraosseous, post-cardiac arrest care and neuroprognostication, care and support during recovery, debriefings for rescuers, and cardiac arrest in pregnancy. This present review aims to interpret these updates by reviewing the literature and comparing the recommendations in these guidelines with previous ones.

Citation： HE Yarong, ZHENG Yue, ZHOU Fating, YAO Peng, TANG Songling, CHU Lili, ZHOU Tingyuan, WANG Zhiyuan, JIANG Zhen, GU Zhihan, LIU Bofu, CHENG Tao, ZHOU Yaxiong, YU Haifang, CAO Yu. Interpretation of the 2020 American Heart Association Guidelines for CardiopulmonaryResuscitation and Emergency Cardiovascular Care-Adult Basic and Advanced Life Support. West China Medical Journal, 2020, 35(11): 1311-1323. doi: 10.7507/1002-0179.202011084 Copy

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West China Medical Journal

Interpretation of the 2020 American Heart Association Guidelines for CardiopulmonaryResuscitation and Emergency Cardiovascular Care-Adult Basic and Advanced Life Support

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