Expert opinion on evidence after 2020 Korean Cardiopulmonary Resuscitation Guidelines

¹연세대학교 의과대학 응급의학교실
²한림대학교 의과대학 응급의학교실
³아주대학교 의과대학 응급의학교실
⁴연세대학교 원주의과대학 응급의학교실
⁵고려대학교 의과대학 소아청소년과학교실
⁶고려대학교 나노재생재건연구소
⁷일산차병원 소아청소년과
⁸한림대학교 강남성심병원 응급의학과
⁹서울대학교 의과대학 소아청소년과학교실
¹⁰한양대학교 의과대학 응급의학교실
¹¹중앙대학교 의과대학 응급의학교실
¹²경희대학교 의과대학 신경과학교실
¹³전남대학교 의과대학 응급의학교실
¹⁴서울의료원 소아청소년과

Sung Phil Chung¹

, Youdong Sohn²

, Ju Sun Heo^5,6

, Hyungoo Shin¹⁰

, Chiwon Ahn¹¹

, Ho Geol Woo¹²

, Byung Kook Lee¹³

, Yong Soo Jang⁸

, Yu Hyeon Choi¹⁴

, Sung Oh Hwang⁴

, on behalf of Guideline Committee of Korean Association of Cardiopulmonary Resuscitation

¹Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea
²Department of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea
³Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea
⁴Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
⁵Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
⁶Institute of Nano, Regeneration, Reconstruction, Korea University, Seoul, Korea
⁷Department of Pediatrics, Cha University Ilsan Medical Center, Goyang, Korea
⁸Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Seoul, Korea
⁹Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
¹⁰Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea
¹¹Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Korea
¹²Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea
¹³Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, Korea
¹⁴Department of Pediatrics, Seoul Medical Center, Seoul, Korea

Correspondence

Sung Oh Hwang ,Tel: 033-741-1611, Fax: 02-2019-4820, Email: shwang@yonsei.ac.kr,

Received: April 14, 2023; Revised: May 17, 2023 Accepted: May 19, 2023. Published online: August 31, 2023.

ABSTRACT

Considerable evidence has been published since the 2020 Korean Cardiopulmonary Resuscitation Guidelines were reported. The International Liaison Committee on Resuscitation (ILCOR) also publishes the Consensus on CPR and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR) summary annually. This review provides expert opinions by reviewing the recent evidence on CPR and ILCOR treatment recommendations. The authors reviewed the CoSTR summary published by ILCOR in 2021 and 2022. PICO (population, intervention, comparator, outcome) questions for each topic were reviewed using a systemic or scoping review methodology. Two experts were appointed for each question and reviewed the topic independently. Topics suggested by the reviewers for revision or additional description of the guidelines were discussed at a consensus conference. Forty-three questions were reviewed, including 15 on basic life support, seven on advanced life support, two on pediatric life support, 11 on neonatal life support, six on education and teams, one on first aid, and one related to coronavirus disease 2019 (COVID-19). Finally, the current Korean CPR Guideline was maintained for 28 questions, and expert opinions were suggested for 15 questions.

Key words: Heart arrest; Cardiopulmonary resuscitation; Expert opinion