2025 Korean Guidelines for Cardiopulmonary Resuscitation. Part 10. Education and System Implementation for Enhanced Chain of Survival

¹서울아산병원 디자인콘텐츠팀
²한림대학교 의과대학 응급의학교실
³가톨릭대학교 성빈센트병원 응급의학과
⁴서울대학교 의과대학 내과학교실
⁵국립공주대학교 응급구조학과
⁶서울대학교병원 권역응급의료센터
⁷경북대학교 의과대학 마취통증의학과
⁸남서울대학교 응급구조학과
⁹연세대학교 의과대학 응급의학교실
¹⁰서울대학교 의과대학 응급의학교실
¹¹인하대학교 의과대학 응급의학교실
¹²인제대학교 상계백병원 소아청소년과
¹³서울대학교 의과대학 소아청소년과학교실
¹⁴가톨릭대학교 의과대학 응급의학교실
¹⁵아주대학교 의과대학 응급의학교실
¹⁶연세대학교 원주의과대학 응급의학교실

Yunhee Oh¹

, Youdong Sohn²

, Sung Phil Chung0000-0002-3074-011X)⁹

, Do Kyun Kim¹⁰

, Tae-Youn Kim¹¹

, Gyuhong Shim¹²

, Young Hwa Jung¹³

, Chun Song Youn¹⁴

, Ji Sook Lee¹⁵

, Youngbin Jang⁹

, Yong Soo Jang²

, Gyu Chong Cho²

, Kyoung-chul Cha¹⁶

, Ju Sun Heo¹³

, Sung Oh Hwang¹⁶

Correspondence

Mi Jin Lee ,Tel: 031-294-7363, Fax: 031-249-8017, Email: emergency.mijinlee@gmail.com,

Received: February 26, 2026; Revised: April 29, 2026 Accepted: June 10, 2026. Published online: June 30, 2026.
*Yunhee Oh and Youdong Sohn contributed equally to this work.

ABSTRACT

The 2025 Korean education and system implementation guidelines are updated using a structured evidence evaluation process and recent systematic reviews. The guidelines present a comprehensive update that aims to bridge the gap between educational theory and clinical performance and emphasize the transition toward high-fidelity, field-based training environments through the implementation of in situ simulation and rapid cycle deliberate practice to foster automaticity in high-quality cardiopulmonary resuscitation (CPR) and team coordination. The integration of real-time feedback devices during training and the adoption of structured “hot” and “cold” debriefing to maximize learning outcomes are critical shifts in this update. Furthermore, these guidelines enhance teamwork competency by recommending the integration of a dedicated CPR coach within the hospital code team. Despite acknowledging the potential of digital health, a cautious approach toward gamified and blended learning is maintained. The guidelines prioritize face-to-face instruction to ensure psychomotor proficiency. From a policy perspective, the 2025 update removes the prehospital termination of resuscitation criteria in alignment with domestic legal constraints and social consensus. In addition to context-based training strategies within hospitals, we discussed the mandatory age for CPR training. We also added recommendations to address the “decoupling” between high automated external defibrillator awareness and low bystander utilization rates in the prehospital setting. In conclusion, the 2025 Korean guidelines emphasize repetitive, evidence-based educational methods and systematic policy refinements to enhance resuscitation quality and survival outcomes across clinical and community settings.

Key words: Cardiopulmonary resuscitation; Heart arrest; Education; Debriefing