Resuscitation Guidelines 2005 - what's new and why?

TitleResuscitation Guidelines 2005 - what's new and why?
Publication TypeConference Paper
Year of Publication2007
AuthorsHandley, AJ
Conference NameWorld Conference on Drowning Prevention
Date Published09/2007
PublisherInternational Life Saving Federation
Conference LocationPorto, Portugal
Other Numbers03-20

­Approximately every 5 years the International Liaison Committee on Resuscitation (ILCOR) reviews the scientific evidence underlying international guidelines on resuscitation. The latest round of this process ended in December 2005.

During discussions on basic life support (BLS) there was an appreciation that simplification of the guidelines was needed in order to aid skill acquisition and retention.  Also, available published evidence suggested strongly that the outcome from cardiac arrest could be improved if greater emphasis was placed on delivering more chest compressions with fewer interruptions. The objectives of simplification and emphasis on chest compression underpinned the ILCOR Consensus on Science and Treatment Recommendations (CoSTR).

The recommended changes in BLS included: a ratio of compressions to ventilations to 30:2; a simpler method for identifying the correct compression position on the chest; harmonisation of adult and child CPR.  These and other changes are discussed, with particular emphasis on the reasons behind the changes.

Learning Outcomes
  1. Know the major changes in BLS guidelines following the recommendations of ILCOR 2005.
  2. Understand why these changes were recommended.
  3. Appreciate the importance of simplifying the guidelines for BLS.
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