Resuscitation
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Review Practice Guideline Guideline
Part 12: from science to survival. Strengthening the chain of survival in every community. European Resuscitation Council.
Cardiac arrest treatment continues to evolve. Adequate treatment of the individual patient requires that the whole ECC system function smoothly, consistently, and rapidly. To maximize community-wide survival rates, a careful evaluation of the entire Chain of Survival is necessary, using standard measurements of performance. The challenge for the next decade is to establish this infrastructure and conduct multicenter, prospective, controlled clinical trials to better define the key factors that will improve survival from cardiac arrest in every community.
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Review Practice Guideline Guideline
Part 10: pediatric advanced life support. European Resuscitation Council.
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Review Practice Guideline Guideline
Part 9: pediatric basic life support. European Resuscitation Council.
The epidemiology and outcome of pediatric cardiopulmonary arrest and the priorities, techniques, and sequence of pediatric resuscitation assessments and intervention differ from those of adults. Current guidelines have been updated after extensive multinational evidence-based review and discussion over several years. ⋯ Differences are currently based on local and regional preferences, training networks, and customs rather than scientific controversy. Unresolved issues with potential for future universal application are highlighted.
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Many people involved with resuscitation have specific interests and enthusiasm. They will review the new guidelines to see how their favorite interventions fared. This essay lists a number of the new guidelines that merit special attention: support for family presence at resuscitations, pronouncing death at the scene rather than after futile transport efforts, honoring advance directives, comparable effectiveness of bag-mask ventilation versus tracheal intubation, revision of compression rates and compression-ventilation ratios, and devices to confirm tracheal intubation and prevent tube dislodgment. ⋯ There is great optimism that these new and revised guidelines will help achieve our ultimate objective. This objective is to be ready when fate brings some lives to a premature end. If we are, we can restore more of these people to a high-quality life, ready for many more years of living.