Circulation. 2022 Mar;145(9):e645-e721. doi: 10.1161/CIR.0000000000001017. Epub 2021 Nov 11.
The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.
国际复苏联合会启动了对新的同行评审出版的心肺复苏科学的持续审查。这是国际复苏联合会第五次年度总结心肺复苏和紧急心血管护理科学的国际共识，附有治疗建议；2020 年进行了更全面的审查。本最新摘要介绍了国际复苏联合会工作组科学专家审查的最近发表的复苏证据。本摘要中系统评价涵盖的主题包括基于视频的调度系统的复苏主题；头高位心肺复苏；自主循环恢复后的早期冠状动脉造影；俯卧位患者的心肺复苏；早产和足月婴儿出生时的脐带管理；出生时正压通气的设备；新生儿复苏期间家属在场；成人和儿童自我指导的基于数字的基本生命支持教育和培训；新冠肺炎患者对急救人员的感染风险；以及急救主题，包括热水冷却治疗热烧伤、运动性脱水的口服补液、小儿止血带的使用以及蜱虫去除方法。6 个国际复苏联合会工作组的成员根据推荐评估、制定和评估标准评估、讨论和辩论证据的质量，他们的声明包括共识治疗建议或良好实践声明。在“理由和决策框架重点”部分提供了工作组审议的深入了解。此外，工作组列出了进一步研究的优先知识空白。
