Chung Sung Phil, Sohn Youdong, Lee Jisook, Cho Youngsuk, Cha Kyoung-Chul, Heo Ju Sun, Kim Ai-Rhan Ellen, Kim Jae Guk, Kim Han-Suk, Shin Hyungoo, Ahn Chiwon, Woo Ho Geol, Lee Byung Kook, Jang Yong Soo, Choi Yu Hyeon, Hwang Sung Oh
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
Department of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
Clin Exp Emerg Med. 2023 Dec;10(4):382-392. doi: 10.15441/ceem.23.102. Epub 2023 Aug 25.
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 (patient, intervention, comparison, 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 COVID-19. Finally, the current Korean CPR Guideline was maintained for 28 questions, and expert opinions were suggested for 15 questions.
自2020年韩国心肺复苏指南发布以来,已有大量证据发表。国际复苏联合委员会(ILCOR)也每年发布《心肺复苏与心血管急救科学及治疗建议共识》(CoSTR)摘要。本综述通过回顾近期关于心肺复苏和ILCOR治疗建议的证据提供专家意见。作者回顾了ILCOR在2021年和2022年发布的CoSTR摘要。使用系统综述或范围综述方法对每个主题的PICO(患者、干预措施、对照、结局)问题进行了回顾。每个问题指定两名专家,他们独立审查该主题。评审人员提出的关于指南修订或额外描述的主题在共识会议上进行了讨论。共审查了43个问题,包括15个关于基础生命支持的问题、7个关于高级生命支持的问题、2个关于儿童生命支持的问题、11个关于新生儿生命支持的问题、6个关于教育和团队的问题、1个关于急救的问题以及1个与COVID-19相关的问题。最后,28个问题维持现行韩国心肺复苏指南,15个问题给出了专家意见。