Cardiopulmonary resuscitation in low-resource settings: a statement by the International Liaison Committee on Resuscitation, supported by the AFEM, EUSEM, IFEM, and IFRC

Most recommendations on cardiopulmonary resuscitation were developed from the perspective of high-resource settings with the aim of applying them in these settings. These so-called international guidelines are often not applicable in low-resource settings. Organisations including the International L...

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Detalles Bibliográficos
Autores: Schnaubelt, S., Garg, R., Atiq, H., Baig, N., Bernardino, M., Bigham, B., Dickson, S., Geduld, H., Al-Hilali, Z., Karki, S., Lahri, S., Maconochie, I., Montealegre, F., Tageldin Mustafa, M., Niermeyer, S., Athieno Odakha, J., Perlman, J.M., Monsieurs, K.G., Greif, R., Aldakak, F., Bhanji, F., Breckwoldt, J., Cheng, A., Cortegiani, A., Eastwood, K., Farquharson, B., Finn, J., Abelairas Gómez, Cristian, Hsieh, M.-J., Lauridsen, K.G., Lockey, A., Nabecker, S., Nation, K., Olaussen, A., Sawyer, T., Yang, C.-W., Yeung, J.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21181
Acceso en línea:https://portalcientifico.sergas.gal//documentos/64f6356766ccc641d10d6ce3
http://hdl.handle.net/20.500.11940/21181
Access Level:acceso abierto
Palabra clave:Infant
Humans
Prospective Studies
Cardiopulmonary Resuscitation
Advisory Committees
Consensus
Emergency Medical Services
Descripción
Sumario:Most recommendations on cardiopulmonary resuscitation were developed from the perspective of high-resource settings with the aim of applying them in these settings. These so-called international guidelines are often not applicable in low-resource settings. Organisations including the International Liaison Committee on Resuscitation (ILCOR) have not sufficiently addressed this problem. We formed a collaborative group of experts from various settings including low-income, middle-income, and high-income countries, and conducted a prospective, multiphase consensus process to formulate this ILCOR Task Force statement. We highlight the discrepancy between current cardiopulmonary resuscitation guidelines and their applicability in low-resource settings. Successful existing initiatives such as the Helping Babies Breathe programme and the WHO Emergency Care Systems Framework are acknowledged. The concept of the chainmail of survival as an adaptive approach towards a framework of resuscitation, the potential enablers of and barriers to this framework, and gaps in the knowledge are discussed, focusing on low-resource settings. Action points are proposed, which might be expanded into future recommendations and suggestions, addressing a large diversity of addressees from caregivers to stakeholders. This statement serves as a stepping-stone to developing a truly global approach to guide resuscitation care and science, including in health-care systems worldwide.

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