Highlights of the 2020 American Heart Association's ...
Topics
Adult
Basic and
Advanced
Life Support
Pediatric
Basic and
Advanced
Life Support
Neonatal Life
Support
Resuscitation
Education
Science
Systems of
Care
Introduction
These Highlights summarize the key issues and changes in the 2020 American Heart Association (AHA) Guidelines for
Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). The 2020 Guidelines are a comprehensive
revision of the AHA¡¯s guidelines for adult, pediatric, neonatal, resuscitation education science, and systems of care topics.
They have been developed for resuscitation providers and AHA instructors to focus on the resuscitation science and guidelines recommendations that are most significant or controversial, or those that will result in changes in resuscitation training
and practice, and to provide the rationale for the recommendations.
Because this publication is a summary, it does not reference the supporting published studies and does not list Classes
of Recommendation (COR) or Levels of Evidence (LOE). For more detailed information and references, please read the 2020
AHA Guidelines for CPR and ECC, including the Executive Summary,1 published in Circulation in October 2020, and the
detailed summary of resuscitation science in the 2020 International Consensus on CPR and ECC Science With Treatment
Recommendations, developed by the International Liaison Committee on Resuscitation (ILCOR) and published simultaneously
in Circulation2 and Resuscitation3 in October 2020. The methods used by ILCOR to perform evidence evaluations4 and by the
AHA to translate these evidence evaluations into resuscitation guidelines5 have been published in detail.
The 2020 Guidelines use the most recent version of the AHA definitions for the COR and LOE (Figure 1). Overall, 491
specific recommendations are made for adult, pediatric, and neonatal life support; resuscitation education science; and
systems of care. Of these recommendations, 161 are class 1 and 293 are class 2 recommendations (Figure 2). Additionally, 37
recommendations are class 3, including 19 for evidence of no benefit and 18 for evidence of harm.
The American Heart Association thanks the following people for their contributions to the development of this publication: Eric J. Lavonas,
MD, MS; David J. Magid, MD, MPH; Khalid Aziz, MBBS, BA, MA, MEd(IT); Katherine M. Berg, MD; Adam Cheng, MD; Amber V.
Hoover, RN, MSN; Melissa Mahgoub, PhD; Ashish R. Panchal, MD, PhD; Amber J. Rodriguez, PhD; Alexis A. Topjian, MD, MSCE;
Comilla Sasson, MD, PhD; and the AHA Guidelines Highlights Project Team.
? 2020 American Heart Association
eccguidelines.
1
Figure 1. Applying Class of Recommendation and Level of Evidence to Clinical Strategies, Interventions, Treatments, or Diagnostic
Testing in Patient Care (Updated May 2019)*
2
American Heart Association
Figure 2. Distribution of COR and LOE as percent of 491 total recommendations in the 2020 AHA Guidelines for CPR and ECC.*
*Results are percent of 491 recommendations in Adult Basic and Advanced Life Support, Pediatric Basic and Advanced Life Support, Neonatal Life
Support, Resuscitation Education Science, and Systems of Care.
Abbreviations: COR, Classes of Recommendation; EO, expert opinion; LD, limited data; LOE, Level of Evidence; NR, nonrandomized; R, Randomized.
About the Recommendations
The fact that only 6 of these 491 recommendations (1.2%) are based on Level A evidence (at least 1 high-quality randomized
clinical trial [RCT], corroborated by a second high-quality trial or registry study) testifies to the ongoing challenges in performing high-quality resuscitation research. A concerted national and international effort is needed to fund and otherwise support
resuscitation research.
Both the ILCOR evidence-evaluation process and the AHA guidelines-development process are governed by strict AHA
disclosure policies designed to make relationships with industry and other conflicts of interest fully transparent and to
protect these processes from undue influence. The AHA staff processed conflict-of-interest disclosures from all participants.
All guidelines writing group chairs and at least 50% of guidelines writing group members are required to be free of all
conflicts of interest, and all relevant relationships are disclosed in the respective Consensus on Science With Treatment
Recommendations and Guidelines publications.
eccguidelines.
3
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- american heart association hypertrophic cardiomyopathy
- american heart association bls for healthcare providers
- american heart association heart failure
- american heart association heart month
- american heart association 2020 guidelines
- 2009 highlights of the year
- american heart association heart attack
- the american heart association cpr
- american heart association heart healthy diet
- 2020 american heart association acls algorithms
- american heart association train the trainer
- 2013 highlights of the year