2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces 

Myra H. Wyckoff, MD; Robert Greif, MD; Peter T. Morley, MBBS; Kee-Chong Ng, MBBS, Mmed(Peds); Theresa M. Olasveengen, MD, PhD; Eunice M. Singletary, MD; Jasmeet Soar, MA, MB, BChir; Adam Cheng, MD; Ian R. Drennan, ACP, PhD; Helen G. Liley, MBChB; Barnaby R. Scholefield, MBBS, MRCPCH, PhD; Michael A. Smyth, BSc(Hons), MSc, PhD; Michelle Welsford, MD, BSc; David A. Zideman, LVO, QHP(C), MBBS; Jason Acworth, MBBS, FRACP(PEM);; Richard Aickin, MBChB; Lars W. Andersen, MD, MPH, PhD, DMSc; Diane Atkins, MD; David C. Berry, PhD, MHA; Farhan Bhanji, MD, MSc(Ed); Joost Bierens, MD, PhD, MCDM, MCPM; Vere Borra, PhD; Bernd W. Böttiger, MD, ML, DEAA; Richard N. Bradley, MD; Janet E. Bray, RN, PhD; Jan Breckwoldt, MD, MME; Clifton W. Callaway, MD, PhD; Jestin N. Carlson, MD, MS; Pascal Cassan, MD; Maaret Castrén, MD, PhD; Wei-Tien Chang, MD, PhD; Nathan P. Charlton, MD; Sung Phil Chung, MD, PhD; Julie Considine, RN, PhD; Daniela T. Costa-Nobre, MD, MHS, PhD; Keith Couper, RN, PhD; Thomaz Bittencourt Couto, MD, PhD;; Katie N. Dainty, MSc, PhD; Peter G. Davis, MBBS, MD; Maria Fernanda de Almeida, MD, PhD;; Allan R. de Caen, MD; Charles D. Deakin, MA, MD; Therese Djärv, MD, PhD; Michael W. Donnino, MD; Matthew J. Douma, PhD(c), MN, RN; Jonathan P. Duff, MD; Cody L. Dunne, MD; Kathryn Eastwood, PhD, BParamedicStud, BNurse; Walid El-Naggar, MD; Jorge G. Fabres, MD, MSPH; Joe Fawke, MBChB; Judith Finn, PhD, RN; Elizabeth E. Foglia, MD, MA, MSCE; Fredrik Folke, MD, PhD; Elaine Gilfoyle, MD, MMEd;; Craig A. Goolsby, MD, MEd; Asger Granfeldt, MD, PhD, DMSc; Anne-Marie Guerguerian, MD, PhD; Ruth Guinsburg, MD, PhD; Karen G. Hirsch, MD; Mathias J. Holmberg, MD, MPH, PhD; Shigeharu Hosono, MD, PhD; Ming-Ju Hsieh, MD, MSc, PhD; Cindy H. Hsu, MD, PhD; Takanari Ikeyama, MD; Tetsuya Isayama, MD, MSc, PhD;; Nicholas J. Johnson, MD; Vishal S. Kapadia, MD, MSCS; Mandira Daripa Kawakami, MD, PhD;; Han-Suk Kim, MD, PhD; Monica Kleinman, MD; David A. Kloeck, MBBCh, FCPaed, Crit Care (SA);; Peter J. Kudenchuk, MD; Anthony T. Lagina, MD; Kasper G. Lauridsen, MD, PhD;; Eric J. Lavonas, MD, MS; Henry C. Lee, MD, MS; Yiqun (Jeffrey) Lin, MD, MHSc, PhD;; Andrew S. Lockey, MBChB, PhD;; Ian K. Maconochie, MBBS, LMSSA, PhD; R.; John Madar, MBBS; Carolina Malta Hansen, MD, PhD; Siobhan Masterson, PhD; Tasuku Matsuyama, MD, PhD;; Christopher J.D. McKinlay, MBChB, PhD, DipProfEthics; Daniel Meyran, MD; Patrick Morgan, MBChB, DipIMC, RCSEd; Laurie J. Morrison, MD, MSc; Vinay Nadkarni, MD; Firdose L. Nakwa, MBBCh, MMed (Paeds);; Kevin J. Nation, NZRN; Ziad Nehme, PhD; Michael Nemeth, MA; Robert W. Neumar, MD, PhD; Tonia Nicholson, MBBS, BScPsych; Nikolaos Nikolaou, MD; Chika Nishiyama, RN, DrPH; Tatsuya Norii, MD; Gabrielle A. Nuthall, MBChB; Brian J. O’Neill, MD; Yong-Kwang Gene Ong, MBBS, MRCPCH; Aaron M. Orkin, MD, MSc, PHH, PhD; Edison F. Paiva, MD, PhD;; Michael J. Parr, MBBS; Catherine Patocka, MDCM, MHPE; Jeffrey L. Pellegrino, PhD, MPH; Gavin D. Perkins, MBChB, MMEd, MD; Jeffrey M. Perlman, MBChB; Yacov Rabi, MD; Amelia G. Reis, MD, PhD; Joshua C. Reynolds, MD, MS; Giuseppe Ristagno, MD, PhD; Antonio Rodriguez-Nunez, MD, PhD; Charles C. Roehr, MD, PhD; Mario Rüdiger, MD, PhD; Tetsuya Sakamoto, MD, PhD; Claudio Sandroni, MD; Taylor L. Sawyer, DO, Med; Steve M. Schexnayder, MD; Georg M. Schmölzer, MD, PhD; Sebastian Schnaubelt, MD; Federico Semeraro, MD; Markus B. Skrifvars, MD, PhD; Christopher M. Smith, MD, MSc; Takahiro Sugiura, MD, PhD; Janice A. Tijssen, MD, MSc; Daniele Trevisanuto, MD; Patrick Van de Voorde, MD, PhD; Tzong-Luen Wang, MD, PhD, JM; Gary M. Weiner, MD; Jonathan P. Wyllie, MBChB; Chih-Wei Yang, MD, PhD; Joyce Yeung, PhD, MBChB; Jerry P. Nolan, MBChB;; Katherine M. Berg, MD

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This article represents the author’s opinions and does not represent the official policy or position of the Uniformed Services University, Defense Department, or US government.

†

Vinay Nadkarni is an elected member of the Executive Committee (Council) of the Society of Critical Care Medicine. The views presented are those of the author and do not represent the views of the SCCM organization.

Pediatrics e2022060463.

https://doi.org/10.1542/peds.2022-060463

This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed.