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The authors provide guidance for cardiopulmonary resuscitation (CPR) for patients with suspected or confirmed COVID-19 to allow the highest chance of survival for the patients without compromising the safety of medical staff. General principles for resuscitation in this setting include reducing exposure to COVID-19, prioritizing oxygenation and ventilation strategies with a lower aerosolization risk, and considering the appropriateness of beginning and continuing resuscitation.
The number of COVID-19 infections is growing rapidly worldwide and in the US, and hence the number of cardiac arrests associated with COVID-19 is likely to increase.
This abstract is available on the publisher's site.
Existing American Heart Association (AHA) cardiopulmonary resuscitation (CPR) guidelines do not address the challenges of providing resuscitation in the setting of the COVID-19 global pandemic, wherein rescuers must continuously balance the immediate needs of the victims with their own safety. To address this gap, the AHA, in collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists, and with the support of the American Association of Critical Care Nurses and National EMS Physicians, has compiled interim guidance to help rescuers treat victims of cardiac arrest with suspected or confirmed COVID-19.
Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians
Circulation 2020 Apr 09;[EPub Ahead of Print], DP Edelson, C Sasson, PS Chan, DL Atkins, K Aziz, LB Becker, RA Berg, SM Bradley, SC Brooks, A Cheng, M Escobedo, GE Flores, S Girotra, A Hsu, BD Kamath-Rayne, HC Lee, RE Lehotzky, ME Mancini, RM Merchant, VM Nadkarni, AR Panchal, MAR Peberdy, TT Raymond, B Walsh, DS Wang, CM Zelop, A Topjian