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Resuscitation ; 153: 45-55, 2020 08.
Article in English | MEDLINE | ID: covidwho-548156


Coronavirus disease 2019 (COVID-19) has had a substantial impact on the incidence of cardiac arrest and survival. The challenge is to find the correct balance between the risk to the rescuer when undertaking cardiopulmonary resuscitation (CPR) on a person with possible COVID-19 and the risk to that person if CPR is delayed. These guidelines focus specifically on patients with suspected or confirmed COVID-19. The guidelines include the delivery of basic and advanced life support in adults and children and recommendations for delivering training during the pandemic. Where uncertainty exists treatment should be informed by a dynamic risk assessment which may consider current COVID-19 prevalence, the person's presentation (e.g. history of COVID-19 contact, COVID-19 symptoms), likelihood that treatment will be effective, availability of personal protective equipment (PPE) and personal risks for those providing treatment. These guidelines will be subject to evolving knowledge and experience of COVID-19. As countries are at different stages of the pandemic, there may some international variation in practice.

Coronavirus Infections/complications , Heart Arrest/etiology , Heart Arrest/therapy , Pneumonia, Viral/complications , Betacoronavirus , COVID-19 , Cardiopulmonary Resuscitation/standards , Europe , Humans , Pandemics , Personal Protective Equipment/supply & distribution , Risk Assessment , SARS-CoV-2 , Societies, Medical
Resuscitation ; 151: 145-147, 2020 06.
Article in English | MEDLINE | ID: covidwho-154701


Consensus on Science and Treatment recommendations aim to balance the benefits of early resuscitation with the potential for harm to care providers during the COVID-19 pandemic. Chest compressions and cardiopulmonary resuscitation have the potential to generate aerosols. During the current COVID-19 pandemic lay rescuers should consider compressions and public-access defibrillation. Lay rescuers who are willing, trained and able to do so, should consider providing rescue breaths to infants and children in addition to chest compressions. Healthcare professionals should use personal protective equipment for aerosol generating procedures during resuscitation and may consider defibrillation before donning personal protective equipment for aerosol generating procedures.

Cardiopulmonary Resuscitation/standards , Coronavirus Infections/therapy , Heart Arrest/therapy , Pandemics/statistics & numerical data , Pneumonia, Viral/therapy , Practice Guidelines as Topic , Advisory Committees , COVID-19 , Cardiopulmonary Resuscitation/trends , Consensus , Coronavirus Infections/epidemiology , Critical Illness/therapy , Defibrillators/statistics & numerical data , Female , Global Health , Humans , Internationality , Male , Needs Assessment , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Survival Analysis