European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances

Truhlar, Anatolij, Deakin, Charles D., Soar, Jasmeet, Khalifa, Gamal Eldin Abbas, Alfonzo, Annette, Bierens, Joost J. L. M., Brattebo, Guttorm, Brugger, Hermann, Dunning, Joel, Hunyadi-Anticevic, SIlvija, Koster, Rudolph W., Lockey, David J., Lott, Carsten, Paal, Peter, Perkins, Gavin D., Sandronis, Claudio, Thies, Karl-Christian, Zideman, David A., Nolan, Jerry P., Cardiac arrest in special circumstances section Collaborators and Midwinter, Mark J. (2015) European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances. Resuscitation, 95 148-201. doi:10.1016/j.resuscitation.2015.07.017

Author Truhlar, Anatolij
Deakin, Charles D.
Soar, Jasmeet
Khalifa, Gamal Eldin Abbas
Alfonzo, Annette
Bierens, Joost J. L. M.
Brattebo, Guttorm
Brugger, Hermann
Dunning, Joel
Hunyadi-Anticevic, SIlvija
Koster, Rudolph W.
Lockey, David J.
Lott, Carsten
Paal, Peter
Perkins, Gavin D.
Sandronis, Claudio
Thies, Karl-Christian
Zideman, David A.
Nolan, Jerry P.
Cardiac arrest in special circumstances section Collaborators
Midwinter, Mark J.
Title European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances
Journal name Resuscitation   Check publisher's open access policy
ISSN 0300-9572
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.resuscitation.2015.07.017
Open Access Status Not yet assessed
Volume 95
Start page 148
End page 201
Total pages 54
Place of publication Shannon, Clare, Ireland
Publisher Elsevier Ireland
Language eng
Formatted abstract
Irrespective of the cause of cardiac arrest, early recognition and calling for help, including appropriate management of the deteriorating patient, early defibrillation, high-quality cardiopulmonary resuscitation (CPR) with minimal interruption of chest compressions and treatment of reversible causes, are the most important interventions.

In certain conditions, however, advanced life support (ALS) guidelines require modification. The following guidelines for resuscitation in special circumstances are divided into three parts: special causes, special environments and special patients. The first part covers treatment of potentially reversible causes of cardiac arrest, for which specific treatment exists, and which must be identified or excluded during any resuscitation. For improving recall during ALS, these are divided into two groups of four, based upon their initial letter – either H or T – and are called the ‘4Hs and 4Ts’: Hypoxia; Hypo-/hyperkalaemia and other electrolyte disorders; Hypo-/hyperthermia; Hypovolaemia; Tension pneumothorax; Tamponade (cardiac); Thrombosis (coronary and pulmonary); Toxins (poisoning). The second part covers cardiac arrest in special environments, where universal guidelines have to be modified due to specific locations or location-specific causes of cardiac arrest. The third part is focused on patients with specific conditions, and those with certain long-term comorbidities where a modified approach and different treatment decisions may be necessary.
Keyword Calcium-Channel-Blocker
Near-Fatal Asthma
Induced Coronary Vasoconstriction
Intravenous Lipid Emulsion
Massive Pulmonary-Embolism
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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