Cardiopulmonary resuscitation in low-resource settings: a statement by the International Liaison Committee on Resuscitation, supported by the AFEM, EUSEM, IFEM, and IFRC

作者：Sebastian Schnaubelt, Rakesh Kumar Garg, Huba Atiq, Noor Baig, Marta Bernardino, Blair L. Bigham, Samantha Dickson, Heike I. Geduld, Zehra’ Al-Hilali, Sanjaya Karki, Sa’ad Lahri, Ian K. Maconochie, Fernando Montealegre, Mahmoud Tageldin Mustafa, Susan Niermeyer, Justine Athieno Odakha, Jeffrey M. Perlman, Koenraad G. Monsieurs, Robert Tino Greif, Firas Aldakak, Farhan Bhanji, Jan Breckwoldt, Adam Cheng, Andrea Cortegiani, Kathryn Eastwood, Barbara Farquharson, Judith Finn, Cristian Abelairas Gómez, Ming‐Ju Hsieh, Kasper Glerup Lauridsen, Andrew S. Lockey, Sabine Nabecker, Kevin J. Nation, Alexander Olaussen, Taylor Sawyer, Chih‐Wei Yang, Joyce Yeung · 发表于：The Lancet Global Health · 年份：2023 · DOI：10.1016/s2214-109x(23)00302-9 · 被引用次数：86 · 研究领域：Cardiac Arrest and Resuscitation、Family and Patient Care in Intensive Care Units、Disaster Response and Management

Most recommendations on cardiopulmonary resuscitation were developed from the perspective of high-resource settings with the aim of applying them in these settings. These so-called international guidelines are often not applicable in low-resource settings. Organisations including the International Liaison Committee on Resuscitation (ILCOR) have not sufficiently addressed this problem. We formed a collaborative group of experts from various settings including low-income, middle-income, and high-income countries, and conducted a prospective, multiphase consensus process to formulate this ILCOR Task Force statement. We highlight the discrepancy between current cardiopulmonary resuscitation guidelines and their applicability in low-resource settings. Successful existing initiatives such as the Helping Babies Breathe programme and the WHO Emergency Care Systems Framework are acknowledged. The concept of the chainmail of survival as an adaptive approach towards a framework of resuscitation, the potential enablers of and barriers to this framework, and gaps in the knowledge are discussed, focusing on low-resource settings. Action points are proposed, which might be expanded into future recommendations and suggestions, addressing a large diversity of addressees from caregivers to stakeholders. This statement serves as a stepping-stone to developing a truly global approach to guide resuscitation care and science, including in health-care systems worldwide.