European Resuscitation Council Guidelines 2000 for Adult Advanced Life Support: A statement from the Advanced Life Support Working Group1 and approved by the Executive Committee of the European Resuscitation Council
Introduction
The European Resuscitation Council (ERC) last issued guidelines for Advanced Life Support (ALS) in 1998 [1]. These were based on the 1997 International Liaison Committee on Resuscitation (ILCOR) Advisory Statements [2]. In 1999 and 2000 representatives of ILCOR, at the invitation of the American Heart Association, met on a number of occasions in Dallas to agree a Consensus on Science upon which future guidelines could be based. Representatives from the ERC played a prominent role in the deliberations, which culminated in the publication of The International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care — A Consensus on Science [3]. The consensus was evidence based wherever possible. The ERC ALS Working Group has considered this document and has recommended some changes in the guidelines that will be suitable for European practice. These changes, together with a summary of the Sequence of Actions in ALS, are presented in this paper.
The changes have also been incorporated into the curriculum of the ERC ALS provider courses and a new manual has been published to be used in all such courses from 2001 [4].
Section snippets
The precordial thump
A single precordial thump may be performed by professional healthcare providers, in a witnessed or monitored arrest before the defibrillator is attached and is therefore incorporated into the ERC ALS Universal algorithm. It is unlikely to be successful after more than 30 s of arrest.
The universal algorithm [5]
This is to be retained, in slightly modified form, for European practice in preference to the more complex versions chosen by some other countries.
The list of potentially reversible causes is retained (the ‘4 Hs and
Sequence of actions
1. Precordial thump, if appropriate
If the cardiac arrest is witnessed or monitored, a precordial thump may be given before a defibrillator is attached. This is unlikely to be successful more than 30 s into the arrest.
2. Establish basic life support, if appropriate
Basic life support should be started if there is any delay in obtaining a defibrillator, but must not delay attempted defibrillation. The priority is to avoid any delay between the onset of cardiac arrest and attempted defibrillation.
References (14)
The 1998 European Resuscitation Council guidelines for advanced life support
Resuscitation
(1998)- et al.
The Universal ALS Algorithm: an advisory statement by the Advanced Life Support Working Group of the International Liason Committee on resuscitation
Resuscitation
(1997) International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care — A Consensus on Science
Resuscitation
(2000)- The European Resuscitation Council Advanced Life Support Manual. Published 2001. Obtainable from the European...
International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care — A Consensus on Science
Resuscitation
(2000)- American Heart Association in collaboration with the International Liason Committee on Resuscitation (ILCOR)....
International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care — A Consensus on Science
Resuscitation
(2000)
Cited by (150)
The impact of time to amiodarone administration on survival from out-of-hospital cardiac arrest
2023, Resuscitation PlusDrug routes in out-of-hospital cardiac arrest: A summary of current evidence
2022, ResuscitationCitation Excerpt :These data reflect evidence from randomised controlled trials that cardiac arrest drugs are effective in achieving ROSC and observational data showing a strong association between time to ROSC and functional outcome.11,13,20–22 Since the first resuscitation guidelines were published in 1974, the IV route has been recommended as the primary route for cardiac arrest drug administration.5,23–29 There has, however, been a move away from guideline support for the intra-arrest insertion of central venous catheters that featured in some early guidelines, because of the risks associated with their insertion.30
- 1
Members of the ERC ALS Working Group: Francisco de Latorre, Colin Robertson, Jerry Nolan, (Co-Cordinators). Hans Richard Arntz, Rui Araujo, Peter Baskett, Michael Baubin, Joost Bierens, Leo Bossaert, Pierre Carli, Erga Cerchiari, Douglas Chamberlain, Fulvio Kette, Kristian Lexow, Daniel Meyran, Wolfgang Panzer, Eleni Papaspyrou, Miguel Ruano, Petter Steen, Lieven Vergote, Lars Wiklund, Volker Wenzel.