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Management of cardiac arrest in the cardiac catheterisation laboratory: guidelines tailored to place and occasion
  1. Peter J Kudenchuk
  1. Medicine/Cardiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Dr Peter J Kudenchuk, Medicine/Cardiology, University of Washington, Seattle, WA 98195-6422, USA; kudenchu{at}uw.edu

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Since first compiled in 4-5 BCE as the Hippocratic Corpus, medical practice guidelines have served to summarise scientific knowledge and inform clinical management. In 1992, the International Liaison Committee on Resuscitation (ILCOR—the acronym being a deliberate play on words by adding ‘ill’ to the Latin ‘cor’ for heart) was formed by the major world resuscitation councils to carry forward this challenge in emergency cardiovascular care.1 Comprised of recognised international experts in resuscitation, ILCOR has since been charged with conducting evidence reviews of resuscitation science. The quality of this evidence is rigorously evaluated in terms of its certainty, consistency, indirectness, risk of bias and confounding influences using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology2 when formulating recommendations, and represents the current standard for timely and now continuously updated resuscitation-related treatment guidance. The published guidance from ILCOR is then taken by the individual resuscitation councils (such as the American Heart Association, the European Resuscitation Council and others) and adapted to their localities, creating formal regional guidelines.

‘The Joint British Societies’ guideline on management of cardiac arrest in the cardiac catheter laboratory’ presents an additional adaptation of existing resuscitation guidelines.3 In this instance, the guidelines are applied to a …

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Footnotes

  • Contributors As its author, PJK is the sole contributor to this editorial.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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