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AHA To Provide Regional Updates for 2010 ECC Science Changes

June 21st, 2010

At the end of June 2010 – the American Heart Association National ECC Committees will be providing the first concrete information for the AHA Training Network concerning the newest guidelines for CPR, ACLS and PALS.

We will be posting this information as soon as we have it.

ILCOR- From American Heart Association

February 23rd, 2010

The official information form the source – American Heart Assocaition

What is ILCOR?

The International Liaison Committee on Resuscitation (ILCOR) includes eight international resuscitation organizations: the American Heart Association (AHA), European Resuscitation Council (ERC), Heart and Stroke Foundation of Canada (HSFC), Resuscitation Council of Asia (RCA), Resuscitation Council of Southern Africa (RCSA), the Australia and New Zealand Council on Resuscitation (ANZCOR), and the InterAmerican Heart Foundation (IAHF).

What is the mission of ILCOR?

ILCOR will provide a mechanism by which the international science and knowledge relevant to CPR and ECC is identified and reviewed.  ILCOR will periodically develop and publish a consensus on resuscitation science.  When possible, ILCOR will publish treatment recommendations applicable to all member organizations.  This consensus mechanism may be used by member organizations to provide consistent guidelines on resuscitation.  ILCOR will encourage coordination of guideline development and publication by its member organizations.  While the major focus will be on evaluation of cardiopulmonary resuscitation and emergency cardiovascular care science, ILCOR will also address the effectiveness of education and training, and approaches to the organization and implementation of emergency cardiovascular care.

ILCOR published the 2005 International Consensus on CPR and ECC Science with Treatment Recommendations (CoSTR) on November 28, 2005 in the journals Circulation and Resuscitation.

Knowledge Gaps

ILCOR recently published a consensus statement highlighting scientific knowledge gaps and clinical research priorities identified during the 2005 International CPR Consensus Conference that, if addressed in the coming years, could inform new recommendations for the 2010 CoSTR statement.

What is new for 2010?

ILCOR will publish an updated CoSTR statement by the end of 2010, which will represent the scientific consensus of experts from a variety of countries, cultures and disciplines.  Internationally recognized experts will be brought together by ILCOR to evaluate and form an expert consensus on all peer-reviewed scientific studies related to CPR and ECC using a formal evidence evaluation process.

ILCOR uses a formal evidence evaluation process to identify and prioritize questions and assign reviewers, and specifies minimum requirements for every search strategy, including: Medline, Embase, and Cochrane Systematic Reviews.  Reviewers are also provided EndNote reference software and access to a resuscitation reference library.  Every reviewer rates the level and quality of evidence using a standardized international evidence evaluation form.  There are separate international task forces for each of the following areas: Advanced Life Support, Basic Life Support, Pediatric Life Support, Neonatal Life Support, Acute Coronary Syndrome/Myocardial Infarction, and Education, Teams & Implementation.

For a sample of a completed evidence evaluation worksheet, click here.
C2010 worksheet author instructions available on the ExtraNet at http://home.americanheart.org/ahaextranet/aha/extranet  (registration required).

After the studies are examined and rated, what is the next step?
The results will be discussed in an ongoing series of international meetings.  Meetings have been held in 2006 and 2007 in Norway, South Africa and the United States and will culminate with the “2010 International Consensus on CPR and ECC Science with Treatment Recommendations” conference in Dallas, Texas in early 2010.

Where can I go to review the 2005 ILCOR process?

Information about the 2005 ILCOR process, including access to 2005 evidence evaluation worksheets, is available online.

Is this where the new Guidelines were drawn up?
No.  As in 2005, the 2010 International CoSTR Conference will deal exclusively with evaluating and interpreting peer-reviewed, published scientific evidence for each specific topic.  The proceedings of this conference will provide the scientific basis from which each resuscitation council will compile individual Council Guidelines for ECC and CPR as well as practitioner recommendations.

What about conflicts of interest?

Both ILCOR and the AHA have conflict of interest policies that are consistent with “best in industry” standards.  Everyone involved with the 2010 International CoSTR Conference will be required to complete and sign a Conflict of Interest Questionnaire.

Every Conflict of Interest Questionnaire is reviewed by the AHA and potential significant conflicts of interest are further reviewed by a Conflict of Interest Task Force.  ILCOR and the AHA consider conflict of interest of the utmost importance in maintaining the integrity of the evidence evaluation process and have made every good faith effort to resolve any real conflicts of interest among conference participants.  This process was outlined in detail in a 2005 editorial.

Updated/Reviewed: 02/18/2009