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Part 1: Executive Summary
2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
John M. Field, Co-Chair*; Mary Fran Hazinski, Co-Chair*; Michael R. Sayre; Leon Chameides; Stephen M. Schexnayder; Robin Hemphill; Ricardo A. Samson; John Kattwinkel; Robert A.Berg; Farhan Bhanji; Diana M. Cave; Edward C. Jauch; Peter J. Kudenchuk; Robert W. Neumar; Mary Ann Peberdy; Jeffrey M. Perlman; Elizabeth Sinz; Andrew H. Travers; Marc D. Berg; John E. Billi; Brian Eigel; Robert W. Hickey; Monica E. Kleinman; Mark S. Link; Laurie J. Morrison; Robert E. O’Connor; Michael Shuster; Clifton W. Callaway; Brett Cucchiara; Jeffrey D. Ferguson; Thomas D. Rea; Terry L.Vanden Hoek
he publication of the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care marks the 50th anniversary of modern CPR. In 1960 Kouwenhoven, Knickerbocker, and Jude documented 14 patients who survived cardiac arrest with the application of closed chest cardiac massage.1 That same year, at the meeting of the Maryland Medical Societyin Ocean City, MD, the combination of chest compressions and rescue breathing was introduced.2 Two years later, in 1962, direct-current, monophasic waveform defibrillation was described.3 In 1966 the American Heart Association (AHA) developed the first cardiopulmonary resuscitation (CPR) guidelines, which have been followed by periodic updates.4 During the past 50 years the fundamentals of earlyrecognition and activation, early CPR, early defibrillation, and early access to emergency medical care have saved hundreds of thousands of lives around the world. These lives demonstrate the importance of resuscitation research and clinical translation and are cause to celebrate this 50th anniversary of CPR. Challenges remain if we are to fulfill the potential offered by the pioneer resuscitationscientists. We know that there is a striking disparity in survival outcomes from cardiac arrest across systems of care, with some systems reporting 5-fold higher survival rates than others.5–9 Although technology, such as that incorporated in automated external defibrillators (AEDs), has contributed to increased survival from cardiac arrest, no initial intervention can be delivered to the...