Adult advanced life support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Jasmeet Soar*, Katherine M. Berg, Lars W. Andersen, Bernd W. Bottiger, Sofia Cacciola, Clifton W. Callaway, Keith Couper, Tobias Cronberg, Sonia D'Arrigo, Charles D. Deakin, Michael W. Donnino, Ian R. Drennan, Asger Granfeldt, Cornelia W. E. Hoedemaekers, Mathias J. Holmberg, Cindy H. Hsu, Marlijn Kamps, Szymon Musiol, Kevin J. Nation, Robert W. NeumarTonia Nicholson, Brian J. O'Neil, Quentin Otto, Edison Ferreira de Paiva, Michael J. A. Parr, Joshua C. Reynolds, Claudio Sandroni, Barnaby R. Scholefield, Markus B. Skrifvars, Tzong-Luen Wang, Wolfgang A. Wetsch, Joyce Yeung, Peter T. Morley, Laurie J. Morrison, Michelle Welsford, Mary Fran Hazinski, Jerry P. Nolan, Adult Advanced Life Support Collaborators

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)


This 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations for advanced life support includes updates on multiple advanced life support topics addressed with 3 different types of reviews. Topics were prioritized on the basis of both recent interest within the resuscitation community and the amount of new evidence available since any previous review. Systematic reviews addressed higher-priority topics, and included double-sequential defibrillation, intravenous versus intraosseous route for drug administration during cardiac arrest, point-of-care echocardiography for intra-arrest prognostication, cardiac arrest caused by pulmonary embolism, postresuscitation oxygenation and ventilation, prophylactic antibiotics after resuscitation, postresuscitation seizure prophylaxis and treatment, and neuroprognostication. New or updated treatment recommendations on these topics are presented. Scoping reviews were conducted for anticipatory charging and monitoring of physiological parameters during cardiopulmonary resuscitation. Topics for which systematic reviews and new Consensuses on Science With Treatment Recommendations were completed since 2015 are also summarized here. All remaining topics reviewed were addressed with evidence updates to identify any new evidence and to help determine which topics should be the highest priority for systematic reviews in the next 1 to 2 years.

Original languageEnglish
Pages (from-to)A80-A119
Number of pages40
Publication statusPublished - Nov 2020

Bibliographical note

This article has been co-published in Circulation (2020) Vol 142(16 Supplement 1)


  • AHA Scientific Statements
  • arrhythmias
  • cardiopulmonary arrest
  • cardiopulmonary resuscitation and emergency cardiac care
  • echocardiography
  • post-cardiac arrest care
  • postresuscitation care
  • prognostication
  • sudden cardiac arrest
  • ventricular fibrillation

Cite this