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Timing of CPR cycles (2 min vs other)

Question Type:
Intervention
Full Question:
Among adults who are in cardiac arrest in any setting (P), does pausing chest compressions at another interval (I), compared with pausing chest compressions every two minutes to assess the cardiac rhythm (C), change Survival with Favorable neurological/functional outcome at discharge, 30 days, 60 days, 180 days AND/OR 1 year, Survival only at discharge, 30 days, 60 days, 180 days AND/OR 1 year, ROSC, coronary perfusion pressure, cardiac output (O)?
Consensus on Science:
There are currently no studies that directly address the question of optimal CPR intervals and their effect on the identified critical outcomes of survival with favorable neurologic or functional outcome at discharge or survival only at discharge or the important outcomes of ROSC, coronary perfusion pressure, cardiac output.
Treatment Recommendation:
We suggest pausing chest compressions every 2 minutes to assess the cardiac rhythm (weak recommendation, low-quality evidence). Values, Preferences, and Task Force Insights In making this recommendation, we placed a high priority on consistency with previous recommendations and the absence of contradictory evidence to prompt a change. We placed value on simplifying resuscitation logistics by coordinating rhythm and pulse checks with standard recommendations for rotating the provider performing chest compressions every 2 minutes.0
CoSTR Attachments:
CoSTR version 1.8 (1-15-15)_n.docx    
should-1-min-chest-compression-loop-vs-2-min-chest-compression-loop-be-used-for-adults-in-cardiac-a.pdf    
should-200-compression-loop-micr-ccr-vs-1-3-min-chest-compression-loop-be-used-for-adults-in-ca.pdf    
should-3-min-chest-compression-loop-vs-1-min-chest-compression-loop-be-used-for-adults-in-cardiac-a.pdf    
should-3-min-chest-compressions-before-first-rhythm-analysis-vs-immediate-rhythm-analysis-be-used-f.pdf    
Summary of Bias Assessments_n.xlsx    

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