. 2020 Jun 23;141(25):e933-e943.

doi: 10.1161/CIRCULATIONAHA.120.047463. Epub 2020 Apr 9.

Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association

Dana P Edelson¹, Comilla Sasson², Paul S Chan³, Dianne L Atkins⁴, Khalid Aziz⁵, Lance B Becker⁶, Robert A Berg⁷, Steven M Bradley⁸, Steven C Brooks⁹, Adam Cheng¹⁰, Marilyn Escobedo¹¹, Gustavo E Flores¹², Saket Girotra⁴, Antony Hsu¹³, Beena D Kamath-Rayne¹⁴, Henry C Lee¹⁵, Rebecca E Lehotsky², Mary E Mancini¹⁶, Raina M Merchant¹⁷, Vinay M Nadkarni⁷, Ashish R Panchal¹⁸, Mary Ann R Peberdy¹⁹, Tia T Raymond²⁰, Brian Walsh²¹, David S Wang²², Carolyn M Zelop²³, Alexis A Topjian⁷; American Heart Association ECC Interim COVID Guidance Authors

Collaborators, Affiliations

Collaborators

American Heart Association ECC Interim COVID Guidance Authors:
Monique Anderson Starks, Bentley J Bobrow, Melissa Chan, Katherine Berg, Jonathan P Duff, Benny L Joyner Jr, Javier J Lasa, Arielle Levy, Melissa Mahgoub, Michael F O'Connor, Amber V Hoover, Amber J Rodriguez, Garth Meckler, Kathryn Roberts, Nicholas M Mohr, Boulos Nassar, Lewis Rubinson, Robert M Sutton, Stephen M Schexnayder, Monica Kleinman, Allan de Caen, Ryan Morgan, Farhan Bhanji, Susan Fuchs, Mark Terry, Mary McBride, Michael Levy, Jose G Cabanas, David K Tan, Vivek K Moitra, Joseph W Szokol

Affiliations

¹ University of Chicago, IL (D.P.E.).
² American Heart Association, Dallas, TX (C.S., R.E.L.).
³ Mid America Heart Institute and the University of Missouri-Kansas City (P.S.C.).
⁴ Carver College of Medicine, University of Iowa, Iowa City (D.L.A., S.G.).
⁵ University of Alberta, Edmonton, Canada (K.A.).
⁶ Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY (L.B.B.).
⁷ The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine (R.A.B., V.M.N., A.A.T.).
⁸ Minneapolis Heart Institute, Healthcare Delivery Innovation Center, MN (S.M.B.).
⁹ Queen's University, Kingston, ON, Canada (S.C.B.).
¹⁰ Alberta Children's Hospital, University of Calgary, Calgary, Canada (A.C.).
¹¹ University of Oklahoma, Norman (M.E.).
¹² Emergency & Critical Care Trainings, San Juan, Puerto Rico (G.E.F.).
¹³ St. Joseph Mercy, Ann Arbor, MI (A.H.).
¹⁴ Global Newborn and Child Health American Academy of Pediatrics, Itasca, IL (B.D.K.-R.).
¹⁵ Stanford University, CA (H.C.L.).
¹⁶ University of Texas at Arlington (M.E.M.).
¹⁷ University of Pennsylvania, Philadelphia (R.M.M.).
¹⁸ The Ohio State University Wexner Medical Center, Columbus (A.R.P.).
¹⁹ Virginia Commonwealth University, Richmond (M.A.R.P.).
²⁰ Medical City Children's Hospital, Dallas, TX (T.T.R.).
²¹ Liberty University, Lynchburg, VA (B.W.).
²² Columbia University Irving Medical Center, New York, NY (D.S.W.).
²³ NYU School of Medicine, New York (C.M.Z.).

PMID: 32270695
PMCID: PMC7302067
DOI: 10.1161/CIRCULATIONAHA.120.047463

Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association

Dana P Edelson et al. Circulation. 2020.

. 2020 Jun 23;141(25):e933-e943.

doi: 10.1161/CIRCULATIONAHA.120.047463. Epub 2020 Apr 9.

Authors

Collaborators

American Heart Association ECC Interim COVID Guidance Authors:
Monique Anderson Starks, Bentley J Bobrow, Melissa Chan, Katherine Berg, Jonathan P Duff, Benny L Joyner Jr, Javier J Lasa, Arielle Levy, Melissa Mahgoub, Michael F O'Connor, Amber V Hoover, Amber J Rodriguez, Garth Meckler, Kathryn Roberts, Nicholas M Mohr, Boulos Nassar, Lewis Rubinson, Robert M Sutton, Stephen M Schexnayder, Monica Kleinman, Allan de Caen, Ryan Morgan, Farhan Bhanji, Susan Fuchs, Mark Terry, Mary McBride, Michael Levy, Jose G Cabanas, David K Tan, Vivek K Moitra, Joseph W Szokol

Affiliations

¹ University of Chicago, IL (D.P.E.).
² American Heart Association, Dallas, TX (C.S., R.E.L.).
³ Mid America Heart Institute and the University of Missouri-Kansas City (P.S.C.).
⁴ Carver College of Medicine, University of Iowa, Iowa City (D.L.A., S.G.).
⁵ University of Alberta, Edmonton, Canada (K.A.).
⁶ Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY (L.B.B.).
⁷ The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine (R.A.B., V.M.N., A.A.T.).
⁸ Minneapolis Heart Institute, Healthcare Delivery Innovation Center, MN (S.M.B.).
⁹ Queen's University, Kingston, ON, Canada (S.C.B.).
¹⁰ Alberta Children's Hospital, University of Calgary, Calgary, Canada (A.C.).
¹¹ University of Oklahoma, Norman (M.E.).
¹² Emergency & Critical Care Trainings, San Juan, Puerto Rico (G.E.F.).
¹³ St. Joseph Mercy, Ann Arbor, MI (A.H.).
¹⁴ Global Newborn and Child Health American Academy of Pediatrics, Itasca, IL (B.D.K.-R.).
¹⁵ Stanford University, CA (H.C.L.).
¹⁶ University of Texas at Arlington (M.E.M.).
¹⁷ University of Pennsylvania, Philadelphia (R.M.M.).
¹⁸ The Ohio State University Wexner Medical Center, Columbus (A.R.P.).
¹⁹ Virginia Commonwealth University, Richmond (M.A.R.P.).
²⁰ Medical City Children's Hospital, Dallas, TX (T.T.R.).
²¹ Liberty University, Lynchburg, VA (B.W.).
²² Columbia University Irving Medical Center, New York, NY (D.S.W.).
²³ NYU School of Medicine, New York (C.M.Z.).

PMID: 32270695
PMCID: PMC7302067
DOI: 10.1161/CIRCULATIONAHA.120.047463

No abstract available

Keywords: cardiopulmonary resuscitation.

PubMed Disclaimer

Figures

**Figure 1.**
**Summary of adjustments to cardiopulmonary resuscitation (CPR) algorithms in patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** HEPA indicates high-efficiency particulate air; and PPE, personal protective equipment.

**Figure 2.**
**Basic life support healthcare provider adult cardiac arrest algorithm for patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** AED indicates automated external defibrillator; ALS, advanced life support; CPR, cardiopulmonary resuscitation; and PPE, personal protective equipment.

**Figure 3.**
**Advanced cardiac life support cardiac arrest algorithm for patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** CPR indicates cardiopulmonary resuscitation; ET, endotracheal; PEA, pulseless electric activity; Petco₂, end-tidal carbon dioxide; PPE, personal protective equipment; pVT, pulseless ventricular tachycardia; ROSC, return of spontaneous circulation; and VF, ventricular fibrillation.

**Figure 4.**
**Basic life support healthcare provider pediatric cardiac arrest algorithm for the single rescuer for patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** AED indicates automated external defibrillator; ALS, advanced life support; CPR, cardiopulmonary resuscitation; and PPE, personal protective equipment.

**Figure 5.**
**Basic life support healthcare provider pediatric cardiac arrest algorithm for ≥2 rescuers for patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** AED indicates automated external defibrillator; ALS, advanced life support; CPR, cardiopulmonary resuscitation; and PPE, personal protective equipment.

**Figure 6.**
**Pediatric cardiac arrest algorithm for patients with suspected or confirmed coronavirus disease 2019 (COVID-19).** CPR indicates cardiopulmonary resuscitation; ET, endotracheal; PEA, pulseless electric activity; PPE, personal protective equipment; pVT, pulseless ventricular tachycardia; ROSC, return of spontaneous circulation; and VF, ventricular fibrillation.

See this image and copyright information in PMC

Comment in

How to ventilate during CPR in time of Covid-19?
Scapigliati A, Gullì A, Semeraro F, Ristagno G, Arlotta G, Bevilacqua F, Barelli A. Scapigliati A, et al. Resuscitation. 2020 Jun;151:148-149. doi: 10.1016/j.resuscitation.2020.04.036. Epub 2020 May 1. Resuscitation. 2020. PMID: 32371025 Free PMC article. No abstract available.
Cardiopulmonary Resuscitation During the Coronavirus Crisis: Important Updates for the Cardiothoracic and Vascular Anesthesia Community.
Augoustides JG. Augoustides JG. J Cardiothorac Vasc Anesth. 2020 Sep;34(9):2312-2314. doi: 10.1053/j.jvca.2020.04.039. Epub 2020 Apr 28. J Cardiothorac Vasc Anesth. 2020. PMID: 32434725 Free PMC article. No abstract available.
Cardiopulmonary resuscitation in COVID-19 patients - To do or not to?
Kapoor I, Prabhakar H, Mahajan C. Kapoor I, et al. J Clin Anesth. 2020 Oct;65:109879. doi: 10.1016/j.jclinane.2020.109879. Epub 2020 May 19. J Clin Anesth. 2020. PMID: 32450476 Free PMC article. No abstract available.

References

1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, et al. on behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2020 update: a report from the American Heart Association. Circulation. 2020;141:e139–e596. doi: 10.1161/CIR.0000000000000757. - PubMed
1. Centers for Disease Control and Prevention. Severe outcomes among patients with coronavirus disease 2019 (COVID-19)–United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:343–346. doi: 10.15585/mmwr.mm6912e2. - PMC - PubMed
1. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239–1242. doi: 10.1001/jama.2020.2648. - DOI - PubMed
1. Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, Liu L, Shan H, Lei C-l, Hui DSC, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708–1720. doi: 10.1056/NEJMoa2002032. - PMC - PubMed
1. Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK, Greninger AL, Pipavath S, Wurfel MM, Evans L, et al. COVID-19 in critically ill patients in the Seattle region: case series. New Eng J Med. 2020;382:2012–2012. doi: 10.1056/NEJMoa2004500. - PMC - PubMed

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Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association

Collaborators

Affiliations

Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association

Authors

Collaborators

Affiliations

Figures

Comment in

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical