European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation

Carsten Lott¹, Vlasios Karageorgos², Cristian Abelairas-Gomez³, Annette Alfonzo⁴, Joost Bierens⁵, Steve Cantellow⁶, Guillaume Debaty⁷, Sharon Einav⁸, Matthias Fischer⁹, Violeta González-Salvado¹⁰, Robert Greif¹¹, Bibiana Metelmann¹², Camilla Metelmann¹³, Tim Meyer¹⁴, Peter Paal¹⁵, David Peran¹⁶, Andrea Scapigliati¹⁷, Anastasia Spartinou¹⁸, Karl Thies¹⁹, Anatolij Truhlar²⁰, Charles D Deakin²¹

Affiliations

¹ Department of Anesthesiology, University Medical Centre, Johannes-Gutenberg University, Mainz, Germany. Electronic address: lott@uni-mainz.de.
² Cardiopulmonary Resuscitation Lab, School of Medicine, University of Crete, Heraklion, Crete, Greece; Department of Anesthesiology, Onassis Hospital, Athens, Greece.
³ Faculty of Education Sciences and CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain.
⁴ Departments of Renal and Internal Medicine, Victoria Hospital, Kirkcaldy, Fife, UK.
⁵ Extreme Environments Laboratory, School of Sport, Health and Exercise Science, University of Portsmouth, UK; Maatschappij tot Redding van Drenkelingen, Amsterdam, the Netherlands.
⁶ Nottingham University Hospitals NHS Trust, Nottingham, UK.
⁷ Univ. Grenoble Alpes, Emergency Department and Mobile Intensive Care Unit, CNRS, UMR 5525, TIMC, 38000 Grenoble, France.
⁸ Maccabi Healthcare Services and Hebrew University, Faculty of Medicine, Israel.
⁹ University Medical Center Schleswig-Holstein, Institute for Emergency and Rescue Medicine, Kiel, Germany.
¹⁰ Cardiology Department, University Clinical Hospital of Santiago de Compostela, Spain; Institute of Health Research of Santiago de Compostela (IDIS), Biomedical Research Networking Centres on Cardiovascular Disease (CIBER-CV), A Coruna, Spain.
¹¹ Faculty of Medicine, University of Bern, Switzerland.
¹² Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Germany.
¹³ Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Germany; Department of Anesthesiology and Intensive Care Medicine, University Hospital Ulm, Germany.
¹⁴ Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany.
¹⁵ Department of Anaesthesiology and Intensive Care Medicine, St. John of God Hospital, Paracelsus Medical University, Salzburg, Austria.
¹⁶ Department of Anaesthesia and Intensive Care Medicine, Charles University, Third Faculty of Medicine and FNKV University Hospital in Prague, Czech Republic.
¹⁷ Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Italy; Institute of Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Italy.
¹⁸ Cardiopulmonary Resuscitation Lab, School of Medicine, University of Crete, Heraklion, Crete, Greece; Department of Emergency Medicine, University Hospital of Heraklion, Crete, Greece.
¹⁹ Bielefeld University, Medical School and University Medical Center OWL, EvKB, Department of Anesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine and Pain Therapy, Bielefeld, Germany.
²⁰ Emergency Medical Services of the Hradec Králové Region, Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University in Prague, University Hospital Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University, Faculty of Medicine in Hradec Králové, Czech Republic.
²¹ Departement of Anaesthetics, University Hospital Southampton, Southampton SO168AD, UK.

PMID: 41117569
DOI: 10.1016/j.resuscitation.2025.110753

Practice Guideline

European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation

Carsten Lott et al. Resuscitation. 2025 Oct.

. 2025 Oct:215 Suppl 1:110753.

doi: 10.1016/j.resuscitation.2025.110753.

Authors

Affiliations

¹ Department of Anesthesiology, University Medical Centre, Johannes-Gutenberg University, Mainz, Germany. Electronic address: lott@uni-mainz.de.
² Cardiopulmonary Resuscitation Lab, School of Medicine, University of Crete, Heraklion, Crete, Greece; Department of Anesthesiology, Onassis Hospital, Athens, Greece.
³ Faculty of Education Sciences and CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain.
⁴ Departments of Renal and Internal Medicine, Victoria Hospital, Kirkcaldy, Fife, UK.
⁵ Extreme Environments Laboratory, School of Sport, Health and Exercise Science, University of Portsmouth, UK; Maatschappij tot Redding van Drenkelingen, Amsterdam, the Netherlands.
⁶ Nottingham University Hospitals NHS Trust, Nottingham, UK.
⁷ Univ. Grenoble Alpes, Emergency Department and Mobile Intensive Care Unit, CNRS, UMR 5525, TIMC, 38000 Grenoble, France.
⁸ Maccabi Healthcare Services and Hebrew University, Faculty of Medicine, Israel.
⁹ University Medical Center Schleswig-Holstein, Institute for Emergency and Rescue Medicine, Kiel, Germany.
¹⁰ Cardiology Department, University Clinical Hospital of Santiago de Compostela, Spain; Institute of Health Research of Santiago de Compostela (IDIS), Biomedical Research Networking Centres on Cardiovascular Disease (CIBER-CV), A Coruna, Spain.
¹¹ Faculty of Medicine, University of Bern, Switzerland.
¹² Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Germany.
¹³ Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Germany; Department of Anesthesiology and Intensive Care Medicine, University Hospital Ulm, Germany.
¹⁴ Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany.
¹⁵ Department of Anaesthesiology and Intensive Care Medicine, St. John of God Hospital, Paracelsus Medical University, Salzburg, Austria.
¹⁶ Department of Anaesthesia and Intensive Care Medicine, Charles University, Third Faculty of Medicine and FNKV University Hospital in Prague, Czech Republic.
¹⁷ Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Italy; Institute of Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Italy.
¹⁸ Cardiopulmonary Resuscitation Lab, School of Medicine, University of Crete, Heraklion, Crete, Greece; Department of Emergency Medicine, University Hospital of Heraklion, Crete, Greece.
¹⁹ Bielefeld University, Medical School and University Medical Center OWL, EvKB, Department of Anesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine and Pain Therapy, Bielefeld, Germany.
²⁰ Emergency Medical Services of the Hradec Králové Region, Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University in Prague, University Hospital Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University, Faculty of Medicine in Hradec Králové, Czech Republic.
²¹ Departement of Anaesthetics, University Hospital Southampton, Southampton SO168AD, UK.

PMID: 41117569
DOI: 10.1016/j.resuscitation.2025.110753

Abstract

These European Resuscitation Council (ERC) Guidelines 2025 on Special Circumstances in Resuscitation are based on the 2025 Consensus on Science with Treatment Recommendations (CoSTR) of the International Liaison Committee on Resuscitation (ILCOR), reviews by the expert writing group and relevant peer-reviewed literature. The guideline chapter provides guidance for laypeople and healthcare professionals on the modifications required to basic and advanced life support in adults for the prevention and treatment of cardiac arrest for in-hospital and out-of-hospital cardiac arrest. The ERC Guidelines 2025 Paediatric Life Support cover the special circumstances in children.

Keywords: Adults; Cardiac arrest; Special causes; Special circumstances; Special patient populations; Special settings.

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European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation

Affiliations

European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation

Authors

Affiliations

Abstract

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical