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Creating the 2005 ECC guidelines The comprehensive guidelines creation process followed in 2005 has evolved significantly beyond the process used to create previous guidelines. In 1992, the Heart and Stroke Foundation of Canada (HSFC) participated in the American Heart Association’s (AHA) guideline process and then adapted the AHA guidelines for Canada. In 2000, the HSFC partnered with the AHA and other members of the International Liaison Committee on Resuscitation (ILCOR)* to develop the first international ECC guidelines. Consensus on some issues was difficult or impossible to reach because of differences in resources and medical practice in different parts of the world. Even after the guidelines were agreed upon, each of the international participants then altered the guidelines for their home countries. In 2005, rather than try to reach an international consensus on guidelines, ILCOR agreed to develop an international consensus on science and also on treatment recommendations where possible, but to leave the establishment of guidelines to each of its members. The HSFC decided that, rather than “Canadianize” the AHA guidelines as it had done before 2000, HSFC would work with the AHA to develop a single set of guidelines that would be acceptable in both Canada and the United States. This 2005 guideline revision is the result of a process that began 5 years ago, immediately following the completion of the 2000 guidelines. The process has involved thousands of volunteer hours by hundreds of resuscitation experts and researchers from around the world, who reviewed 276 topics and completed more than 400 worksheets. In January 2005, 380 experts from around the world met in Dallas under the auspices of ILCOR to examine the evidence on resuscitation and to develop a consensus on science and on treatment recommendations. This international consensus forms the basis for the new guidelines. The guidelines themselves are a result of a collaboration between the AHA and the HSFC. Previous guidelines have been criticized for reflecting the influence of pharmaceutical companies and other special interests. For the 2005 guidelines, ILCOR and the AHA went to great lengths to ensure full disclosure of potential conflicts and to manage conflict of interest when it existed. Details of the conflict of interest policy have been published along with the consensus document.

2005 emergency cardiovascular care guidelines