Abstract The 2025 European Resuscitation Council Guidelines, influenced by the 2025 International Liaison Committee on Resuscitation Consensus, focus on equity- and systems-oriented approaches to resuscitation, especially in low-resource settings. Key updates from the 2021 guidelines include adaptations in care systems, community responses, and support strategies for both basic life support (BLS) and advanced life support (ALS). The revised chain of survival now emphasizes recovery and survivorship, integrating long-term rehabilitation in resource-limited environments. The guidelines prioritize tiered implementation and cost-effectiveness, highlighting community-based strategies like first-responder networks and dispatcher-assisted cardiopulmonary resuscitation (CPR). For adult BLS, compression-only CPR is recommended for untrained bystanders, whereas ALS guidance focuses on early CPR, timely defibrillation, and adrenaline use, avoiding complex technologies. Newborn resuscitation emphasizes simple interventions for home births, and paediatric algorithms are streamlined. Key themes include blended education, basic data structures, and ethical resource allocation, providing a scalable framework for constrained environments.
Elgasim et al. (Thu,) studied this question.