Consensus on Science with Treatment Recommendations (CoSTR)
A review of technique should be considered when providing prone CPR. For example, the two-handed technique in which the performer places two hands together at the midline at the T7- T10 level, or placing a hand at either side of the thoracic spine at the same level, and the over the head (OTH) technique.
Although with short number of patients, It is important to recommend that for patients with cardiac arrest occurring while in the prone position without an advanced airway already in place, the patient should be turned to supine as quickly as possible and beginning CPR. It is probably safer.
Consider a broader recommendation than "There is an urgent need for comparative RCTs in the prehospital setting to determine which tourniquet designs produce beneficial outcomes in the pediatric population", such as an RCT of applying tourniquet designs and measuring time to pulselessness distal to the tourniquet.
Is it posible to review this paper in the next systematic review
"Phungoen P, Promto S, Chanthawatthanarak S, et al. Precourse Preparation Using a Serious Smartphone Game on Advanced Life Support Knowledge and Skills: Randomized Controlled Trial. J Med Internet Res. 2020;22(3):e16987. Published 2020 Mar 9. doi:10.2196/16987"
I appreciate the intentionality of the researchers involved to address this glaring question that has largely been unaddressed. The research questions they seek answers to as well as the willingness to update their search four times in the process of analyzing while preparing the recommendations highlights there awareness of the newness and potential implications of these research questions.
Based on the data provided, it appears that each of the recommendations is consistent with and directly tied to the outcomes as demonstrated. Thank you for your effort.
The first treatment recommendation "We suggest that chest compressions and cardiopulmonary resuscitation have the potential to generate aerosols" does not look like a recommendatio, it just an observation. What will Ilcor recommend based on that?
It would be helpful a justification for treatment recommendation 3, related to children
CPR Pocket Masks with one way valves have been used by professional rescuers and first aiders for over 40 years. Perhaps placing the Pocket mask with head strap on the patients face before compressions. This could lead to quicker application of CPR