In October 2025, the American Heart Association and American Academy of Pediatrics released the “2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care”, which systematically revised the 2025 version guideline based on evidence-based medicine, comprehensively updated the recommended content, class (strength) of recommendation, and level (quality) of evidence, and provided the latest recommendations aimed at improving survival rates and neurological outcomes after cardiac arrest. Since 2020, the Cardiology Committee of American Heart Association has strengthened its collaboration with the American Academy of Pediatrics to jointly publish and cochair the writing groups for neonatal resuscitation, pediatric basic life support, and pediatric advanced life support. This article mainly interprets the recommended content for updating neonatal resuscitation, pediatric basic life support, and pediatric advanced life support, in order to better guide emergency personnel and improve the quality of cardiopulmonary resuscitation and cardiovascular emergency care.
In November 2022, the International Liaison Committee on Resuscitation updated the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations for the sixth time. The 2022 review includes 21 topics addressed with systematic reviews by the Recovery Task Force of International Liaison Committee on Resuscitation. Among them, there are nine topics related to life support for newborns and children, including public-access defibrillation devices for children, pediatric early warning systems, maintaining normal temperature immediately after birth, suctioning of amniotic fluid at birth, tactile stimulation for resuscitation immediately after birth, use of continuous positive airway pressure for respiratory distress at term birth, respiratory monitoring in the delivery room, heart rate monitoring in the delivery room, and supraglottic airway use in neonates. The Task Force made treatment recommendations for each of the above topics after weighing evidence and discussion. In some cases, good practice statements have been provided for topics thought to be of particular interest to the resuscitation community when the evidence is insufficient to support a recommendation. Good practice statements are not recommendations but represent expert opinion. In order to facilitate the readers to understand the treatment recommendation well, in the recommendation basis part, the basic principle is briefly described. In addition, the existing problems and future research directions of each topic after the systematic reviews are also clearly stated.
Against the backdrop of the National Health Commission incorporating the “smart medical emergency care system construction” into the Guidelines for the Construction and Management of Critical Maternal and Fetal Care Centers, leveraging smart medical technologies such as artificial intelligence and 5G to advance the “pre-hospital to in-hospital integrated” emergency care system for critical cases has become a trend. Based on this, a technical specification for smart healthcare in pre-hospital emergency of emergency obstetrics and gynecology, including 5G and artificial intelligence, has been developed to clarify the standardized process, risk prevention and control, and multidisciplinary collaboration mechanism for pre-hospital emergency care and transportation of critically ill obstetrics and gynecology patients. This will shorten emergency response time, improve rescue efficiency, reduce maternal and infant mortality rates, and improve prognosis, which is crucial for enhancing regional rescue capabilities and ensuring maternal and infant safety.