Tae-Youn Kim, Gyo Jin Ahn, Kyoung-Chul Cha, Dong-Hyeok Kim, Youdong Sohn, Young Song, Gyuhong Shim, Do Kyun Kim, Yunhee Oh, Jin Wi, Chun Song Youn, Myung-Lyeol Lee, Mi Jin Lee, Byung Kook Lee, Byung Heon Lee, Jisook Lee, Chang Hee Lee, Hannah Lee, Youngbin Jang, Yong Soo Jang, Young Hwa Jung, Woo Jin Jung, Sung Phil Chung, Gyu Chong Cho, Ju Sun Heo, Sung Oh Hwang
Clin Exp Emerg Med 2026;13(Suppl 1):S61-S74. Published online May 31, 2026
The 2025 update of the Korean guidelines for cardiac arrest under special circumstances incorporates new evidence and expert consensus to clarify when clinicians should modify standard resuscitation algorithms. For cardiac arrest caused by acute hyperkalemia, the guidelines suggest administering intravenous insulin with glucose; however, current evidence remains insufficient to recommend for or against routine use of sodium bicarbonate or calcium. In suspected pulmonary embolism–related cardiac arrest, thrombolytic therapy may be considered. In confirmed cases, thrombolysis, surgical embolectomy, or percutaneous mechanical thrombectomy may be appropriate, despite very low certainty of evidence. For opioid-related cardiac arrest, current evidence does not support the routine administration of naloxone in addition to standard advanced life support; however, naloxone may be administered when it is unclear whether the patient is in true cardiac arrest. The guidelines also emphasize managing cardiac arrest in the prone position. If the patient is intubated and immediate repositioning is unsafe or impractical, prone cardiopulmonary resuscitation and defibrillation may be attempted using invasive arterial pressure or end-tidal carbon dioxide monitoring to guide the timing of repositioning. Immediate supination is strongly recommended for non-intubated patients. Additional updates address drowning, severe hypothermia, pregnancy, anaphylaxis, and cardiac arrest during interventional procedures, underscoring the importance of early correction of reversible causes, appropriate airway strategies, and timely consideration of extracorporeal life support in selected cases. Overall, the 2025 recommendations highlight cautious, etiology-directed interventions and explicitly grade recommendation strength and certainty to support context-sensitive clinical decision-making in high-risk and resource-variable settings.
Tae-Youn Kim, Gyo Jin Ahn, Kyoung-Chul Cha, Dong-Hyeok Kim, Youdong Sohn, Young Song, Gyuhong Shim, Do Kyun Kim, Yunhee Oh, Jin Wi, Chun Song Youn, Myung-Lyeol Lee, Mi Jin Lee, Byung Kook Lee, Byung Heon Lee, Jisook Lee, Chang Hee Lee, Hannah Lee, Youngbin Jang, Yong Soo Jang, Young Hwa Jung, Woo Jin Jung, Sung Phil Chung, Gyu Chong Cho, Ju Sun Heo, Sung Oh Hwang
Clin Exp Emerg Med 2026;13(Suppl 1):S32-S60. Published online May 31, 2026
The 2025 Korean advanced life support guidelines were updated using a structured evidence evaluation process informed by recent randomized controlled trials and systematic reviews. The guideline development group prioritized patient-important outcomes and assessed the certainty of the evidence to formulate graded recommendations. For drug administration during adult cardiac arrest, intravenous access is the preferred initial route, with intraosseous access recommended when intravenous access cannot be rapidly established. Epinephrine remains the recommended vasopressor. Routine administration of vasopressin, either alone or in combination with corticosteroids, is not recommended for in-hospital or out-of-hospital cardiac arrest. In the absence of specific indications, the routine use of buffering agents and calcium is discouraged owing to insufficient evidence of their benefits and potential harm. Defibrillation recommendations were refined based on emerging evidence. In adults with refractory ventricular fibrillation or pulseless ventricular tachycardia after multiple unsuccessful defibrillation attempts, vector change or double sequential defibrillation may be considered in selected settings when performed by experienced teams with appropriate equipment. Airway management guidelines recommend cricothyroidotomy as a rescue technique when conventional airway management strategies fail. For patients receiving cardiopulmonary resuscitation while on mechanical ventilation, specific ventilator settings during chest compressions are recommended to optimize ventilation and minimize interference with high-quality cardiopulmonary resuscitation. The guidelines also address cardiopulmonary resuscitation–induced consciousness, allowing the cautious use of sedatives and/or analgesic agents when awareness interferes with resuscitation quality or safety. Overall, the guidelines emphasize evidence-based practice and individualized clinical decision-making.
Sung Oh Hwang, Kyoung-Chul Cha, Woo Jin Jung, Young-Il Roh, Gyo Jin Ahn, Do Kyun Kim, Tae-Youn Kim, Youdong Sohn, Gyuhong Shim, Young Hwa Jung, Yunhee Oh, Chun Song Youn, Mi Jin Lee, Jisook Lee, Chang Hee Lee, Youngbin Jang, Yong Soo Jang, Gyu Chong Cho, Ju Sun Heo, Sung Phil Chung
Clin Exp Emerg Med 2026;13(Suppl 1):S10-S17. Published online May 29, 2026
In Korea, more than 30,000 out-of-hospital cardiac arrests (OHCAs) occur each year, and the survival rate remains below 10%. Because OHCA is difficult to predict and typically occurs outside medical facilities, effective management requires not only healthcare professionals but also laypersons, including bystanders and first responders. Survival depends on an uninterrupted and efficient sequence of time-critical actions: early recognition of cardiac arrest and activation of emergency services; prompt bystander cardiopulmonary resuscitation (CPR); use of an automated external defibrillator (AED) for shockable rhythms; on-scene and in-hospital advanced life support with comprehensive post–cardiac arrest care; and systematic assessment of neurologic and functional outcomes followed by rehabilitation and recovery. The chain of survival describes these essential steps required to maximize survival after cardiac arrest and comprises five links: (1) early recognition and call for help; (2) immediate bystander CPR; (3) early defibrillation with an AED; (4) advanced life support and post–cardiac arrest care; and (5) rehabilitation and recovery for survivors. The cardiac arrest survival environment represents a societal infrastructure that sustains and optimizes both medical and nonmedical factors across prevention, treatment, and rehabilitation to reduce mortality. Establishing such an environment requires each community to develop integrated medical systems for prevention, treatment, rehabilitation, and recovery, alongside nonmedical strategies, including public awareness initiatives, widespread CPR education and bystander participation, AED dissemination, and coordinated community responsiveness of the emergency medical system.
Determining the cause of cardiac arrest (CA) and the heart status during CA is crucial for its treatment. Transesophageal echocardiography (TEE) is an imaging method that facilitates close observation of the heart without interfering with cardiopulmonary resuscitation (CPR). Intra-arrest TEE is a point-of-care ultrasound technique that is used during CPR. Intra-arrest TEE is performed to diagnose the cause of CA, determine the presence of cardiac contraction, evaluate the quality of CPR, assist with catheter insertion, and explore the mechanism of blood flow during CPR. The common causes of CA diagnosed using intra-arrest TEE include cardiac tamponade, aortic dissection, pulmonary embolism, and intracardiac thrombus, which can be observed on a few simple image planes at the mid-esophageal and upper esophageal positions. To operate an intra-arrest TEE program, it is necessary to secure a physician who is capable of performing TEE, provide appropriate training, establish implementation protocols, and prepare a plan in collaboration with the CPR team.
Citations
Citations to this article as recorded by
Safety Evaluation of an Alternative Chest Compression Landmark for Cardiopulmonary Resuscitation: A Cadaveric Randomized Controlled Trial Kairawee Charoengan, Theerapon Tangsuwanaruk, Borwon Wittayachamnankul, Juntima Euathrongchit, Tanop Srisuwan, Tawachai Monum, Rudklao Sairai, Pimpan Usawasuraiin Prehospital Emergency Care.2026; 30(3): 401. CrossRef
Transesophageal echocardiography in cardiac arrest: why, how, when, and where in clinical practice Luigi Vetrugno, Cristian Deana, Enrico Boero, Daniele Guerino Biasucci, Sean Scott, Flavio Bassi, Corrado Fiore, Yoshihisa Morita, Sabina Caciolli, Marinella Zanierato, Elena Giovanna Bignami, Stefano Romagnoli Journal of Anesthesia, Analgesia and Critical Care.2026;[Epub] CrossRef
Transesophageal Echocardiography for Pulse Evaluation during Cardiopulmonary Resuscitation Semih Musa Coşkun, Mehmet Göktuğ Efgan, Ejder Saylav Bora, Serkan Bilgin, Adnan Yamanoğlu, Zeynep Karakaya The Journal of Emergency Medicine.2026; 87: 51. CrossRef
Real-time identification of aetiology in patients able to undergo transoesophageal echocardiography with non-traumatic out-of-hospital cardiac arrest in China: a prospective, single-centre exploratory study PengHui Du, Xiong Liu, Qingliu Zheng, Liren Lai, Siyao Liu, Jiyan Lin Emergency Medicine Journal.2026; : emermed-2025-215837. CrossRef
Resuscitative Point-of-Care Ultrasound in Cardiac Arrest: Current Evidence and Clinical Applications Michael P. Merren, Katrina Augustin, Juan G. Ripoll, Harish A. Kinni, Nathan Vinzant, Samuel I. Garcia, Jacopo D'Andria Ursoleo, Christoph G. Nabzdyk, Lattawat Eauchai, Harish Ramakrishna, Omar Elmadhoun Journal of Cardiothoracic and Vascular Anesthesia.2026;[Epub] CrossRef
Transesophageal echocardiography improves the outcome of cardiopulmonary resuscitation Jun Wang, Wulan Li, Qian Liu Asian Journal of Surgery.2025; 48(5): 3391. CrossRef
Perioperative point-of-care ultrasound Brett J Wakefield, Nakul Kumar, Andrew Shaw Journal of Translational Critical Care Medicine.2025;[Epub] CrossRef
European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation Carsten Lott, Vlasios Karageorgos, Cristian Abelairas-Gomez, Annette Alfonzo, Joost Bierens, Steve Cantellow, Guillaume Debaty, Sharon Einav, Matthias Fischer, Violeta González-Salvado, Robert Greif, Bibiana Metelmann, Camilla Metelmann, Tim Meyer, Peter Resuscitation.2025; 215: 110753. CrossRef
Point-of-Care Transesophageal Echocardiography in Emergency and Intensive Care: An Evolving Imaging Modality Debora Emanuela Torre, Carmelo Pirri Biomedicines.2025; 13(11): 2680. CrossRef
Detection of left main coronary trunk occlusion due to prosthetic aortic valve endocarditis using transoesophageal echocardiography Toshiya Yoshida, Shunichi Doi, Keisuke Kida, Masaki Izumo BMJ Case Reports.2024; 17(1): e258734. CrossRef
Optimal Chest Compression Point During Pediatric Resuscitation: Implications for Pediatric Resuscitation Practice by CT Scans* Christine Eimer, Monika Huhndorf, Ole Sattler, Maximilian Feth, Olav Jansen, Jan-Thorsten Gräsner, Ulf Lorenzen, Martin Albrecht, Matthias Grünewald, Florian Reifferscheid, Stephan Seewald Pediatric Critical Care Medicine.2024; 25(10): 928. CrossRef
Rapid identification of pulmonary embolism during cardiopulmonary resuscitation using transesophageal echocardiography Yi-Kai Fu, Yu-Chen Chiu, Sheng-En Chu, Chih-Jung Chang, Jen-Tang Sun Internal and Emergency Medicine.2024; 19(8): 2359. CrossRef
Cardiopulmonary Resuscitation: Push Hard, Push Fast, But Where to Push?* Lindsay N. Shepard, Akira Nishisaki Pediatric Critical Care Medicine.2024; 25(10): 973. CrossRef
Feasibility of resuscitative transesophageal echocardiography at out-of-hospital emergency scenes of cardiac arrest Mario Krammel, Thomas Hamp, Christina Hafner, Ingrid Magnet, Michael Poppe, Peter Marhofer Scientific Reports.2023;[Epub] CrossRef
Jaehoon Oh, Kyoung-Chul Cha, Jong-Hwan Lee, Seungmin Park, Dong-Hyeok Kim, Byung Kook Lee, Jung Soo Park, Woo Jin Jung, Dong Keon Lee, Young Il Roh, Tae Youn Kim, Sung Phil Chung, Young-Min Kim, June Dong Park, Han-Suk Kim, Mi Jin Lee, Sang-Hoon Na, Gyu Chong Cho, Ai-Rhan Ellen Kim, Sung Oh Hwang, on behalf of the Steering Committee of the 2020 Korean Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Clin Exp Emerg Med 2021;8(S):S26-S40. Published online May 21, 2021
Case Volume of Targeted Temperature Management and Neurological Outcomes in Comatose Out-of-Hospital Cardiac Arrest Survivors: Nationwide Population-Based Study Dongju Kim, Hanna Park, Hyojeong Kwon, Sang-Min Kim, June-Sung Kim, Youn-Jung Kim, Won Young Kim Korean Circulation Journal.2026; 56(6): 495. CrossRef
Comparison of the Hemodynamic Effects of Epinephrine on Blood Pressure Augmentation at 1‐, 3‐, and 5‐Minute Dosing Intervals Gyo Jin Ahn, Kyoung‐Chul Cha, Junghun Lee, Yae Jun Son, Young‐Il Roh, Woo Jin Jung, Yujin Lee, Hyeon Young Im, Sung Oh Hwang Journal of the American Heart Association.2026;[Epub] CrossRef
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2024 Systematic Review of Evidence-Based Guidelines for Prehospital Care Christian Martin-Gill, P. Daniel Patterson, Christopher T. Richards, Anjali J. Misra, Benjamin T. Potts, Rebecca E. Cash Prehospital Emergency Care.2025; 29(6): 703. CrossRef
Factors associated with shock-refractory prehospital cardiac arrest Kyung Hun Yoo, Byuk Sung Ko, Won Young Kim, Tae Ho Lim, Hyunggoo Kang, Jaehoon Oh, Juncheol Lee, Sang Kuk Han, Phil Cho Choi, Young Hwan Lee, Sang O. Park, Jong Seok Lee, Ki Young Jeong, Sung Hyuk Choi, Young Hoon Yoon, Su Jin Kim, Kap Su Han, Min Seob Si Scientific Reports.2025;[Epub] CrossRef
Hemodynamic Effect of Repeated Epinephrine Doses Decreases With Cardiopulmonary Resuscitation Cycle Progression Young‐Il Roh, Gyo Jin Ahn, Jung Hun Lee, Woo Jin Jung, Soyeong Kim, Hyeon Young Im, Yujin Lee, Dahye Im, Jihye Lim, Sung Oh Hwang, Kyoung‐Chul Cha Journal of the American Heart Association.2024;[Epub] CrossRef
A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest Gil Joon Suh, Taegyun Kim, Kyung Su Kim, Woon Yong Kwon, Hayoung Kim, Heesu Park, Gaonsorae Wang, Jaeheung Park, Sungmoon Hur, Jaehoon Sim, Kyunghwan Kim, Jung Chan Lee, Dong Ah Shin, Woo Sang Cho, Byung Jun Kim, Soyoon Kwon, Ye Ji Lee, Chiara Lazzeri PLOS ONE.2024; 19(1): e0297057. CrossRef
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Impact of intravenous accessibility and prehospital epinephrine use on survival outcomes of adult nontraumatic out-of-hospital cardiac arrest patients Song Yi Park, Byungho Choi, Sun Hyu Kim BMC Emergency Medicine.2024;[Epub] CrossRef
Artificial intelligence for predicting shockable rhythm during cardiopulmonary resuscitation: In-hospital setting Sejoong Ahn, Sumin Jung, Jong-Hak Park, Hanjin Cho, Sungwoo Moon, Sukyo Lee Resuscitation.2024; 202: 110325. CrossRef
Barriers to Point-of-Care Ultrasound Utilization Among Emergency Medicine Residents in Riyadh, Saudi Arabia Fahad Abuguyan, Naief W Almasry, Ali A Alzahrani Cureus.2024;[Epub] CrossRef
The role of blood nitric oxide level in predicting return of spontaneous circulation: a prospective case-control study Atıf Bayramoğlu, Erdal Tekin, Engin Kurt, Kamber Kaşali, Nezahat Kurt Revista da Associação Médica Brasileira.2024;[Epub] CrossRef
Assessment of Point-of-Care Ultrasound (POCUS) Knowledge Among Lebanese Medical Residents Yara A Mouawad, Fadi El Ters, Christeen Mina, Khalil Richa, Pascale Salameh, Ramzi Nakhle Cureus.2024;[Epub] CrossRef
Pre-arrest comorbidity burden and the future risk of out-of-hospital cardiac arrest in Korean adults Seok-In Hong, Youn-Jung Kim, Ye-Jee Kim, Won Young Kim Heart.2023; 109(7): 542. CrossRef
Extracorporeal cardiopulmonary resuscitation for adult out-of-hospital cardiac arrest patients: time-dependent propensity score-sequential matching analysis from a nationwide population-based registry Yeongho Choi, Jeong Ho Park, Joo Jeong, Yu Jin Kim, Kyoung Jun Song, Sang Do Shin Critical Care.2023;[Epub] CrossRef
Association between the number of prehospital defibrillation attempts and a sustained return of spontaneous circulation: a retrospective, multicentre, registry-based study Byuk Sung Ko, Youn-Jung Kim, Kap Su Han, You Hwan Jo, JongHwan Shin, Incheol Park, Hyunggoo Kang, Tae Ho Lim, SO Hwang, Won Young Kim Emergency Medicine Journal.2023; 40(6): 424. CrossRef
Arterial Blood Gas Analysis for Survival Prediction in Pediatric Patients with Out-of-Hospital Cardiac Arrest Sang-Hwan Lee, Hyungoo Shin, Yongil Cho, Jaehoon Oh, Hyuk-Joong Choi Journal of Personalized Medicine.2023; 13(7): 1061. CrossRef
Saline versus Plasma Solution-A in Initial Resuscitation of Patients with Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Jae-Hyug Woo, Yong Su Lim, Jin Seong Cho, Hyuk Jun Yang, Jae Ho Jang, Jea Yeon Choi, Woo Sung Choi Journal of Clinical Medicine.2023; 12(15): 5040. CrossRef
Efficacy of Cardiopulmonary Resuscitation Using Automatic Compression—Defibrillation Apparatus: An Animal Study and A Manikin-Based Simulation Study Woo Jin Jung, Young-Il Roh, Hyeonyoung Im, Yujin Lee, Dahye Im, Kyoung-Chul Cha, Sung Oh Hwang Journal of Clinical Medicine.2023; 12(16): 5333. CrossRef
Association of prehospital advanced airway and epinephrine with survival in patients with out-of-hospital cardiac arrest Sejoong Ahn, Bo-Yeong Jin, Hanjin Cho, Sungwoo Moon, Young-Duck Cho, Jong-Hak Park Scientific Reports.2023;[Epub] CrossRef
Gastric Inflation in Prehospital Cardiopulmonary Resuscitation: Aspiration Pneumonia and Resuscitation Outcomes Tae Youn Kim, Soyeong Kim, Sang Il Han, Sung Oh Hwang, Woo Jin Jung, Young Il Roh, Kyoung-Chul Cha Reviews in Cardiovascular Medicine.2023;[Epub] CrossRef
Erratum to “2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 4. Adult advanced life support” Jaehoon Oh, Kyoung-Chul Cha, Jong-Hwan Lee, Seungmin Park, Dong-Hyeok Kim, Byung Kook Lee, Jung Soo Park, Sung Phil Chung, Young-Min Kim, June Dong Park, Han-Suk Kim, Mi Jin Lee, Sang-Hoon Na, Gyu Chong Cho, Ai-Rhan Ellen Kim, Sung Oh Hwang Clinical and Experimental Emergency Medicine.2022; 9(2): 162. CrossRef
Neurologic outcomes of prehospital mechanical chest compression device use during transportation of out-of-hospital cardiac arrest patients: a multicenter observational study Chanhong Min, Dong Eun Lee, Hyun Wook Ryoo, Haewon Jung, Jae Wan Cho, Yun Jeong Kim, Jae Yun Ahn, Jungbae Park, You Ho Mun, Tae Chang Jang, Sang-chan Jin Clinical and Experimental Emergency Medicine.2022; 9(3): 207. CrossRef
The use of video laryngoscopy outside the operating room: A systematic review Emma J. Perkins, Jonathan L. Begley, Fiona M. Brewster, Nathan D. Hanegbi, Arun A. Ilancheran, David J. Brewster, Chiara Lazzeri PLOS ONE.2022; 17(10): e0276420. CrossRef
Augmented-Medication CardioPulmonary Resuscitation (AMCPR) trial: a study protocol for a randomized controlled trial Dong Kun Oh, June-sung Kim, Seung Mok Ryoo, Youn-Jung Kim, Sang Min Kim, Seok In Hong, Bora Chae, Won Young Kim Clinical and Experimental Emergency Medicine.2022; 9(4): 361. CrossRef
Effect of corticosteroid administration on cardiac arrest: a systematic review and network meta-analysis of the timing of administration Youngchan Pyo, Tae Nyoung Chung Clinical and Experimental Emergency Medicine.2022; 9(4): 286. CrossRef
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Objective We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system.
Methods This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma.
Results Most of the patient’s physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system.
Conclusion The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a two-tier system with special considerations would be more effective for providing optimum patient care and medical resource utilization.
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