The cardiopulmonary resuscitation (CPR) is an essential medical skill for any victim of cardiac arrest. It has been taught to lay person as well, though the components of CPR differs. The CPR guidelines have been formulated by many international professional bodies and resuscitation councils across the world[1,2,3] . The International Liaison Committee on Resuscitation (ILCOR) includes these resuscitation councils and provides a forum for liaison between them. The reason for different guidelines probably is the local need and thus appropriate changes to suit the local needs. These could be related to differences in geographical conditions, infrastructure, economic conditions and availability of trained rescuers[4] . However, if try to analyze these guidelines for the evidence, these have been picked up from researches across the world. Also, there are conflicting reports or lack of robust evidence with certain aspects of the CPR performance and hence expert opinion has been incorporated for guideline formulation. At times, robust evidence could not be generated due to ethical issues for studying certain aspects of CPR process. Probably, this may also be one of the reasons for non-acceptance of a particular guideline universally as difference in opinion exists for a particular practice. There is also utter need for an attitudinal change for guideline acceptance as well.
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