ILCOR's first foray into low resource settings

After 28 years, it is encouraging to see ILCOR start turn its attention the 90% of world’s population that live in low- and middle-income countries.1Schnaubelt S, Monsieurs KG, Semeraro F, Schlieber J, Cheng A, et al. Clinical outcomes from out-of-hospital cardiac arrest low-resource settings—a scoping review. https://doi.org/10.1016/j.resuscitation.2020.08.126.Google Scholar While organisation’s vision-saving lives globally through resuscitation-is commendable, reality there has never been a focus on settings either recommendations or programmes. There was prior attempt be global 2018, with World Restart Heart publication, but despite slogan “All citizens world can save life”, were almost universally oriented high-income countries.2Böttigera B. Lockeyb A. Aickinc R. al.“All life”—the restart heart (WRAH) initiative starts 2018.Resuscitation. 2018; 128: 188-190Abstract Full Text PDF PubMed Scopus (26) Google The 2019 guidelines–in keeping every earlier version–provide no targeted for settings, providing many those high resources.3Soar J. Maconochie I. Wyckoff M. al.International consensus cardiopulmonary resuscitation emergency cardiovascular care science treatment recommendations.Resuscitation. 2019; 145: 95-150Abstract (60) This lack consideration shouldn’t come as surprise: are 103 members six task forces, only eight (7.8%) countries (five these Brazil), none low-income countries.4https://ilcor.org/about/organizational-chart.Google With an organisational structure so lacking representativity, what prospect really appropriately addressing challenges majority population? current review highlights this situation1Schnaubelt Scholar: It does very good job showing significant gap literature (with papers at all countries), makes clear concluding statement should fully supported–“Minimum standards developed collaboratively involving local experts, respecting culture context while balancing competing health priorities”. However, one nine authors country, settings. hardly consistent review’s conclusion, leaves itself open interpretations on-going unchanging colonial paternalistic approach science. resources true force world, not just They supported continue develop represents excellent opportunity improve all, fortunate enough handful countries. To do well, context, ILCOR’s need more representative inclusive. I declare conflict interest my letter editor. Reply to: “ILCOR’s first foray into low resource settings”ResuscitationVol. 159PreviewWe thank Professor Wallis responding our publication “Clinical – A review”.1 Full-Text