Acute cardiac care & resuscitationGuideline or statement

Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

CirculationPublished

  • Clinical practice guideline

Recommendations

As issued by the authors

  1. Ethical frameworks for difficult decisions: principlism (beneficence, nonmaleficence, respect for autonomy, justice), dignity, narrative ethics, crisis standards of care, utilitarianism, virtue ethics, deontology

  2. Health care professionals and their organizations to actively address structural inequities, social determinants of health and resulting disparities in emergency cardiovascular care

  3. Decision-making processes, including advance directives and shared decision-making

  4. Decisions to initiate or withhold and to continue or terminate resuscitation in adults, geriatric patients, children, newborn infants and pregnant patients

Original publication

Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. Published 22 October 2025. doi:10.1161/cir.0000000000001371

Summarised from the published abstract; every number is checked against it