Australian Resuscitation Advisory Network

Australian Resuscitation Advisory Network Dedicated to excellence in resuscitation - as it is taught and practised

ARAN was formed in response to dissatisfaction with the efficacy of the current Basic Life Support (BLS) recommendations in Australia, the direction of resuscitation guidance in Australia and the lack of leadership and innovation. The fact that survival rates in recent years have fallen is, in part, due to the current BLS advice that is sometimes contrary to international resuscitation recommendat

ion and that are out of touch with the realities of out-of-hospital care. Sadly in Australia, BLS responders are encouraged to adhere to regimes and methods with very poor or no evidence of their efficacy. It also had become apparent that the Australian Resuscitation Council (ARC) has consistently failed to exercise good consultative and review processes in its refusal to consider contrary evidence to it's own consensus opinion and instead selectively use evidence as a basis for its decisions. This has resulted in Basic Life Support (BLS) practice in Australia falling short of international best practice. It was necessary, therefore, to provide an alternative organisation to show direction and guidance in Australia, on matters of BLS resuscitation, to improve outcomes and re-focus the efforts of rescuers on a common sense approach to resuscitation rather than a physician/hospital centric approach to this valuable and essential opportunity to save life prior to clinical support. ARAN's mission is to provide the disruptive innovation and advocacy that is lacking but needed in BLS resuscitation in Australia today.

25/03/2026
26/10/2025

So the ECC and AHA have finally read the evidence and got rid of the 2-finger compression technique in favour of the encircling two-thumb technique. This was not because there was any new evidence; that has been around for decades. However, we are yet to hear an apology for the hubris that kept an unevidenced opinion as recommended practice for so long; to those (like ARAN) who were dismissed when they called out the lack of evidence and efficacy of the traditional technique; and to the parents of infants who received sub-optimal care using an unevidenced, anecdotal technique purely because the resuscitation bodies wanted to hang onto the folklore and dogma of their own opinions out of pure hubris. The breakthrough is not that these bodies have improved recommendations based on evidence, but that one piece of the traditional folklore has finally been dispelled as nonsense.

Of course locally, the evidence train takes years to reach Australian guidelines and of course the ARC has a hsitory of rejecting evidence in favour of opinions.

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Newcastle, NSW

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