Résumé : Jean-Luc Diehl The French Intensive Care Society organized on 5th and 6th June 2014 its 4th “Paris International Conference in Intensive Care”, whose principle is to bring together the best international experts on a hot topic in critical care medicine. The 2014 theme was “Breakthrough in cardiac arrest”, with many high-quality updates on epidemiology, public health data, pre-hospital and in-ICU cares. The present review includes short summaries of the major presentations, classified into six main chapters:Epidemiology of CAPre-hospital managementPost-resuscitation management: targeted temperature managementPost-resuscitation management: optimizing organ perfusion and metabolic parametersNeurological assessment of brain damagesPublic healthcare