The World’s Okayest Medic Podcast Saturday Morning Coffee Talk (11/1/25)
Nov 1, 2025
In this lively discussion, Mike delves into the controversial AHA guidelines, challenging the persistence of epinephrine dosing in cardiac arrest. He critiques the misinterpretation of 'not recommended' guidance and emphasizes the importance of clinician experience over administrative opinions. The podcast explores the impact of prehospital blood transfusions with compelling case studies, examines myths about albuterol and nebulizers, and reflects on the cultural dynamics within EMS agencies. A dynamic chat filled with insights into emergency medicine!
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Best Way To Contact The Host
- Contact Mike Caroncio on Instagram DM for fastest podcast-related replies.
- Patreon subscribers get priority contact via the Patreon app and can message there.
Guideline Language Shapes Practice
- The AHA's minimal guideline changes still carry huge influence and shape practice decisions.
- Saying a therapy is "not routinely recommended" often becomes interpreted as "don't do it" by administrators.
Longstanding Practices Rest On Shaky Evidence
- Much routine EMS practice stems from weak, decades-old evidence rather than strong modern trials.
- Practices like epinephrine timing in arrest trace back to small, early studies and may need re-evaluation.