The World’s Okayest Medic Podcast Saturday Morning Coffee Talk (10/25/25)
Oct 25, 2025
Mike dives into the latest AHA updates and state protocols while discussing the nuances of mechanical CPR with a state medical director. He questions the solid evidence behind common resuscitation practices, highlighting dual sequential defibrillation debates. There's a passionate discussion on when to update protocols versus waiting for more compelling data. Mike reflects on a colleague's retirement and evolving perspectives on POCUS in EMS, all while juggling personal recovery and workload challenges.
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Resuscitation Evidence Is Often Unclear
- Resuscitation evidence is often unclear beyond high-quality compressions and prompt defibrillation.
- Mike Caroncio questions how definitive many cardiac arrest interventions really are.
Don't Let 'More Evidence' Block Change
- Don't hide behind calls for 'more evidence' to avoid making necessary protocol changes.
- Consider bold state-level protocol trials like Maryland's when evidence is limited but plausible.
Naloxone In Suspected Overdose Arrests
- If you suspect opioid overdose in arrest, giving naloxone is reasonable and won't harm.
- The AHA frames it permissively: give Narcan if you want to try it.