The World’s Okayest Medic Podcast The AHA 2025 Updates are a Nothingburger
Oct 24, 2025
The host critiques the AHA's 2025 updates, deeming them underwhelming and cherry-picked. He discusses the downfall of Heads Up CPR and the shift towards IV access over IO. Key recommendations include stronger cardioversion guidelines for atrial arrhythmias and support for chest compressions during LVAD arrests. Concerns are raised about the efficacy of mechanical CPR devices and the reliance on epinephrine despite questionable outcomes. A balanced discussion on airway strategies rounds out a thorough examination of current practices in resuscitation.
AI Snips
Chapters
Transcript
Episode notes
AHA Update Is Disappointingly Conservative
- The AHA 2025 update feels underwhelming and conservative compared with expectations.
- Mike Caroncio suggests the document largely rehashes old positions and lacks bold evidence-based changes.
Question Guidelines, Don't Blindly Follow
- Critically appraise AHA recommendations rather than accepting them blindly.
- Local medical directors should review literature and adapt protocols to fit current evidence.
Heads Up CPR Labeled No Benefit
- Heads Up CPR got a class III 'no benefit' rating from the AHA.
- Mike believes this effectively ends the debate on Heads Up CPR's promise.