10/23/2025
The new 2025 AHA guidelines have been released.
One notable change has been introduced that will hopefully, and finally, make EMS providers realize that their expensive LUCAS device doesn’t make a bit of difference with patient outcomes. This has been known for the past few years with solid evidence against routine use.
The AHA formally recommends AGAINST the routine use of mechanical CPR devices.
EXCERPT
“Studies comparing mechanical to manual CPR have shown that mechanical CPR is no better than manual CPR in improving patient survival. At present, the routine use of mechanical CPR devices is not recommended (COR 3-No Benefit, LOE B-R) but may be considered in specific circumstances in which high-quality CPR cannot be maintained or for health care professional safety, such as during transport to a hospital (COR 2b, LOE C-LD).”
Another notable change deals with FBAO in adults. Back blows are now recommended first step for conscious patients.
Excerpt
“Based on additional evidence of effectiveness and safety, the use of back blows is now recommended as the initial step for conscious adults with FBAO, followed by abdominal thrusts (COR 1, LOE B-NR).113 As in 2020, once the person becomes unresponsive, the recommendation is to initiate CPR (COR 1, LOE C-LD), with inspection of the mouth for presence of a foreign body prior to delivery of breaths (COR 1, LOE C-EO). A new algorithm for treatment of FBAO for adults is included.”
2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
