{"id":3028,"date":"2025-11-06T09:34:47","date_gmt":"2025-11-06T17:34:47","guid":{"rendered":"https:\/\/www.nicolekupchikconsulting.com\/news\/?p=3028"},"modified":"2026-02-24T11:27:10","modified_gmt":"2026-02-24T19:27:10","slug":"american-heart-association-2025-cpr-and-ecc-guideline-updates","status":"publish","type":"post","link":"https:\/\/www.nicolekupchikconsulting.com\/news\/american-heart-association-2025-cpr-and-ecc-guideline-updates\/","title":{"rendered":"New Updates in Resuscitation"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">NEWS FLASH!&nbsp; The American Heart Association has updated their AHA 2025 CPR and ECC Guidelines and I want to share the updates here. Big picture, <em>most<\/em> of their recommendations are the same, but I am calling attention to some of the changes here.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. For BLS<\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>There is a focus on starting CPR if abnormal breathing is present and no pulse is present. Think gasping or agonal breathing.<\/li>\n\n\n\n<li>Give rescue breaths if abnormal breathing is present and pulse IS present. Give naloxone if suspected opioid overdose.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">2. LVAD Algorithm<\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>States only to do CPR in a patient with an LVAD that does not have adequate perfusion.<\/li>\n\n\n\n<li>Adequate perfusion is\n<ol start=\"1\" style=\"list-style-type:lower-roman\" class=\"wp-block-list\">\n<li>Normal skin color and temperature<\/li>\n\n\n\n<li>Normal cap refill<\/li>\n\n\n\n<li>MAP &gt; 50 mm Hg<\/li>\n\n\n\n<li>PEtCO<sub>2<\/sub> &gt; 20 mm Hg<\/li>\n<\/ol>\n<\/li>\n\n\n\n<li>These patients may not have a palpable pulse. You can use a doppler or an arterial line if the noninvasive BP cuff isn\u2019t picking anything up.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">3. Foreign body obstruction<\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>The use of 5 back blows is the initial step before 5 abdominal thrusts.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">What\u2019s old is new again! A lot of you may know I choked and was literally saved by nurses in a class. I will tell you the back blows really helped dislodge the freaking bite of turkey sandwich obstructing my airway! Don\u2019t eat dry bread!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Synchronized cardioversion for a-fib and a-flutter is now recommended to start at 200 joules instead of 125.&nbsp; This is a 2a recommendation.<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"717\" height=\"180\" src=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1.png\" alt=\"\" class=\"wp-image-3029\" srcset=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1.png 717w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1-300x75.png 300w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1-370x93.png 370w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1-270x68.png 270w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture1-570x143.png 570w\" sizes=\"auto, (max-width: 717px) 100vw, 717px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">5. Not routinely recommending the advanced procedure of double sequential shocking refractory vfib.<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"780\" height=\"438\" src=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2.png\" alt=\"\" class=\"wp-image-3030\" srcset=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2.png 780w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-300x168.png 300w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-768x431.png 768w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-370x208.png 370w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-270x152.png 270w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-570x320.png 570w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture2-740x416.png 740w\" sizes=\"auto, (max-width: 780px) 100vw, 780px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">6. Early administration for epinephrine PEA &amp; asystole algorithm<\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Remember my acronym; it\u2019s PEA<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\"><strong>P = Pump<\/strong>; start chest compressions<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E = Early<\/strong> <strong>e<\/strong>pinephrine<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A = Assess<\/strong> the causes<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">7. Glucose control: Maintaining blood glucose levels between 144 \u2013 180 mg\/dL (8 \u2013 10 mmol\/L) is a key recommendation.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">8. IV access is preferred over IO access, but IO is still acceptable.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">9. TTM for a minimum of 36 hours in unresponsive patients.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">10. Keep MAP &gt; 65 post resuscitation and avoid hypotension.&nbsp; We know hypotension is bad!<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">11. Healthcare providers should use a checklist and have guidelines\/algorithms at hand during resuscitation.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">12. Early coronary angiography: Recommended for patients with suspected cardiac causes of arrest.<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">13. AHA is going back to the universal chain for CPR and ECC guidelines.<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"856\" height=\"191\" src=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3.png\" alt=\"\" class=\"wp-image-3031\" srcset=\"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3.png 856w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-300x67.png 300w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-768x171.png 768w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-370x83.png 370w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-270x60.png 270w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-570x127.png 570w, https:\/\/www.nicolekupchikconsulting.com\/news\/wp-content\/uploads\/2025\/11\/Picture3-740x165.png 740w\" sizes=\"auto, (max-width: 856px) 100vw, 856px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">AHA 2025 CPR and ECC Guidelines\u00a0References:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Circulation; Volume 152, Issue 16<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can go see the changes directly here at the AHA website <a href=\"https:\/\/cpr.heart.org\/en\/resuscitation-science\/cpr-and-ecc-guidelines\/algorithms\">here.<\/a> <a href=\"https:\/\/cpr.heart.org\/en\/resuscitation-science\/cpr-and-ecc-guidelines\/algorithms\">https:\/\/cpr.heart.org\/en\/resuscitation-science\/cpr-and-ecc-guidelines\/algorithms<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NEWS FLASH!&nbsp; The American Heart Association has updated their AHA 2025 CPR and ECC Guidelines and I want to share the updates here. Big picture, most of their recommendations are the same, but I am calling attention to some of the changes here. 1. For BLS 2. LVAD Algorithm 3. Foreign body obstruction What\u2019s old [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3048,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[],"ppma_author":[61,62],"class_list":["post-3028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nurse-education"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>American Heart Association 2025 CPR and ECC Guideline Updates - Nicole Kupchik Blog<\/title>\r\n<meta name=\"description\" content=\"NEWS FLASH!\u00a0 The American Heart Association has updated their AHA 2025 CPR and ECC Guidelines and I want to share the updates here.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.nicolekupchikconsulting.com\/news\/american-heart-association-2025-cpr-and-ecc-guideline-updates\/\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"American Heart Association 2025 CPR and ECC Guideline Updates - 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She graduated in 1993 from Purdue University with an Associate Degree in Nursing. In 2002 she received a Baccalaureate degree from the University of Washington, Bothell. In 2008 she received a Master's Degree in Nursing specializing as a Clinical Nurse Specialist from the University of Washington Seattle. Nicole started her career at St. Mary Medical Center in Hobart, IN. From there, she traveled the U.S., working in large academic facilities such as State University of New York (SUNY) and the University of California at Los Angeles (UCLA). She also worked in Albuquerque, NM, Phoenix, AZ, San Francisco, CA and Palm Springs, CA before finally landing in Seattle at the University of Washington, where she worked in the Cardiothoracic ICU for 5 years. In 2001, she switched gears and accepted a position at Harborview Medical Center in the Neuro-Surgical ICU and Cardiac ICU. 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She graduated in 1993 from Purdue University with an Associate Degree in Nursing. In 2002 she received a Baccalaureate degree from the University of Washington, Bothell. In 2008 she received a Master's Degree in Nursing specializing as a Clinical Nurse Specialist from the University of Washington Seattle. Nicole started her career at St. Mary Medical Center in Hobart, IN. From there, she traveled the U.S., working in large academic facilities such as State University of New York (SUNY) and the University of California at Los Angeles (UCLA). She also worked in Albuquerque, NM, Phoenix, AZ, San Francisco, CA and Palm Springs, CA before finally landing in Seattle at the University of Washington, where she worked in the Cardiothoracic ICU for 5 years. In 2001, she switched gears and accepted a position at Harborview Medical Center in the Neuro-Surgical ICU and Cardiac ICU. In 2002, she was part of a team that was one of the first hospitals in the US to implement Therapeutic Hypothermia after Cardiac Arrest. Nicole wrote protocols and published numerous papers on the success of the therapy. For this she was honored with the Washington State March of Dimes, Nurse of the Year Award in Research &amp; Innovation. In 2007, she became a Critical Care Educator at Harborview Medical Center. The following year she accepted the role of Clinical Nurse Specialist for Cardiology, Critical Care and founded the Sepsis Program. Nicole made huge strides to implement programs and improve outcomes. Her innovative work with Harborview Medical Center's Sepsis Program was honored with 2 Washington State Qualis Awards for Patient Safety &amp; Clinical Leadership. Nicole finds her passion as a popular lecturer and arms nurses with tools to create safe work and practice environments. Her casual style sets the tone for a relaxed, fun &amp; interactive learning environment. She especially enjoys teaching Cardiology &amp; Critical Care topics. She believes every Critical Care &amp; Progressive Care nurse should be certified in their specialty area. Seattle, WA is home for Nicole. She lives there with her adorable Bernedoodle Finley. In her spare time she enjoys hiking, biking, traveling, spending time with her friends and being an active volunteer with the Junior League of Seattle.","sameAs":["https:\/\/www.nicolekupchikconsulting.com"],"url":"https:\/\/www.nicolekupchikconsulting.com\/news\/author\/nicolekupchik\/"}]}},"authors":[{"term_id":61,"user_id":3,"is_guest":0,"slug":"nicolekupchik","display_name":"Nicole Kupchik","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/da9fe88a00544b10c1f2635e67fd37213471c1dc579e9877fca558e5b9edc11e?s=96&d=mm&r=g","author_category":"","first_name":"Nicole","last_name":"Kupchik","user_url":"https:\/\/www.nicolekupchikconsulting.com","job_title":"","description":"MN, RN, CCNS, CCRN, PCCN and Critical Care Clinical Nurse Specialist\r\n\r\nNicole Kupchik has been a Critical Care RN for over 25 years. She graduated in 1993 from Purdue University with an Associate Degree in Nursing. In 2002 she received a Baccalaureate degree from the University of Washington, Bothell. In 2008 she received a Master's Degree in Nursing specializing as a Clinical Nurse Specialist from the University of Washington Seattle.\r\n\r\nNicole started her career at St. Mary Medical Center in Hobart, IN. From there, she traveled the U.S., working in large academic facilities such as State University of New York (SUNY) and the University of California at Los Angeles (UCLA). She also worked in Albuquerque, NM, Phoenix, AZ, San Francisco, CA and Palm Springs, CA before finally landing in Seattle at the University of Washington, where she worked in the Cardiothoracic ICU for 5 years.\r\n\r\nIn 2001, she switched gears and accepted a position at Harborview Medical Center in the Neuro-Surgical ICU and Cardiac ICU. In 2002, she was part of a team that was one of the first hospitals in the US to implement Therapeutic Hypothermia after Cardiac Arrest. Nicole wrote protocols and published numerous papers on the success of the therapy. For this she was honored with the Washington State March of Dimes, Nurse of the Year Award in Research &amp; Innovation.\r\n\r\nIn 2007, she became a Critical Care Educator at Harborview Medical Center. The following year she accepted the role of Clinical Nurse Specialist for Cardiology, Critical Care and founded the Sepsis Program. Nicole made huge strides to implement programs and improve outcomes. Her innovative work with Harborview Medical Center's Sepsis Program was honored with 2 Washington State Qualis Awards for Patient Safety &amp; Clinical Leadership.\r\n\r\nNicole finds her passion as a popular lecturer and arms nurses with tools to create safe work and practice environments. Her casual style sets the tone for a relaxed, fun &amp; interactive learning environment. She especially enjoys teaching Cardiology &amp; Critical Care topics. She believes every Critical Care &amp; Progressive Care nurse should be certified in their specialty area.\r\n\r\nSeattle, WA is home for Nicole. She lives there with her adorable Bernedoodle Finley. In her spare time she enjoys hiking, biking, traveling, spending time with her friends and being an active volunteer with the Junior League of Seattle."},{"term_id":62,"user_id":11,"is_guest":0,"slug":"nicolejohnson","display_name":"Nicole Johnson","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/27dcef1c5250ddd6e8fe6fc1b7a06e0450172a062c503039ce9281c2f7a5c5cf?s=96&d=mm&r=g","author_category":"","first_name":"Nicole","last_name":"Johnson","user_url":"","job_title":"","description":"Nicole Johnson, BSN, RN, CCRN, CEP is a critical care nurse with over 16 years of experience.  She is the founder of Unwound Retreats - events, resources, and retreats for nurses as well as the host of the nursing podcast, Found Down.  She also works per diem for Nicole Kupchik Consulting, Inc."}],"_links":{"self":[{"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/posts\/3028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/comments?post=3028"}],"version-history":[{"count":8,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/posts\/3028\/revisions"}],"predecessor-version":[{"id":3125,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/posts\/3028\/revisions\/3125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/media\/3048"}],"wp:attachment":[{"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/media?parent=3028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/categories?post=3028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/tags?post=3028"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.nicolekupchikconsulting.com\/news\/wp-json\/wp\/v2\/ppma_author?post=3028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}