What's New in the 2025 AHA CPR & ECC Guidelines?
Here are some important changes introduced:
Compression-to-Ventilation Emphasis
Describes a focus on high-quality chest compressions and timely rescue breaths for trained rescuers, particularly in cases of opioid overdose or drowning.
Updated Compression Depth for Children
New research recommending a compression depth of 1/3 of the chest diameter, not exceeding 2.4 inches (6cm), to reduce injury risk while maintaining effectiveness.
Infant CPR Technique Adjustment
Explains the use of two-finger compressions for single rescuers, as opposed to thumbs encircling the chest, unless two rescuers are present.
AED Used for Children and Infants
States that automated external defibrillators (AEDs) are safe for infants under one year and younger patients.
Opioid Emergency Response
Encourages training on naloxone administration for opioid-related emergencies.
Adult and Pediatric CPR Algorithm Updates
2025 updates have refined the algorithms for both adult and pediatric cardiac arrest. Read more below:
Adult CPR
Emphasize more on the "CAB," or Compressions, Airway, Breathing approach with real-time monitoring tools, rather than taking key decision-making skills. Use AEDs earlier and maintain pauses between compressions.
Pediatric CPR
Pediatric updates are a lot similar to adult sequences. It simplifies training for multi-age rescuers. After detecting cardiac arrest, give compressions and use an AED at the earliest.
Updated AED Usage Guidelines for Children & Infants
Impact on CPR & AED, BLS, ACLS, and PALS Training Courses
Here is a summary of the impact of AHA update on CPR, AED, BLS, ACLS & PALS training courses:
Adult and pediatric flowcharts offer clearer and shorter steps.
Manikins/AED trainers with rate-depth/recoil feedback are recommended.
Checklists and scenarios emphasize immediate compressions and minimal hands-off time.
Prompt AED use for children and infants.
Revision of megacode/pediatric code scenarios and written exams.
The renewal will be aligned with the 2025 content.
CPR & AED (Community/Workplace)
Course Content Updates
- Recognize performing steps, such as checking responsiveness, calling for help, and using an AED, will be shorter.
- Use hands-only CPR with clearer cues on when to add breaths.
- Practice pediatric and infant CPR with pediatric pads placed front-back.
Certification & Testing
- Written test aligned to 2025 AHA CPR/AED updates.
- Hands-on skills check: compressions, breaths, AED application.
- Pass both to earn two-year CPR/AED certification.
BLS (For Healthcare Providers)
Course Content Updates
- Team-based 'high-performance BLS' drills with assigned roles (compressor, ventilator, AED, recorder).
- Real-time feedback devices are recommended to improve the quality of chest compressions during CPR.
- Prompt use of AED.
- Timing is refined for airways and breathing to reduce interruptions.
Certification & Testing
- The adult and pediatric skills sheets (rate/depth windows, recoil, and ventilation timing) have been updated.
- Two-rescuer sequences and AED-first behaviors are evaluated explicitly.
- Written exam items reworded to match 2025 terminology and algorithms.
ACLS
Course Content Updates
- The algorithm cards have been revised to include streamlined paths for ventricular fibrillation/pulseless ventricular tachycardia (VF/PVT), pulseless electrical activity/asystole (PEA/asystole), and return of spontaneous circulation (ROSC).
- Medication dosage and timing included in case sequences.
- Reduced pause after peri-shock and compressor swaps.
- Post-ROSC priorities and monitoring have been reinforced.
Certification & Testing
- Megacode scenarios updated to reflect new decision points and shorter pauses.
- Team communication and role clarity graded more tightly.
- Written exam updated to align with algorithm and pharmacology tweaks.
PALS
Course Content Updates
- Pediatric cardiac arrest and respiratory failure algorithms simplified for faster action.
- AED use for children and infants elevated (pads/mode selection, front-back placement for small chests).
- Age-specific compression-to-ventilation ratios clarified and drilled.
- Integration of feedback devices for pediatric compressions is available.
Certification & Testing
- Pedi code simulations updated; evaluators score correct pad choice/placement and minimal interruptions.
- Timing of airway/ventilation, epinephrine, and rhythm checks are altered.
- Quizzes are refreshed with words that are pediatric-specific.
How to Prepare for the 2025 Guidelines?
Stay compliant with the help of these simple tips:
Frequently Asked Questions
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When do the 2025 AHA guidelines kick in?
The AHA is set to publish on October 22, 2025. Training centers typically switch their courses soon after the release, with exact timelines varying by provider.
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Is my current certification still valid?
Yes. Your card remains valid until the expiration date printed on it, even if it was earned under the 2020 guidelines.
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Do instructors need to retest?
No retest. Instructors receive an orientation plus updated manuals/slides from their Training Center or AHA partner.
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Will online courses change with the update?
Yes. Online modules will be refreshed to reflect the 2025 guidance. If you renew after the update goes live, your certification will align with the new standards. (If you’re mid-course, you can usually finish the current version.)
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Are certification prices going up?
Prices are set by each provider. Most keep fees steady during the transition; any adjustments are announced on the provider’s site.
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