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PALS Algorithms - Updated 2020 AHA Guidelines

Healthcare providers who care for children should understand the dynamics of cardiac and respiratory arrest, particularly with emphasis on this demographic, in order to be able to apply that knowledge when called upon to resuscitate a pediatric patient in an emergency situation. The PALS algorithms will give you the confidence of resuscitate children when called upon.

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Our PALS online course provide the knowledge and the skills to successfully manage bradycardia, tachycardia, respiratory and shock emergencies including resuscitation of a child or infant in cardiac arrest.

All PALS Algorithms

Pediatric BLS One Rescuer Algorithm

This algorithm describes the BLS sequence specifically for children and infants. There are key differences when compared to the BLS sequence for adults. Infants are not a newborn but less than 1 year old and children are older than 1 year old but younger than puberty.

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Pediatric BLS Algorithm - Two-Rescuer

There are slight differences between the one and two rescuer algorithm for children and infants. This algorithm highlights what makes a two rescuer situation unique.

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PALS Systematic Approach Algorithm

The PALS Systematic Approach is designed to provide a complete and thorough approach to the evaluation and treatment of an injured or critically ill child. It has several decision points and actions that must be committed to memory by PALS providers to ensure a high standard of care.

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Pediatric Bradycardia - Pulse & Poor Perfusion

This algorithm outlines the decision tree for bradycardia, which is a heart rate (typically 60 BPM) lower than normal for a child’s age and activity level. It is often a sign of impending cardiac arrest in infants and children.

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Pediatric Cardiac Arrest Algorithm

Cardiac Arrest is the cessation of blood circulation due to absent or ineffective cardiac mechanical activity. Clinically, the patient is unresponsive, not breathing or only gasping, and there is no detectable pulse. Cerebral hypoxia causes LOC and failure to breathe. Agonal breaths may be observed during the first minutes after cardiac arrest.

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Pediatric Management of Shock After ROSC Algorithm

If a patient has a Return of Spontaneous Circulation (ROSC) or palpable pulse after resuscitation, start postresuscitation management immediately. The goals of postresuscitation management are supporting oxygenation and maximizing tissue and organ perfusion. This section provides a systematic approach of the postresuscitation care algorithm.

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Pediatric Tachycardia - Pulse & Adequate Perfusion Algorithm

Tachycardia is a heart rate higher than normal for a child’s age and activity level. Like bradycardia, tachycardia can be life threatening for children and infants because of the impact on cardiac output.

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Pediatric Tachycardia - Pulse & Poor Perfusion Algorithm

Tachycardia is a heart rate higher than normal for a child’s age and activity level. Like bradycardia, tachycardia can be life threatening for children and infants because of the impact on cardiac output.

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