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Understanding the AHA PALS Algorithm: From Assessment to Intervention

This presentation provides a clinical breakdown of the Pediatric Advanced Life Support (PALS) algorithm. It highlights key algorithm components, the systematic approach to pediatric emergencies, and how to identify and treat common critical conditions in children u2014 emphasizing structured decision-making, team communication, and age-specific considerations.

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Understanding the AHA PALS Algorithm: From Assessment to Intervention

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  1. PALS ALGORITHMS & PEDIATRIC CARE Evidence-Based Resuscitation Protocols for Infants and Children

  2. SYSTEMATIC ASSESSMENT The foundation of pediatric advanced life support begins with rapid, systematic evaluation of clinical stability.

  3. THE ASSESSMENT TRIANGLE Pediatric Triangle (PAT) The ABCDE Primary A rapid visual and auditory assessment: Appearance (tone/interactiveness), Work of Breathing (sounds/posture), and Circulation to Skin (color). Sequential clinical evaluation: Airway patency, Breathing effectiveness, Circulation/perfusion, Disability (neurological), and Exposure.

  4. CARDIAC ARREST PROTOCOL Shockable vs Non-Shockable The core PALS Algorithms differentiate between VF/pVT (shockable) and Asystole/PEA (non-shockable) to determine the pathway of intervention. ▪ High-Quality CPR is the priority. ▪ Epinephrine every 3-5 minutes. ▪ Shock at 2J/kg, then 4J/kg, then ≥4J/kg.

  5. TACHY & BRADY ALGORITHMS Bradycardia Tachycardia Respiratory Failure HR < 60 with poor perfusion despite ventilation. Initiate CPR if oxygenation fails to improve heart rate. Identify QRS width. Narrow (< 0.09s) indicates SVT; Wide (> 0.09s) indicates VT. Treat based on stability. Proactive management of upper/lower airway obstruction and lung tissue disease to prevent cardiac arrest.

  6. PEDIATRIC VITAL SIGNS

  7. TIME-TO-EPINEPHRINE TRENDS Data suggests a strong correlation between rapid drug administration and improved neurological outcomes in pediatric arrests.

  8. CPR QUALITY PERFORMANCE Effective chest recoil is the most frequently missed component in simulated pediatric resuscitations.

  9. PED SURVIVAL OUTCOMES Post-Cardiac Arrest Care 70% Achieving ROSC is only the beginning. Targeted Temperature Management (TTM) and neuro-protective strategies are critical in the post-arrest phase to ensure survival with intact neurological function. ROSC Success Rate

  10. PROFESSIONAL DEVELOPMENT PALS Certification and Renewal: Healthcare providers must renew their credentials every two years to stay updated with the latest AHA guidelines and clinical evidence. Simulation Training: Hands-on practice with high-fidelity manikins is proven to improve team response times and skill retention during high-stress scenarios. Resource Management: Effective PALS involves not just clinical skills, but mastery of the "Team Leader" and "Team Member" roles within a resuscitation team.

  11. CERTIFICATION SOLUTIONS Your Trusted Training Partner As a premier CPR Certification Provider, we deliver tailored educational programs that meet the rigorous standards of hospitals and emergency services. Our courses ensure that every clinician is prepared to execute lifesaving algorithms with absolute precision.

  12. QUESTIONS? Advance your clinical skills today. 888-528-7805 info@cprcart.com https://cprcart.com/

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