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Monday, July 15, 2019



The goal of Pediatric Advanced Life Support (PALS) is to save a life. For a child or infant experiencing 
serious injury or illness, your action can be the difference between life and death. PALS is a series of 
protocols to guide responses to life-threatening clinical events. These responses are designed to be 
simple enough to be committed to memory and recalled under moments of stress. PALS guidelines 
have been developed from thorough review of available protocols, patient case studies, and clinical 
research; and they reflect the consensus opinion of experts in the field. The gold standard in the 
United States and many other countries is the course curriculum published by the American Heart 
Association (AHA). Approximately every five years the AHA updates the guidelines for 
Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). This handbook is 
based on the most recent AHA publication of PALS and will periodically compare the previous and 
the new recommendations for a more comprehensive review.

Any provider attempting to perform PALS is assumed to have developed 
and maintained competence with not only the materials presented in this 
handbook, but also certain physical skills, including Basic Life Support 
(BLS) interventions. Since PALS is performed on children and infants, 
PALS providers should be proficient in BLS for these age groups. While we 
review the basic concepts of pediatric CPR, providers are encouraged to 
keep their physical skills in practice and seek additional training if needed.
Proper utilization of PALS requires rapid and accurate assessment of the child or infant’s clinical 
condition and selection and delivery of the appropriate intervention for the given situation. This not 
only applies to the provider’s initial assessment of a child or an infant in distress, but also to the 
reassessment throughout the course of treatment utilizing PALS guidelines.
PALS protocols assume that the provider may not have all of the information needed from the child 
or the infant or all of the resources needed to properly use PALS in all cases. For example, if a 
provider is utilizing PALS on the side of the road, they will not have access to sophisticated devices to 
measure breathing or arterial blood pressure. Nevertheless, in such situations, PALS providers have 
the framework to provide the best possible care in the given circumstances. PALS algorithms are 
based on current understanding of best practice to deliver positive results in life-threatening cases 
and are intended to achieve the best possible outcome for the child or the infant during 
an emergency.

Download pdf text book 

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