Guidelines for pediatric advanced life support
- Eric Fleegler, MD, MPH
Eric Fleegler, MD, MPH
- Assistant Professor of Pediatrics
- Harvard Medical School
- Monica Kleinman, MD
Monica Kleinman, MD
- Associate Professor of Anaesthesia (Pediatrics)
- Harvard Medical School
The American Heart Association (AHA) Pediatric Advanced Life Support (PALS) program provides a structured approach to the assessment and treatment of the critically ill pediatric patient . The AHA guidelines for pediatric resuscitation were updated in 2010 to reflect advances and research in clinical care using new evidence from a variety of sources ranging from large clinical trials to animal models . The PALS content includes:
●Overview of assessment
●Recognition and management of respiratory distress and failure
●Recognition and management of shock
●Recognition and management of cardiac arrhythmias
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- OVERVIEW OF ASSESSMENT
- Primary assessment
- Secondary assessment
- Tertiary assessment
- RESPIRATORY DISTRESS AND FAILURE
- CARDIOPULMONARY FAILURE
- APPROACH TO CARDIAC ARRHYTHMIAS
- Sinus bradycardia
- Atrioventricular block
- Bradyarrhythmia management
- Sinus tachycardia
- Supraventricular tachycardia
- Ventricular tachycardia
- Tachyarrhythmia management
- PULSELESS ARREST
- Epidemiology and presenting rhythm
- Arrest rhythms
- - Asystole
- - Pulseless electrical activity
- - Ventricular fibrillation
- - Pulseless ventricular tachycardia
- - Torsades de pointes
- Advanced management
- - Vascular access
- - Endotracheal drug administration
- - Defibrillation
- - Pharmacologic therapy
- EARLY POSTRESUSCITATION MANAGEMENT
- RAPID RESPONSE TEAMS
- FAMILY PRESENCE DURING RESUSCITATION
- SUMMARY AND RECOMMENDATIONS
- Respiratory distress and failure
- Shock and cardiac arrhythmias
- Postresuscitation care
- Rapid response teams