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
- Section Editor
- Susan B Torrey, MD
Susan B Torrey, MD
- Section Editor — Pediatric Resuscitation; Pediatric Trauma
- Director, Division of Pediatric Emergency Medicine
- Associate Professor of Emergency Medicine and Pediatrics (Clinical)
- NYU School of Medicine
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — Adult and Pediatric Emergency Medicine
- Senior Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
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 .
This topic is undergoing revision based upon the 2015 update to the 2010 guidelines. The 2015 update is available here.
The PALS content includes:
●Overview of assessment
●Recognition and management of respiratory distress and failure
- ECC Committee, Subcommittees and Task Forces of the American Heart Association. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112:IV1.
- Pediatric Advanced Life Support Provider Manual, Chameides L, Samson RA, Schexnayder SM, Hazinski MF (Eds), American Heart Association, Dallas 2012.
- Kleinman ME, de Caen AR, Chameides L, et al. Pediatric basic and advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Pediatrics 2010; 126:e1261.
- Kleinman ME, de Caen AR, Chameides L, et al. Part 10: Pediatric basic and advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation 2010; 122:S466.
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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