PALS (Main)

Revision as of 06:18, 12 January 2012 by Rossdonaldson1 (talk | contribs) (Advanced Airway)

2010 AHA Recommendations

  • Use Heimlich for >1yr; back/chest thrusts for <1yr
  • Treat shock w/ initial 20cc/kg bolus
    • Repeat boluses up to total of 60 mL/kg; thereafter pressors should be started
  • Do not routinely hyperventilate even in cases of head injury
  • Provide family w/ option of being present during resuscitation
  • IO is useful as initial vascular access
  • Self-Adhering Electrodes
    • Use largest size that will fit on child’s chest w/o touching
    • When possible leave 3cm between electrodes
    • Adult size for >10kg; infant size for <10kg
  • Hypotension is defined as sys BP:
    • <60 (0 to 28 days)
    • <70 (1mo - 12mo)
    • <70 + (2 X age in yr) (1-10yr)
    • <90 (≥10yr)


Airway Sizes (Peds)

Pediatric Pulseless Arrest

PALS: Bradycardia

PALS: Tachycardia

See Also


AHA 2010 Guidelines for PALS