PALS

Pediatric cardiac arrest is a classic “HALO” event, or “high opportunity, low occurrence” presentation. As such it is something we should review regularly and incorporate into our local simulation practice - Mike De Paoli & Julian Marsden

PALS
PALS

image by: Harrisonburg Rescue Squad, Inc.

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PALS Guidelines

Chest compression only CPR is not advisable in pediatric cardiac arrest...

The C-A-B approach has been advocated in adult cardiac arrest with the goal of starting chest compressions as early as possible and minimizing interruptions. However, adult arrests are usually cardiac related, whereas children tend to arrest from respiratory causes which tend to be mediated by hypoxia.

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Resources

 PALS Guidelines

C-A-B vs. A-B-C Approach in PALS: Chest compression only CPR is not advisable in pediatric cardiac arrest The C-A-B approach has been advocated in adult cardiac arrest with the goal of starting chest compressions as early as possible and minimizing interruptions. However, adult arrests are usually cardiac related, whereas children tend to arrest from respiratory causes which tend to be mediated by hypoxia.

SAEM

Starting in the 1980s significant advancements have been made in pediatric resuscitation training. The American Heart Association offers courses in Pediatric Advanced Life Support (PALS). PALS prepares providers with knowledge and skills needed to effectively manage critically ill infants and children. Unlike adult cardiac arrest, which is primarily caused by coronary artery disease, the most common causes of pediatric cardiac arrest are respiratory failure and shock.

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