AHA ACLS, BLS, PALS, NRP, PEARS, ACLS EP, PHTLS and Heartsaver First Aid, CPR/AED Saving American Hearts, Inc 6165 Lehman Drive Suite 202 Colorado Springs, Colorado 80918 Catherine Brinkley (719) 551-1222 email: admin@savingamericanhearts.com

HeartCode® PALS Part 1 Includes the Part 2 and Part 3 Practice and Skills Session Testing Fees and online access to the PALS Provider Manual!

Online American Heart Association 2015 Pediatric Advanced Life Support PALS Heartcode Part 1
Online American Heart Association 2015 Pediatric Advanced Life Support PALS Heartcode Part 1
Item# ISBN-13: 9781616691127

HeartCode® PALS Part 1


* 24 Months online access to the PALS Pediatric Advanced Life Support Provider Manual.

* 24 Months online access to the 2010 American Heart Association Guidelines for CPR and ECC

* 24 Months online access to the 2010 Handbook of Emergency Cardiovascular Care for Healthcare Providers

* Part 2: Upon completion of your online course you will receive a printable certificate granting you entrance to a skills practice session with the American Heart Association PALS Instructor at Saving American Hearts at no additional cost.

* Part 3: Skills Session Testing and receipt of your American Heart Association PALS Provider Card are also included in the cost of this course.

NOTE: Parts 2 and 3 must be done by appointment. Class size is limited to 6 students per instructor during the Skills Practice and Testing Sessions.

Parts 2 and 3 can be done individually or in a group. Which ever you prefer.

Parts 2 and 3 are included in the cost of the course and must be done with the instructor at Saving American Hearts.


* Emergency Medical Services: This continuing education activity is approved by the American Heart Association which is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) for 11.00 Advanced CEHs. Activity Number 12-AMHA-F3-0155

* Physicians The American Heart Association designates this course for 10.25 AMA PRA Category 1 Credits.

* Nurses The American Heart Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation and awards this CE activity 10.00 contact hours.

You will receive a key, granting you access to the HeartCode PALS Part 1. This course can be used for initial Certification or Renewal.

This online course features eSimulation technology that lets you participate in realistic patient scenarios, assess patients, and formulate treatment -- online and at your own pace, and on YOUR schedule. This online course is available 24/7 for your convenience.

Course participants who successfully complete Part 1 receive a certificate granting them entrance to a skills practice session (Part 2) and skills test (Part 3) with a certified American Heart Association PALS instructor, which they must pass to qualify for a PALS course card.

PC and Mac® compatible.

Please include an e-mail address when ordering. The access key and instructions on how to log in and register for the course will be e-mailed to you, usually within 1 to 2 business days.

Parts 2 and 3 are also included in the price of this item.

General Overview

This online, self-paced program uses eSimulation technology that allows you to assess and treat patients in virtual healthcare settings.

In this environment, you will apply your knowledge to real-time decision-making and skills development.

Debriefings and coaching are provided immediately after each simulation to facilitate learning about pediatric advanced life support.

This course is based on the 2015 American Heart Association Guidelines for CPR and ECC.

Course features: eSimulation technology presenting 12 interactive hospital-based patient scenarios:














This course teaches healthcare providers the knowledge and skills needed to recognize and prevent cardiopulmonary arrest in infants and children.

This course is intended for healthcare providers who respond to emergencies in infants and children, including personnel in emergency response, emergency medicine, intensive care, and critical care units, such as physicians, nurses, paramedics, EMTs and others who need a PALS course completion card for their job or other requirements.

Please call, text or email Catherine Brinkley with Saving American Hearts if you have any special needs or questions about this course. (719) 551-1222


SAVING AMERICAN HEARTS Pediatric Advanced Life Support Study Guide Based on the American Heart Association 2010 Guidelines
SAVING AMERICAN HEARTS Pediatric Advanced Life Support Study Guide Based on the American Heart Association 2010 Guidelines

American Heart Association Pediatric Advanced Life Support PALS Study Guide



These children will present with stridor. The most important INITIAL medication is IM Epi, or an EPI pen. Give steroids if the child has a history of asthma. Provide oxygenation. If the oxygen sat continues to drop despite oxygen administration then preparations need to be made for BVM or intubation.


This is bronchiolitis or asthma. You’ll hear wheezes and a prolonged expiratory phase. Provide nebulizer treatments, steroids and support the oxygen needs.


This is pneumonia, or aspiration pneumonia. Expect to hear crackles. The child will have a low oxygen saturation and resp effort will be increased. Provide oxygenation, antibiotics and antipyretics. Obtain cultures if the fever is over 101.


This is an example of a post dictal child, a brain injury or neuro child, or even a child that has been sedated and doesn’t have control over their breathing. As long as their V/S are stable, simply monitor. The resp rate may only be 6, but if their sat is 99% on room air, just monitor.



Defined as cold and dusky hands and feet, murmur on auscultation, palpable liver and crackles to lung bases as the heart struggles to preserve the core and circulate the blood volume. Treatment includes antibiotics and fluids of ONLY 5-10ml/kg given very slowly. This will thin the blood and allow the sick heart to pump more efficiently clearing up the crackles in the lungs.


With septic shock, the child will have a very low BP, good cap refill, most likely a very high fever near or above 103. A child with a high fever who is on chemotherapy would be in septic shock with a very low BP. Treatment consists of supporting the airway, obtaining cultures, administering antibiotics and antipyretics and a fluid bolus of 20ml/kg given very quickly followed with vasopressors if the BP does not respond to the fluid bolus.


This could be due to a tension pneumothorax. This will cause an obstruction of the oxygen which can lead to shock. Treatment consists of immediate correction of the pneumothorax with needle decompression and preparation of a chest tube. If the child is on a ventilator, and the oxygen saturation is 68%,

Remember the D.O.P.E. mnemonic

D = Displacement (Check to see that the tube has not moved and is still at the previous cm marking at the lip O = Obstruction Listen for breath sounds. If any breath sounds are heard, the tube is not obstructed or you would hear no breath sounds at all. P= Pneumothorax Check to see if breath sounds are equal. Is the trachea deviated (Very late sign in children) and check to see if there is equal rise and fall of the chest. E = Equipment This step should be preformed FIRST. Disconnect the ventilator, attach BVM and bag the child. If the O2 sat does NOT rise, it is not an equipment problem.


This can be due to volume depletion caused by blood loss or by dehydration. Administer rapid fluid bolus of 20ml/kg over 5 minutes up to 3 times. If the BP does not respond then blood should be administered. A low blood pressure is a very late sign of shock in children. Children can maintain a normal blood pressure until they have lost 25% of their total blood volume.

Always keep children’s O2 Sat between 94-99% to prevent hyperoxia. If the child is on oxygen and the sat is 100%, then turn the oxygen down to achieve a sat of 94-99%.

From the age of puberty and under. If the child has a pulse of 60 or less, begin chest compressions and treat them as though they have no pulse. Administer EPI. Do not give Atropine to a child for bradycardia until they are beyond puberty.

If a child’s heart slows down or stops, it is because they can’t breath. If a child has been in respiratory distress for a few days, and the heart rate begins to drop, and resp rate begins to drop it’s because they are getting tired and are going to stop breathing. Begin ventilations with a BVM device.

The same goes for a child in respiratory distress for a few days. If they have been struggling to breathe and you suction away what little bit of air they were able to get in, their heart rate will drop. Simply bag them and replace the oxygen you took away.

When you place a pulse ox on a child, make sure that the heart rate on the pulse ox correlates with the heart rate on the monitor. If the monitor shows a heart rate of 200, and your pulse ox says the heart rate is 99, the pulse ox is not reliable. So if it says the O2 sat is 98%, it is not reliable and the child must be given oxygen.

The best way to establish vascular access in a child is IO Intraosseous.

The preferred vagal maneuver in children is ice to the face.

When performing cardioversion for an unstable tachycardia, begin with ½ to 1J/kg.

When defibrillating, begin with 2J/kg, then 4J/kg, 6J/kg, 8J/kg and finally 10J/kg which is the maximum. Repeat 10J/kg as needed.

The maximum time that should be spent checking for a pulse is 10 seconds.

In children 1 year and under, check a brachial pulse.

When using an AED, if pediatric pads are not available, you may use adult pads. For a child, place them in the same place you would an adult. If it is an infant, always place one pad in the center of the chest, and one on the back directly behind the one on the chest.

As soon as an AED arrives, use it. Be sure to turn it on FIRST.

When performing CPR alone, everyone is 30 compressions and 2 breaths regardless of age.

If the child is under puberty, and there are 2 rescuers, the ratio changes to 15:2.
http://www.savingamericanhearts.com Catherine Brinkley (719) 551-1222 Saving American Hearts, Inc 6165 Lehman Drive Suite 202 Colorado Springs, Colorado 80918 admin@savingamericanhearts.com