Pediatric Advanced Life Support. Make Checks available to: Life Support Education. Agenda. DAY 1 Course introductions and overview Review new 2011 updates BLS primary survey video PALS secondary survey video CPR and AED practice, ETCO2 monitoring (group 1)
Testing and Megacode
Purpose of PALS
Key Points of Importance of PALS
VT with pulse:
Stable: Adenosine .1, .2, Amiodarone 5mg/kg over 60 min, then cardioversion if needed.
VT/VF: no pulse , defibASAP, CPR, Epi, after third shock Amiodarone
Watch video on CPR practice, we will be practicing CPR soon
Lower Airway Obstruction
The method of advanced airway support (endotracheal intubation versus laryngeal mask versus bag-mask) provided to the patient should be selected on the basis of the training and skill level of providers in a given advanced life support (ALS) system and on the arrest characteristics and circumstances (eg, transport time and perhaps the cause of the arrest).
20 minutes per group then switch
Watch Airway Management Video
Rapid Sequence Intubation
Cuffed Versus Uncuffed Tubes
Disordered control of breathing
Endotracheal Tube Size
What do you do:
PEA will have the appearance of a sinus rhythm, however no pulse is present!
Watch IO insertion video
Shock results from inadequate blood flow and oxygen delivery to meet tissue metabolic demands. Shock progresses over a continuum of severity, from a compensated to a decompensated state. Attempts to compensate include tachycardia and increased systemic vascular resistance (vasoconstriction) in an effort to maintain cardiac output and blood pressure. Although decompensation can occur rapidly, it is usually preceded by a period of inadequate end-organ perfusion. Signs of compensated shock include:
Neurogenic Shock (Head injury that disrupts BP regulation)
Circulatory (arrhythmia or shock)