Pediatric Advanced Life Support (PALS) is a classroom, video-based, Instructor-led course that uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation and team dynamics. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

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

Features
  • Classroom-based works well for learners who prefer group interaction and instructor feedback while learning skills’
  • Co-branded with the American Academy of Pediatrics (AAP)
  • Course uses learning stations for practice of essential skills simulated clinical scenarios that encourage active participation
  • Hands-on class format reinforces skills proficiency

Purchase Options

AHA Training Centers

Use our Find a Course tool to locate an AHA Training Center in your area that offers Classroom and Skills Sessions.

AHA Approved Distributors

Visit one of our Distributors to purchase course materials.

Channing Bete Company Inc.

Laerdal Medical Corporation

WorldPoint

AHA eBooks

Shop AHA eBooks to purchase digital course materials required for your class.

Go to eBooks.heart.org.



Course Content

  • 1- and 2-rescuer child CPR and AED use
  • 1- and 2-rescuer infant CPR
  • Cardiac, respiratory and shock case discussions and simulations
  • Key changes in pediatric advanced life support, reflecting the new science from the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
  • Management of respiratory emergencies
  • Resuscitation team concept
  • Rhythm disturbances and electrical therapy
  • Systematic Approach to Pediatric Assessment
    Vascular access

Additional Information

Instructor Materials

  • 90-1054 PALS Instructor Manual
  • 90-1058 PALS Instructor Package Includes:
    • ECG Rhythm Cards
    • 90-1057 PALS DVD Set
    • 90-1056 PALS Emergency Crash Cart Cards
    • PALS Instructor Manual
    • 90-1055 PALS Posters
    • 90-1052 PALS Provider Manual     Available in eBook
    • Scenario Cue Cards
    • Stop Watch  

AHA Instructor Network(opens new window)
 


Student Materials

  • 90-1056 PALS Emergency Crash Cart Cards
  • 90-1053 PALS Pocket Reference Card
  • 90-1052 PALS Provider Manual with Pocket Reference Card 

  • Full course:  14 hours 10 minutes, plus additional time for breaks and lunch.
  • Update course, with all optional stations: 8 hours 20 minutes, plus additional time for breaks and lunch.
  • Update without optional stations: 6 hours 20 minutes, plus additional time for breaks and lunch.

Students who successfully complete the PALS Course, including the following components, will receive a PALS Provider Course Completion Card, valid for two years:

  • Actively participate in, practice and complete all learning stations
  • Complete the closed-book written exam with a minimum score of 84%
  • Pass the 1- and 2-Rescuer Child BLS With AED and 1- and 2-Rescuer Infant BLS Skills Tests
  • Pass 2 PALS core case scenarios (1 cardiac and 1 respiratory or shock) as a team leader, providing appropriate medical treatment and demonstrating effective team dynamics

Frequently Asked Questions for Pediatric Advanced Life Support (PDF)


Q: Does the AHA determine the cost for all training courses and the accompanying course materials?
 
A: Costs for courses and materials are determined by Training Centers or Instructors and may vary. The AHA does not regulate price; however, provides its authorized distributors suggested retail pricing on course materials. 

Pediatric Advanced Life Support Provider Course, ECC Training Centers:

DESCRIPTION:
Pediatric Advanced Life Support (PALS) is a classroom, video-based, instructor-led course that uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

LEARNING OBJECTIVES:
After participating in this activity, participants will be able to:
1. Describe the timely recognition and interventions required to prevent respiratory and cardiac arrest in any pediatric patient.
2. Describe the systematic approach to pediatric evaluation by using the initial impression, primary and secondary assessments, and diagnostic tests.
3. Describe priorities and specific interventions for infants and children with respiratory and/or circulatory emergencies.
4. Explain the importance of effective team dynamics during a pediatric resuscitation.
5. Describe the key elements of post-resuscitation management.
6. Perform high-quality CPR.
7. Perform effective respiratory management within your scope of practice.
8. Select and apply appropriate cardiorespiratory monitoring.
9. Select and administer appropriate medications and electrical therapies when presented with arrhythmia scenario.
10. Establish rapid vascular access to administer fluid medications.
11. Demonstrate effective communication and team dynamics both as a team member and as a team leader.

TARGET AUDIENCES:
Primary Audience:
• Physicians
• Pharmacists
• EMTs/Paramedics
• Respiratory Therapists

ACCREDITATION TERMS:

  • CAPCE (EMS Practitioners) – December 31, 2014 – December 30, 2017

ACCREDITATION STATEMENTS:

Continuing Education Accreditation – Emergency Medical Services
This continuing education activity is approved by the American Heart Association, an organization accredited by the CAPCE (Commission on Accreditation for Pre-Hospital Continuing Education), for 14.50 Advanced CEHs, activity number 14-AMHA-F2-0239.

Disclosures for Pediatric Advanced Life Support Provider Course:
I. Successful completion of this CE activity includes the following:
(1) Participation in the classroom course, including completion of all learning stations. 
(2) Complete the written exam with a minimum score of 84%.
(3) Pass the 1- and 2-Rescuer Child BLS With AED and 1- and 2-Rescuer Infant BLS Skills Tests.
(4) Pass 2 PALS core case scenarios (1 cardiac and 1 respiratory or shock) as a team leader, providing appropriate medical treatment and demonstrating effective team dynamics.
(5) Print the Certificate/Statement of Credit.

II. There is no additional fee for CME/CE credits for this activity. 

Disclosure Statement:
As a sponsor accredited by the CAPCE (Commission on Accreditation for Pre-Hospital Continuing Education), the American Heart Association must ensure fair balance, independence, objectivity, and scientific rigor in all of its individually sponsored or joint sponsored educational activities.

Therefore, all faculty and authors participating in continuing education activities sponsored by the American Heart Association must disclose to the audience: (1) any significant financial relationships with the manufacturer(s) of products from the commercial supporter(s) and/or the manufacturer(s) of products or devices discussed in the activity, and (2) unlabeled/unapproved uses of drugs or devices discussed in the activity.  The intent of this disclosure is not to prevent an author with a significant financial or other relationship from contributing but rather to provide participants with information with which they can make their own judgments.  It remains for the participants to determine whether the author’s interests or relationships may influence the content.

I. The following authors/faculty have declared NO financial interest(s) or affiliations:
 Marc Berg, MD
 Allan DeCaen, MD
 Monica Kleinman, MD
 Adam Cheng, MD
 Laura Conley, BS, RRT, RCP, NPS
 Elise Van der Jagt, MD, MPH
 Aaron Donoghue, MD, MSCE
 Melinda Fiedor Hamilton, MD, MSc
 Mary Ann McNeil, NREMT-P
 Cindy Tuttle, RN
 Jeff Berman, MD
 Mary Fran Hazinski, RN, MSN
 Ricardo Samson, MD
 Steve Schexnayder, MD
 Leon Chameides, MD
 Sallie Young, PharmD, BCPS
 Jennifer Ashcraft, RN, BSN, EMT
 Lana Gent, PhD

Unlabeled/unapproved uses of drugs or devices included in this activity:
The majority of resuscitation drugs used in this course are classified as “pediatric orphan drugs,” meaning there are insufficient pediatric data to give FDA-approved endorsement for their use in children, and these uses are therefore considered “off-label.” This includes, but is not limited to, procainamide, etomidate, vasopressin, amiodarone, and the procedures of ECMO and therapeutic hypothermia.

Note on Medication Doses:

Emergency cardiovascular care is a dynamic science. Advances in treatment and drug therapies occur rapidly. Readers are advised to check for changes in recommended dose, indications, and contraindications in the following sources: future editions of the AHA Handbook of Emergency Cardiovascular Care for Healthcare Providers and AHA training materials, as well as the package insert product information sheet for each drug.

Clinical condition and pharmacokinetics may require drug dose or interval dosing adjustments. Specific parameters (for example, creatinine clearance or QT interval) may require monitoring. Some medications mentioned in this activity may not be available in all countries, and may not be specifically approved by regulatory agencies in some countries for a particular indication.

Students with Special Needs:
The American Heart Association does not provide advice to Training Centers on ADA requirements or any other laws, rules or regulations.  Training Centers must determine accommodations necessary to comply with applicable laws.  AHA recommends consultation with legal counsel. 

Core curriculum change requests for accessibility purposes must be scientifically based and approved in advance in writing by the AHA ECC Science & Product Development department; otherwise a student must be able to successfully perform all course requirements (skills and written tests as indicated) to receive a course completion card.  Reasonable accommodations may be made, such as placing the manikin on a table at the height necessary for wheelchair-bound individuals. However the skills must be satisfactorily completed during the testing sessions.

Guidelines for accommodating students with special needs or disabilities may be found in the Program Administration Manual.



Pediatric Advanced Life Support Update Course, ECC Training Centers:

DESCRIPTION:
Pediatric Advanced Life Support (PALS) is a classroom, video-based, instructor-led course that uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

LEARNING OBJECTIVES:
After participating in this activity, participants will be able to:
1. Describe the timely recognition and interventions required to prevent respiratory and cardiac arrest in any pediatric patient.
2. Describe the systematic approach to pediatric evaluation by using the initial impression, primary and secondary assessments, and diagnostic tests.
3. Describe priorities and specific interventions for infants and children with respiratory and/or circulatory emergencies.
4. Explain the importance of effective team dynamics during a pediatric resuscitation.
5. Describe the key elements of post-resuscitation management.
6. Perform high-quality CPR.
7. Perform effective respiratory management within your scope of practice.
8. Select and apply appropriate cardiorespiratory monitoring.
9. Select and administer appropriate medications and electrical therapies when presented with arrhythmia scenario.
10. Establish rapid vascular access to administer fluid medications.
11. Demonstrate effective communication and team dynamics both as a team member and as a team leader.

TARGET AUDIENCES:
Primary Audience:
• Physicians
• Pharmacists
• EMTs/Paramedics
• Respiratory Therapists

ACCREDITATION TERMS:

  • CAPCE (EMS Practitioners) – September 30, 2014 – September 29, 2017
ACCREDITATION STATEMENTS:

Continuing Education Accreditation – Emergency Medical Services
This continuing education activity is approved by the American Heart Association, an organization accredited by the CAPCE (Commission on Accreditation for Pre-Hospital Continuing Education), for 14.50 Advanced CEHs, activity number 14-AMHA-F2-0230.

Disclosures for Pediatric Advanced Life Support Update Course:
I. Successful completion of this CE activity includes the following:
(1) Participation in the classroom course, including completion of all learning stations. 
(2) Complete the written exam with a minimum score of 84%.
(3) Pass the 1- and 2-Rescuer Child BLS With AED and 1- and 2-Rescuer Infant BLS Skills Tests.
(4) Pass 2 PALS core case scenarios (1 cardiac and 1 respiratory or shock) as a team leader, providing appropriate medical treatment and demonstrating effective team dynamics.
(5) Print the Certificate/Statement of Credit.

II. There is no additional fee for CME/CE credits for this activity. 

Disclosure Statement:
As a sponsor accredited by the CAPCE (Commission on Accreditation for Pre-Hospital Continuing Education), the American Heart Association must ensure fair balance, independence, objectivity, and scientific rigor in all of its individually sponsored or joint sponsored educational activities.

Therefore, all faculty and authors participating in continuing education activities sponsored by the American Heart Association must disclose to the audience: (1) any significant financial relationships with the manufacturer(s) of products from the commercial supporter(s) and/or the manufacturer(s) of products or devices discussed in the activity, and (2) unlabeled/unapproved uses of drugs or devices discussed in the activity.  The intent of this disclosure is not to prevent an author with a significant financial or other relationship from contributing but rather to provide participants with information with which they can make their own judgments.  It remains for the participants to determine whether the author’s interests or relationships may influence the content.

I. The following authors/faculty have declared NO financial interest(s) or affiliations:
 Marc Berg, MD
 Allan DeCaen, MD
 Monica Kleinman, MD
 Adam Cheng, MD
 Laura Conley, BS, RRT, RCP, NPS
 Elise Van der Jagt, MD, MPH
 Aaron Donoghue, MD, MSCE
 Melinda Fiedor Hamilton, MD, MSc
 Mary Ann McNeil, NREMT-P
 Cindy Tuttle, RN
 Jeff Berman, MD
 Mary Fran Hazinski, RN, MSN
 Ricardo Samson, MD
 Steve Schexnayder, MD
 Leon Chameides, MD
 Sallie Young, PharmD, BCPS
 Jennifer Ashcraft, RN, BSN, EMT
 Lana Gent, PhD

Unlabeled/unapproved uses of drugs or devices included in this activity:
The majority of resuscitation drugs used in this course are classified as “pediatric orphan drugs,” meaning there are insufficient pediatric data to give FDA-approved endorsement for their use in children, and these uses are therefore considered “off-label.” This includes, but is not limited to, procainamide, etomidate, vasopressin, amiodarone, and the procedures of ECMO and therapeutic hypothermia.

Note on Medication Doses:

Emergency cardiovascular care is a dynamic science. Advances in treatment and drug therapies occur rapidly. Readers are advised to check for changes in recommended dose, indications, and contraindications in the following sources: future editions of the AHA Handbook of Emergency Cardiovascular Care for Healthcare Providers and AHA training materials, as well as the package insert product information sheet for each drug.

Clinical condition and pharmacokinetics may require drug dose or interval dosing adjustments. Specific parameters (for example, creatinine clearance or QT interval) may require monitoring. Some medications mentioned in this activity may not be available in all countries, and may not be specifically approved by regulatory agencies in some countries for a particular indication.

Students with Special Needs:
The American Heart Association does not provide advice to Training Centers on ADA requirements or any other laws, rules or regulations.  Training Centers must determine accommodations necessary to comply with applicable laws.  AHA recommends consultation with legal counsel. 

Core curriculum change requests for accessibility purposes must be scientifically based and approved in advance in writing by the AHA ECC Science & Product Development department; otherwise a student must be able to successfully perform all course requirements (skills and written tests as indicated) to receive a course completion card.  Reasonable accommodations may be made, such as placing the manikin on a table at the height necessary for wheelchair-bound individuals. However the skills must be satisfactorily completed during the testing sessions.

Guidelines for accommodating students with special needs or disabilities may be found in the Program Administration Manual.

Changes: March 2015

Updates Japanese Pediatric Advanced Life Support Provider Manual

Changes: March 2015

Update Japanese PALS Pocket Reference Card

Changes: January 2012

Pediatric Advanced Life Support Provider Manual(PDF)
[ISBN 978-1-61669-112-7, AHA Product Number 90-1052]

To get ECC materials to the people who need them, the American Heart Association joins up with these companies that provide quality customer service and support. 

To order: shop online, call or fax please contact our International Distributors or eBooks

German
90-1318TR    Pediatric Advanced Life Support (PALS) Provider Manual

Japanese
90-2121JP     Pediatric Advanced Life Support (PALS) Provider Manual

Instructor
90-2123JP      Pediatric Advanced Life Support (PALS) Instructor Manual 

90-2124JP      Pediatric Advanced Life Support (PALS) DVD (2)

Portuguese
90-2227BR   Pediatric Advanced Life Support (PALS) Provider Manual

Instructor
90-2229BR   Pediatric Advanced Life Support (PALS) Instructor Manual CD

90-2230BR    Pediatric Advanced Life Support (PALS) DVD (2)

Spanish
90-2326US     Pediatric Advanced Life Support (PALS) Provider Manual     Available in eBook

Instructor
90-2328US     Pediatric Advanced Life Support (PALS) Instructor Manual

90-2329US     Pediatric Advanced Life Support (PALS) DVD (2)