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Facts about Pediatric Advanced Life Support and CPR Columbus Classes



Even children and infants can be at the receiving end of cardiac emergencies. A victim would require immediate treatment for survival and the only form of appropriate treatment is proper application of the life-saving CPR techniques that comprises chest compressions and rescue breaths.
If you belong to the Columbus region in Ohio, you can sign up for a program at the AHA certified CPR Columbus where certified instructors conduct the classes through a series of audio and video lectures and hands-on practice. There are courses for both healthcare and non-healthcare providers. Today, we are going to focus on a PALS class Columbus. 

PALS Training Classes- This American Heart Association Pediatric Advanced Life Support certification course is designed for healthcare/emergency professionals who work in emergency departments, pediatric intensive care units, anesthesia units, pediatric surgery units, acute care units at children’s hospitals, pediatric sedation dentistry, etc. Common vocations that are required to get this certification include pediatricians, pediatric dentists, paramedics, anesthesiologists, emergency department nurses and physicians, PICU RNs, Operating Room RNs, Children’s Hospital faculty, physician assistants, medical residents, and many more. The focus of this course is teaching assessment skills and treatment of the acutely ill or injured pediatric patient.
The program fee is $297.



Significance of PALS Classes:
1.      The goal of Pediatric Advanced Life Support (PALS) is to save a life. For a child or infant experiencing serious injury or illness, your action can be the difference between life and death. PALS is a series of protocols to guide responses to life-threatening clinical events. These responses are designed to be simple enough to be committed to memory and recalled under moments of stress.
2.      PALS guidelines have been developed from thorough review of available protocols, patient case studies, and clinical research; and they reflect the consensus opinion of experts in the field.

3.      AHA updates the guidelines for CPR and Emergency Cardiovascular Care every five years. Proper administration of the PALS procedures requires rapid and accurate assessment of the child or infant’s clinical condition and selection and delivery of the appropriate intervention for the given situation which apart from applying to the provider’s initial assessment of a child or an infant in distress, also applies to the reassessment throughout the course of treatment utilizing PALS guidelines.
4.      PALS algorithms are based on current understanding of best practice to deliver positive results in life-threatening cases and are intended to achieve the best possible outcome for the child or the infant during an emergency.

If you come across a child or an infant who is experiencing a life-threatening emergency, support his or her breathing and cardiovascular function immediately which usually means providing high-quality CPR. While you maintain breathing and circulation for them, determine if they are primarily experiencing respiratory distress/arrest, bradycardia, tachycardia, shock, or cardiac arrest.

Post-resuscitation Care:
Post-resuscitation care is of extreme importance if a patient has a Return of Spontaneous Circulation (ROSC) which is meant to optimize ventilation and circulation, preserve organ/tissue function, and maintain recommended blood glucose levels. The initial PALS process helps to stabilize a patient during a life-threatening event.

CARDIOVASCULAR SYSTEM
1.      Arterial blood gas (ABG) and correct acid/base disturbances
2.      Hemoglobin and hematocrit (transfuse or support as needed)
3.      Heart rate and rhythm (continuously monitor)
4.      Blood pressure (continuously monitor with arterial line)
5.      Central venous pressure (CVP)
6.      Urine output
7.      Chest X-ray
8.      12 lead ECG
9.      Consider echocardiography

10.  Maintain appropriate intravascular volume
11.  Treat hypotension (use vasopressors if needed and titrate blood pressure)
12.  Pulse oximetry (continuously monitor)
13.  Maintain adequate oxygenation (saturation between 94% and 99%)
14.  Correct metabolic abnormalities (chemistry panel)

RESPIRATORY SYSTEM
1.      Chest X-ray to verify ET tube placement
2.      Arterial blood gas (ABG) and correct acid/base disturbance
3.      Pulse oximetry (continuously monitor)
4.      Heart rate and rhythm (continuously monitor)
5.      End-tidal CO2 (if the patient is intubated)
6.      Maintain adequate oxygenation (saturation between 94% and 99%)
7.      Maintain adequate ventilation to achieve PCO2 between 35 to 45 mm Hg unless otherwise indicated.
8.      Intubate if:

a.      Oxygen and other interventions do not achieve adequate oxygenation
b.      Needed to maintain a patent airway in the child with decreased level of consciousness
c.       Ventilation is not possible through non-invasive means, e.g., continuous positive airway pressure (CPAP)
9.      Control pain with analgesics and anxiety with sedatives (e.g. benzodiazepines)
To know more or to sign up for a program, contact CPR Columbus.
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