PALS Description

Pediatric Advanced Life Support (PALS) Course Description
 
Pediatric Advanced Life Support (PALS) is a video-based, Instructor-led, advanced course, that focuses on a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation and team dynamics to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.
 
The Heart and Stroke Foundations PALS Course offers:

  • The latest resuscitation science for improved patient outcomes
  • Enriched course content, including simulations, state-of-the-art 3-D animations, video scenarios and thought-provoking examples of real pediatric emergency cases, engaging students in robust dialogue and confirming their understanding of the educational material they have received.
  • Enhanced features that provide course flexibility, by allowing instructors to incorporate local protocols into their training, while still ensuring that all learning objectives are met.

Intended Audience:
 
The Heart and Stroke Foundations Pediatric Advanced Life Support (PALS) Provider Course is designed for healthcare providers who either direct or participate in the management of respiratory and/or cardiovascular emergencies and cardiopulmonary arrest in pediatric patients, as well as others who need a PALS course completion card for job or other requirements.
 
It is highly recommended that only those who will use the skills of PALS within their scope of practice take the PALS Course. All students who meet the prerequisites and successfully pass the PALS course will receive a course completion card. Receipt of a course completion card does not grant permission to practice the skills learned.
 
Course Overview and Design:
 
Scientific evidence has pointed the way toward better content, while educational research has led to improved design of the Pediatric Advanced Life Support (PALS) Provider Course. Both the design and the content of the Heart and Stroke Foundation PALS Provider Course are evidence based.

The PALS Provider Course emphasizes 5 major concepts:

  • Identification and treatment of problems that place the child at risk for cardiac arrest
  • Application of a systematic approach to pediatric assessment
  • Use of the evaluate-identify-intervene sequence
  • Use of PALS algorithms and flowcharts
  • Demonstration of effective resuscitation team dynamics

The course is designed to give students the opportunity to acquire, practice, and demonstrate proficiency in the assessment and management of critically ill pediatric patients. The primary educational methodology used in the course is that of simulation, whether for skill acquisition, complex medical decision making, or teamwork. Other modalities used are video demonstration and group discussion.

Students will have the opportunity to learn, practice and demonstrate proficiency in the following skills:

  • Perform high-quality cardiopulmonary resuscitation (CPR) per Heart and Stroke
  • Foundation basic life support (BLS) recommendations
  • Differentiate between patients who do and do not require immediate intervention
  • Recognize cardiopulmonary arrest early and begin CPR within 10 seconds of recognition
  • Apply team dynamics
  • Differentiate between respiratory distress and failure
  • Perform early interventions for respiratory distress and failure
  • Differentiate between compensated and decompensated (hypotensive) shock
  • Perform early interventions for the treatment of shock
  • Differentiate between unstable and stable patients with arrhythmias
  • Describe clinical characteristics of instability in patients with arrhythmias
  • Implement post–cardiac arrest management

Students will practice the application of these and other skills in simulated cases and will practice both Team Leader and team member roles.
 
PALS Course Duration: Course durations provided are based upon a student-instructor ratio for learning stations of 6:1, and does not include additional times needed for breaks or transitions, or additional students.
 
Provider Course - Approximate course duration: 13 hours 40 minutes
PALS Renewal Course - Approximate course duration: 7 hours and 40 minutes
 
Course completion card expiration date:
 
All Heart and Stroke Foundation PALS course completions cards have an expiration date of two (2) years from the date of completion

PALS Provider Course Prerequisites:
 
Students who take the full PALS Course, must have a current Heart and Stroke Foundation BLS course completion card, complete the mandatory Precourse Self-Assessment and be proficient in the following:
 

  • Performing high-quality BLS skills through the use of the 2015 Guidelines Update for CPR and ECC
  • Identify—on a monitor and/or paper tracing—the following rhythms and rhythm disturbances:
    • Normal sinus rhythm
    • Sinus bradycardia
    • Sinus tachycardia
    • Supraventricular tachycardia
    • Ventricular tachycardia
    • Asystole
    • Ventricular fibrillation.
  • Demonstrate a basic understanding of the essential drugs used in the management of:
    • Cardiac arrest
    • Bradycardia
    • Tachycardia
  • Be able to combine ECG rhythm recognition and pharmacology

Students are given direction on how to access the Student website in their PALS Provider Manual. The student website provides important supplementary information and videos, as well as a link to the Precourse Self- Assessment. The mandatory Precourse Self-Assessment requires a passing score of 70% or higher to print the certificate. Students can take the Precourse Self-Assessment as many times as needed to achieve a passing score.
 
PALS Renewal Course Prerequisites:

Students who take the PALS Renewal Course, must have a current Heart and Stroke Foundation BLS course completion card, complete the mandatory Precourse Self-Assessment and be proficient in the following:
 

  • Performing high-quality BLS skills through the use of the 2015 Guidelines Update for CPR and ECC
  • Identify—on a monitor and/or paper tracing—the following rhythms and rhythm disturbances:
    • Normal sinus rhythm
    • Sinus bradycardia
    • Sinus tachycardia
    • Supraventricular tachycardia
    • Ventricular tachycardia
    • Asystole
    • Ventricular fibrillation.
  • Demonstrate a basic understanding of the essential drugs used in the management of:
    • Cardiac arrest
    • Bradycardia
    • Tachycardia
  • Be able to combine ECG rhythm recognition and pharmacology

Students are given direction on how to access the Student website in their PALS Provider Manual. The student website provides important supplementary information and videos, as well as a link to the Precourse Self- Assessment. The mandatory Precourse Self-Assessment requires a passing score of 70% or higher to print the certificate. Students can take the Precourse Self-Assessment as many times as needed to achieve a passing score.

PALS renewal course students should have a current Heart and Stroke Foundation PALS provider course completion card. When a student is unable to present a course completion card, at the discretion of the instructor, a student who frequently uses the skills and knowledge of PALS in their workplace or related volunteer activities may be admitted. If that student does not successfully complete the recertification course, without remediation, they will be required to attend a full PALS provider course.
 
Required Student Materials:

Only Heart and Stroke branded PALS materials are accepted for use in courses where a Heart and Stroke Foundation PALS completion card is issued.

Student resources can be conveniently purchased at Heart Shop, our online store: https://resuscitation.heartandstroke.ca/heartshop. You can shop as a guest or log into your Resuscitation portal account to set up a Heart Shop account.

Required Student Materials:

  • Provider Manual- print or eBook (RE6100E or RE6100ED)
  • 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers – print (RE0120E) or eBook(RE0120ED)
  • Provider Bundle (RE6108E) Includes Provider Manual-RE6100 & ECC Handbook -RE0120E  
  • Pocket Reference Card – print (RE6103E) or digital (RE6103ED) – Included in Provider manual and sold separately.

Optional General Materials:

  • Poster Set (RE6105E)
  • Emergency Crash Cart Card Set (RE6106E)

 
PALS Instructor Course
 
The ideal Heart and Stroke Foundation Instructor-Candidate:

  • Is motivated to teach
  • Is motivated to facilitate learning
  • Is motivated to ensure that students acquire the skills necessary for successful course  completion
  • Views student assessment as a way to improve individual knowledge and skills

 
Prerequisites
 
All PALS Instructor-Candidates must have a current Heart and Stroke Foundation BLS course completion card and a Heart and Stroke Foundation PALS provider card. All Instructor-Candidates must complete an application process.
 
Course Description
 
The PALS Instructor Course has two modules, the Core Instructor Course and the Specific module on PALS course delivery and materials. The Core Instructor Course is a foundation course required by all Heart and Stroke Foundation Instructor-Candidates. The course teaches Instructor-Candidates how to apply effective communication techniques, manage the classroom environment, and promote knowledge and skill transfer and retention. The specific PALS module introduces the Instructor-Candidate to the educational materials and course outlines utilized in the delivery of the Heart and Stroke Foundation PALS provider and renewal course.
 
Mandated Instructor-Candidate Materials:

Only Heart and Stroke branded PALS materials are accepted for use in courses where a Heart and Stroke Foundation PALS completion card is issued.
 
There are three Instructor kits available or you can purchase the products separately.  All materials for Heart and Stroke Foundation PALS instructors are currently available through the Heart and Stroke Foundation’s e-Store Heart Shop. Instructor materials must be ordered for Instructor-Candidates by the Course coordinator of your Instructor course.
 
Required Instructor-Candidate Materials:

  • Provider Manual- print or eBook (RE6100E or RE6100ED)
  • 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers – print (RE0120E) or eBook(RE0120ED)
  • Instructor Manual- print (RE6101E) or eBook (RE6101ED)
  • Course DVD Set (RE6104E)

Optional General Materials:

  • Poster Set (RE6105E)
  • Emergency Crash Cart Card Set (RE6106E)
  • Provider
  • Pocket Reference Card – print (RE6103E) or digital (RE6103ED) – Included in Provider manual and sold separately.

Optional Instructor Kits:

  • Instructor Kit Gold (RE6107E-Gold)

2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers |PALS Instructor Manual |PALS Provider Manual |PALS Pocket Reference Card |PALS DVD set |PALS Poster Set |PALS Emergency Crash Cart Cards

  • Instructor Kit Silver (RE6107E-Silver)

Instructor Manual |Provider Manual| PALS DVD Set

  • Instructor Kit Bronze (RE6107E-Bronze)

Instructor Manual |Provider Manual
 

PALS Instructor Guidelines Update
 
The Instructor Guideline Update is a requirement by all active, registered Heart and Stroke Foundation Instructors and Instructor-Candidates (BLS, First Aid, ACLS, and PALS) to complete. The Instructor Guidelines Update process occurs in conjunction with the Guidelines for CPR and Emergency Cardiovascular Care updates (approximately every 5 years). The Instructor Guidelines update introduces instructors to changes in the guidelines and the rationale for those changes, and the revised educational delivery techniques used in new course materials.