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The goal of Pediatric Advanced Life Support (PALS) is to save a life. It is for a child or infant who is serious injury or illness. Your action can be the difference between life and death. Pediatric Advanced Life Support (PALS) are a series of rules to guide helpers to safe life. These rules are simple to learn and use in difficult time. PALS rules made after careful case studies and research work.

Properties Pediatric Advanced Life Support (PALS)

There is a gold standard of this method using in many countries. The AHA has published this method. After every five years the AHA updates the standard of CPR and ECC. The proper use of Pediatric Advanced Life Support (PALS) needs quick and perfect analysis of the child or infant. The quick response will help the child for better saving of life. This is not only for initial assessment. This is also for reassessment of the child. This is in the rules of PALS.

A Systematic Approach

If you find any child who is suffering then it is not possible to give fast help. You need to act quickly and check which method fit the needs of the child. Properties Pediatric Advanced Life Support (PALS) give complete information regarding any hard situation. There are many causes for a child or an infant to become suffer.

The main issue is to check the blood pumping and supply of oxygen. If the child is feeling to get poor oxygen then CPR is compulsory. It will help the child to set his heart and lungs. If the child is fine with heart and lungs and does not suffer then proper treatment is compulsory without CPR.

It is necessary to check normal breath from gasping. Gasping means in effective breathing. It is similar to pulses that are not same. The rule of thumb is that 60 beats per minute of a child will maintain the breathing.

Initial Assessment: Diagnose & Treat

If you are in phase of care and the child is out of danger. This means that you have enough time to check the cause of problem. You can easily sort out the treatment which is better for the child to save his life. Always be ready for any problem regarding heart and lungs. To maintain them high quality CPR is necessary. The AHA suggests following the ABCDE method when making initial assessment.


Try to check the airway level and use the possible method to clear the airway path. If the airway is without any hurdle then move on to breathing.


If the child or infant is not breathing properly then it creates the problem for him. To maintain his breathing lung arrest is compulsory.


The assessment of blood movement in child or infants is very much important. It is more important than pulse and blood pressure. The color and temperature of the skin can help to assess the movement. Pale or blue skin indicates poor tissue breathing. Capillary refill time is also a useful assessment in child or infants.

The skin will quickly refill with blood after by bending the tip of the finger at the nail bed. Other skin tissues will take longer than two seconds to respond. Cool skin can also suggest poor movement of blood.

The normal heart rate and blood pressure in child or infant is different than in adults. Heart rates are also slower when children and infants are asleep. Most centers have different ranges of heart rates for a given age. The main goal is to follow the international standard.


Disability problem is mainly going to the brain system in PALS. There is a four level scale to get the level of disability information.

Pupillary response to light is also a fast and useful way to assess brain function. Brain function assessments include the AVPU response scale and the GCS. A special GCS is using for children and infants and takes growing differences into account


If the child or infant is suffering from pain then exposure is most important method to help. It reminds the helper to look for signs of trauma, burns, fractures or any other cause of problem. The fever and color can provide information about the child or infants heart problem.

It also gives information about breathing problem as well. If time allows then the helper can also look for more like marks. This method also helps the helper that fever of the child or infant’s body increases as compare to adults. It is important to check the whole body to diagnose.

Second Assessment: Diagnose & Treat

You have done with the ABCDE method and the child or infant has not recovered yet. Second assessment is ready to take to check the child. It includes a brief history and physical examination of the child and his family. After taking history you can follow the method of SPAM. The history of the child will help you to treat him well. Key point is that it is best to work from head to toe to complete the examination.

Life Threatening Issues

If you are feeling that the child or infant is near to death then support breathing and heart function fatly. It usually means to provide high quality CPR. It is important to check the basic cause of problem. The short time will cause serious problem. For the child or infant there is no time to check the main cause.

The child or infant could not bear problems regarding heart or lungs. When they maintain their breathing and blood movement then check in detail. Properties Pediatric Advanced Life Support (PALS) give all the information regarding respiratory arrest, bradycardia, tachycardia, and shock or heart arrest etc.