American Heart Association
Guidelines 2000 Rollout 

Pediatric Advanced Life Support Workshop 

Welcome and Introduction: 10 minutes

Welcome and Introduction of Faculty, Overview of Workshop Agenda, 
Handouts and Reference to ECC Handbook: 10 minutes                                                 

Video:  Educational Principles and Core Learning Activities: 10 minutes     

Video-mediated update:  Lecture-based to skill-based training: 10 minutes

Overview of the PALS provider course and training materials:  50 minutes

PowerPoint presentation: 40 minutes 
Questions and answers: 10 minutes

Video-Mediated Demonstration of Skill Practice: 10 minutes     

Video-mediated instruction of skills to be practiced in small groups: 10 minutes

• Bag-mask rescue breathing using E-C clamp technique

• One-rescuer

• Two-rescuer

• Two-rescuer infant CPR with two thumb–encircling hands compression

• Endotracheal intubation with exhaled CO₂ secondary confirmation

• Demonstration of laryngeal mask airway (LMA)

• Rhythms (10 seconds each)

• Wide-complex tachycardia (for introduction of medications such as amiodarone or procainamide (not both)

• Narrow-complex tachycardia (for consideration of vagal maneuvers in SVT)

• Asystole (for de-emphasis of high-dose epinephrine)

• Ventricular fibrillation (for rapid defibrillation and consideration of special resuscitation circumstances)

• Torsades de pointes (for consideration of magnesium)

• Automated External Defibrillator (AED) demonstration

Break: 10 minutes

Scenario Peer Practice:  50 minutes      

Facilitated Skill stations: Practice of skills in small groups: 10 minutes per station plus switches

• Basic Airway

• Bag-mask rescue breathing using E-C Clamp technique

• One-rescuer and Two-rescuer

• Two-rescuer infant CPR: two thumb–encircling hands 

• Advanced Airway

• Endotracheal intubation with exhaled CO₂ secondary confirmation

• Demonstration of laryngeal mask airway (LMA)

• DOPE mnemonic (Displacement, Obstruction, Pneumothorax, Equipment)

• Rhythm

• Introduction of vagal maneuvers (ice to face of infant)

• Wide-complex tachycardia (for introduction of amiodarone or procainamide) 

• Narrow-complex tachycardia (for consideration of vagal maneuvers in SVT)

• Asystole (for de-emphasis of high-dose epinephrine)

• Ventricular fibrillation  (for consideration of special resuscitation circumstances)

• Torsades de pointes (for consideration of magnesium)

• Automated External Defibrillator (AED) demonstration

• Hands-on practice and caveats for <8 years

Putting It All Together: 15 minutes

Pulseless arrest algorithm: PEA/Asystole:  5 minutes
Pulseless arrest algorithm: ventricular fibrillation:  5 minutes
Tachycardia with poor perfusion: 5 minutes

Questions and Discussion: 15 minutes      

Discussion of science:  Currents pages 17-22:  15 minutes

Evaluation of Rollout: 10 minutes      

Total Workshop Time:  3 hours

Equipment for Rollout 

The rollout should be conducted at a maximum 8:1 student-instructor ratio for skill stations 

For each class you should have the following: 

•    Video projector with screen or large screen TV for smaller groups

•    VCR

•    Data projector or overhead projector

•    Laptop (if data projector is used)

•    A large room capable of holding all attendees

•    Appropriate breakout areas

•    Standard precautions setups (gloves, eye protection)

• Basic Life Support with manikin                                                                 

• Pediatric and/or infant manikin

• Self-inflating pediatric bag-mask rescue breathing apparatus including appropriate size masks

• Suction apparatus

• Advanced Airway

• Self-inflating pediatric bag-mask rescue breathing apparatus including appropriate size masks

• Pediatric intubation head or manikin

• Endotracheal intubation equipment

• Exhaled CO₂ secondary confirmation (disposable required, capnometer optional)

• Laryngeal mask airway (LMA)

• Suction apparatus

• Rhythm

• Monitor/defibrillator (arrhythmia simulator)

• Ice/water in plastic bag or disposable glove to demonstrate vagal maneuvers (ice to face of infant)

• Infant manikin

• Drinking straws

• ECC Handbook opened to Pediatric Algorithms

• Automated External Defibrillator (AED) demonstration

• AED or AED trainer and electrode pads

• ECC Handbook opened to AED page

  ---

Other PALS 2000 Class Resources

Additional PALS Material for the Instructor Rollout,
Template for PALS Class,
PALS Textbook, and
Analysis of the PALS Science

SEE ALSO: PBLS (Pediatric Basic Life Support)
Ethical Aspects of CPR and ECC,
Adult BLS (Basic Life Support),
and ACLS (Advanced Cardiac Life Support)

Return to ACUTE CARE, INC. home page