Summary of Our AHA PALS Course:

  • Besides the Basic Life Support, BLS and Advanced Cardiovascular Life Support, ACLS Courses, we also offer the Pediatric Advanced Life Support, PALS Course.
  •    This course is offered in our College STRICTLY under the GUIDELINES of the American Heart Association, AHA.
  • All the course work, teaching materials(manuals) are from the AHA. ALL the information presented in the PALS Course outline below is adapted from the AHA PALS Provider Manual.
  • Our Instructors are certified by the AHA and validity of their credentials can be confirmed on the AHA Instructor Network on their website.

PALS Target Group:

  • PALS aims to provide the requisite advanced knowledge and skills to those healthcare providers who are directly involved in offering critical cardiovascular care to pediatric patients both in in-hospital and out-of-hospital settings.
  • It’s very beneficial to those who work in ICU, CCU, HDU, etc.
  • The target group also includes Emergency Medical Technicians (EMTs), Paramedics, Nurses, Clinical Officers, Doctors, etc.

Course Cost and Duration:

  • The PALS Course takes three (3) days and cost twenty-five thousand (25,000) shillings.
  • It’s an intensive 0800hrs-1700hrs course for the three days.

Certification and Certificate Validity

  • Certificates are issued by the AHA, and are issued immediately after completion of the course (last day of training)
  • Certificates are valid for two (2) years from the date of issue

PALS Recertification

  • After the expiry of the PALS certificate, one is required to recertify. This simply means that one has to redo the course because of the periodic emergency cardiovascular care guidelines and updates from the American Heart Association which also demand that healthcare providers should be retrained and recertified.
  • Charges are the same as the initial class
  • Recertification is usually done after course completion
  • Recertification is also issued by the AHA

Pediatric Advanced Life Support Provider Course

Part 1: Course Overview

Course Objectives

Goal of the PALS Provider Course

Learning Objectives

Course Description

Pre course Preparation

Pre course Self-Assessment and Pre course Work

BLS Skills

ECG Rhythm Identification

Basic Pharmacology

Practical Application of Knowledge to Clinical Scenarios

Course Materials4

PALS Provider Manual

PALS Reference Card

PALS Student Resources

Course Completion Requirements

Science Update

Major Science Changes in 2020

Respiratory Rate

Cuffed Endotracheal Tubes

Cricoid Pressure

Early Epinephrine

Diastolic Blood Pressure to Guide CPR

Seizures After Cardiac Arrest

Septic Shock

Opioid Overdose

The Chain of Survival


Chain of Survival Elements


Part 2: Review of BLS and AED for Infants and Children

Learning Objectives

BLS for Infants and Children

Pediatric BLS Algorithm for Healthcare Providers—Single Rescuer

Infant and Child 1-Rescuer BLS Sequence

Infant/Child Chest Compressions

Infant/Child Breaths

Pediatric BLS Algorithm for Healthcare Providers—2 or More Rescuers

Infant and Child 2-Rescuer BLS Sequence

AED for Infants and Children Younger Than 8 Years

Be Familiar with the AED Equipment in Your Setting

Delivering a Pediatric Shock Dose

Choosing and placing the AED Pads

Using an AED for Infants

Part 3: High-Performance Teams

High-Performance Team Roles and Dynamics

Roles in a High-Performance Team

Elements of Effective Team Dynamics as Part of a High-Performance Team


Part 4: Systematic Approach to the Seriously Ill or Injured Child

Learning Objective

Initial Assessment to Identify a Life-Threatening Condition

Identify a Life-Threatening Condition and Act

Initial Assessment



Circulation (Color)





Continuous Sequence

Primary Assessment






Secondary Assessment

H’s and T’s

Focused History

Focused Physical Examination

Ongoing Reassessment

Diagnostic Assessments

Arterial Blood Gas

Venous Blood Gas

Capillary Blood Gas

Hemoglobin Concentration

Arterial Lactate

Invasive Arterial Pressure Monitoring

Near-Infrared Spectroscopy

Chest X-Ray



Part 5: Recognizing and Managing Cardiac Arrest

Learning Objective

Rapidly Intervene to Prevent Cardiac Arrest

Life-Threatening Problems


Cardiac Arrest in Infants and Children

Survival Rates from Pediatric Cardiac Arrest

Definition of Cardiac Arrest

Pathways to Cardiac Arrest

Hypoxic/Asphyxial Arrest

Sudden Cardiac Arrest

Causes of Cardiac Arrest

Identifying a Child at Risk for Cardiac Arrest

Recognizing Cardiac Arrest

Arrest Rhythms

Managing Cardiac Arrest

High-Quality CPR

Monitoring for CPR Quality

PALS in Cardiac Arrest

Pediatric Cardiac Arrest Algorithm

Part 6: Effective High-Performance Team Dynamics

Learning Objective

Roles in a High-Performance Team

Team Leader Role

Team Member Roles

Elements of Effective High-Performance Team Dynamics

Clear Roles and Responsibilities

Knowing Your Limitations

Constructive Interventions


Summarizing and Reevaluating

Part 7: Recognizing Respiratory Distress and Failure

Learning Objective

Fundamental Issues Associated with Respiratory Problems

Impaired Oxygenation and Ventilation in Respiratory Problems

Physiology of Respiratory Disease

Identifying Respiratory Problems by Severity

Respiratory Distress

Respiratory Failure

Auscultation With a Stethoscope

Identifying Respiratory Problems by Type

Upper Airway Obstruction

Lower Airway Obstruction

Airway Obstruction and Respiratory Rate

Lung Tissue Disease

Disordered Control of Breathing

Summary: Recognizing Respiratory Problems Flowchart

Part 8: Managing Respiratory Distress and Failure

Learning Objective

Rescue Breathing

Respiratory Arrest

Rescue Breathing

Initial Management of Respiratory Distress and Failure

Principles of Targeted Management

Managing Upper Airway Obstruction

General Management of Upper Airway Obstruction

Specific Management of Upper Airway Obstruction by Etiology

Managing Lower Airway Obstruction

General Management of Lower Airway Obstruction

Specific Management of Lower Airway Obstruction by Etiology

Managing Lung Tissue Disease

General Management of Lung Tissue Disease

Specific Management of Lung Tissue Disease by Etiology

Managing Disordered Control of Breathing

General Management of Disordered Control of Breathing

Specific Management of Disordered Control of Breathing by Etiology

Summary: Managing Respiratory Emergencies Flowchart

Resources for Managing Respiratory Emergencies

Bag-Mask Ventilation


Oropharyngeal Airway

Oxygen Delivery Systems


Metered-Dose Inhaler

Pulse Oximetry

Endotracheal Intubation

Part 9: Recognizing Shock

Learning Objective

Defining Shock

Pathophysiology of Shock

Components of Tissue Oxygen Delivery

Stroke Volume

Compensatory Mechanisms

Effect on Blood Pressure

Identifying Shock by Severity (Effect on Blood Pressure)

Compensated Shock

Hypotensive Shock

Identifying Shock by Type

Hypovolemic Shock

Distributive Shock

Cardiogenic Shock

Obstructive Shock

Recognizing Shock Flowchart

Part 10: Managing Shock

Learning Objective

Goals of Shock Management

Warning Signs

Fundamentals of Shock Management

Optimizing Oxygen Content of the Blood

Improving Volume and Distribution of Cardiac Output

Reducing Oxygen Demand

Correcting Metabolic Derangements

General Management of Shock

Components of General Management

Fluid Resuscitation

Summary: Initial Management Principles

Fluid Therapy

Isotonic Crystalloid Solutions

Colloid Solutions

Rate and Volume of Fluid Administration

Rapid Fluid Delivery

Frequently Reassess During Fluid Resuscitation

Indications for Administering Blood Products

Complications of Rapid Administration of Blood Products


Glucose Monitoring

Diagnosing Hypoglycemia

Managing Hypoglycemia

Management According to Type of Shock

Managing Hypovolemic Shock

Managing Distributive Shock

Managing Septic Shock

Managing Anaphylactic Shock

Managing Neurogenic Shock

Managing Cardiogenic Shock

Managing Obstructive Shock

Managing Shock Flowchart

Resources for Managing Circulatory Emergencies

Intraosseous Access

Color-Coded Length-Based Resuscitation Tape

Part 11: Recognizing Arrhythmias

Learning Objective

Bradycardia Definitions

Recognizing Bradycardia

Signs and Symptoms of Bradycardia

ECG Characteristics of Bradycardia

Types of Bradyarrhythmias


Recognizing Tachyarrhythmias

Effect on Cardiac Output

Classifying Tachycardia and Tachyarrhythmias

Part 12: Managing Arrhythmias

Learning Objective

Principles of Managing Pediatric Arrhythmias

Management: Pediatric Bradycardia with a Pulse


Consider Transthoracic/Transvenous Pacing

Identify and Treat Underlying Causes

Pulseless Arrest

Managing Tachyarrhythmias

Pulseless Arrest Initial Management Questions

Initial Management Priorities

Emergency Interventions

Summary of Emergency Interventions

Pediatric Tachycardia with a Pulse Algorithm

Pharmacologic Conversion

Part 13: Post–Cardiac Arrest Care

Learning Objective

Goals of Therapy

Primary Goals

Post–Cardiac Arrest Care Checklist

Respiratory System

Management Priorities

General Recommendations

Cardiovascular System

Management Priorities

General Recommendations

Treatment of Shock

Administer Maintenance Fluids

Neurologic System

Management Priorities

General Recommendations