Did PALS Get It Right?

Join Dr. Peter Antevy and special guest Dr. Mark Piehl as they examine the updated PALS 2020 guidelines. Using their combined expertise in EMS, PEM and PICU, this dynamic duo covered the following topics and evaluated the evidence base that helped drive the recommendations:
- Ventilation Rates in Cardiac Arrest
- BLS Airway Maneuvers
- Advanced Airways
- Fluid Management in Shock
- Bradycardia with Poor Perfusion
- Trauma Resuscitation
More than 20,000 pediatric cardiac arrests occur in the United States each year and having a strong understanding of the evidence base will allow you to make sound decisions for your EMS system or hospital. Outcomes for pediatric out-of-hospital cardiac arrest (POHCA) remain dismal and have not shown substantial improvements for decades. Together, let’s turn this around. Let’s make a difference.
Please watch this video and let us know your feedback. 1.5 CEUs are still available by creating a free account on www.ProdigyEMS.com and enrolling into this webinar.

[@miguelpedraza9075]

Good morning Dr Antevy.
First of all, congratulations to you and Dr. Mark for this excellent video.
My question is, and if you can please answer me, if they had ventilated 10 breaths per minute, the mortality in the group of patients with bradycardia/hypoperfusion, A/PEA, or VF/VT, would have been lower.
That is, greater survival in those patients ventilating according to AHA standards of that time.
Thank you so much.
Dr. Miguel Pedraza, Argentina.

[@DeltaFoxtrotWhiskey3]

I don't get why, at 1:08:05 the list of recommendations has number one rated at 1 C-LD. Reassessing a patient after performing any intervention would seem to be deserving of one of those 1A ratings.

[@miguelpedraza9075]

Cont.
Or even greater survival in the two previous groups

[@tommyvelar4865]

Dr. Antevy, as it resorts to working pediatric arrests on scene, what would your opinion be about moving the child from the house to the truck, and then continuing resuscitation while parked and sitting still? Do you feel this extra time to walk back to the truck to be detrimental?Reason being some locations aren’t ideal, be it crowds of family, cramped spaces, etc?

[@TheHandtevy]

Tommy, if the situation is not ideal as you mentioned it’s 100% acceptable to move them to the truck and work them there without moving. We had a case like this last week. If, however, the scene is safe and someone can speak to the family member it’s best to work the arrest right where they are, similar to what we do for adults. Early HP-CPR and early Epi (less than 5 min) are critical. Thanks for your comment.