PALS: SYSTEMATIC APPROACH

Question 1

Three characteristics of the initial impression

Answer 1

Level of conciousness
Breathing
Colour

Question 2

Characteristics of Level of Conciousness

Answer 2

Unresponsive
Irritable
Alert

Question 3

Characteristics of breathing

Answer 3

Abnormal breath sounds
Abnormal breathing patterns
Accessory Muslce use

Question 4

Characteristics of Colour

Answer 4

Cyanosis
Pallor
Mottling

Question 5

This initial impression of consciousness, breathing, and color helps to answer the following question

Answer 5

“Is the child unresponsive with no breathing or only gasping?”

Question 6

If there is no normal breathing, no pulse felt, what is the next step?

Answer 6

Initiate the pediatric cardiac arrest algorithm: begin CPR

Question 7

If there is NO breathing, with a pulse , what is the next step?

Answer 7

Open the airway and provide ventilations and oxygen.

Attach to monitor, pulse Ox

Question 8

After providing ventilations and oxygen, if the pulse is < 60/min with poor perfusion, what is the next step?

Answer 8

Initiate the Pediatric Cardiac Arrest Algorithm: begin CPR

Question 9

If the child is responsive and no immediate
intervention needed, what is the next steps

Answer 9

Support A-B-Cs
Give oxygen
Monitor pulse and spO2

Evaluate - Identify - Intervene

Question 10

What does Evaluate comprise of?

Answer 10

Primary survey
Secondary survey
Diagnostic Testing

Question 11

What are the specific problems in Identify?

Answer 11

Respiratory Problem
Circulatory Problem
Cardiopulmonary Failure
Cardiac Arrest

Question 12

How long do you Evaluate - Identify - Intervene

Answer 12

Until the child is stable