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Pediatric Advanced Life Support


Target Group:


The Heart and Stroke  Pediatric Advanced Life Support (PALS) Provider Course is designed for healthcare providers who either direct or participate in the management of respiratory and/or cardiovascular emergencies and cardiopulmonary arrest in pediatric patients, as well as others who need a PALS course completion card for job or other requirements.


It is highly recommended that only those who will use the skills of PALS within their scope of practice take the PALS Course. All students who meet the prerequisites and successfully pass the PALS course will receive a course completion card. Receipt of a course completion card does not grant permission to practice the skills learned.

About PALS:


The PALS course is designed to give students the opportunity to acquire, practice, and demonstrate proficiency in the assessment and management of critically ill pediatric patients. The primary educational methodology used in the course is that of simulation, whether for skill acquisition, complex medical decision making, or teamwork. Other modalities used are video demonstration and group discussion. Both the design and the content of the Heart and Stroke PALS Provider Course are evidence based. JREMS uses high fidelity siulators (SimJR and SimBabay) to enhance the learners experience in a medium to high fidelity environment similar to that of an Emergency Department  or IMCU.




Full Course approximately 14-16 hours depending on class size. Renewals approximately 7-9 hours depending on class size

NEW - PALS Provider has now moved to a blended format ( e-learning at your own pace plus a skills day.)  This is called PALS Blended Provider Course and teaches the same curriculum and hones the same skills as our traditional, instructor-led course – but on average, it takes less time to complete. The PALS Blended Provider Course is divided into two parts:

Part 1: Online: a self-paced, cognitive learning and assessment program with easy access to a rich array of resources, activities, learning videos, knowledge checks and an electronic exam. Once you have completed the first part of the program you will move on to the in-person portion. 

Part 2: In-class: an instructor-led, classroom-based session where you will benefit from ample opportunity for hands-on skills practice, expert coaching, debriefing, team scenarios and comprehensive skills testing.



  • Perform high quality BLS in Pediatric Advanced Life Support, reflecting the 2020 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC)

  • Differentiate between patients who do and do not require immediate intervention

  • Recognize cardiopulmonary arrest early and begin CPR within 10 seconds of recognition

  • Apply team dynamics

  • Differentiate between respiratory distress and failure

  • Perform early interventions for respiratory distress and failure

  • Differentiate between compensated and decompensated (hypotensive) shock

  • Perform early interventions for the treatment of shock

  • Differentiate between unstable and stable patients with arrhythmias

  • Describe clinical characteristics of instability in patients with arrhythmias

  • Implement post–cardiac arrest management

Course Prerequisites:


Participants must prepare adequately to enable successful completion of the PALS Provider Course. These courses do not teach BLS skills, interpretation of rhythm strips, or basic PALS pharmacology.  Prior to the course the participants must complete the  PALS pre-course self assessment and already be proficient through self or peer study in the following:

  • Performing high-quality BLS skills through the use of the 2020 Guidelines Update for CPR and ECC

  • Identify—on a monitor and/or paper tracing—the following rhythms and rhythm disturbances:

    • Normal sinus rhythm

    • Sinus bradycardia

    • Sinus tachycardia

    • Supraventricular tachycardia

    • Ventricular tachycardia

    • Asystole

    • Ventricular fibrillation

  • Demonstrate a basic understanding of the essential drugs used in the management of:

    • Cardiac arrest

    • Bradycardia

    • Tachycardia


  • Be able to combine ECG rhythm recognition and pharmacology in the management of, but not limited to cardiac arrest, bradycardia and tachycardia.


The prerequisite for PALS Full or Renewal Course is a current Heart and Stroke Basic Life Support card within the last 12 months as outlined in the HSF Instructor Resource Manual. HSFC BLS is the only BLS accepted, no exceptions will be made per HSFC Policy. PALS PROVIDER \ RENEWAL COURSE

Provide evidence of successful completion of an HSFC Basic Life Support Course dated within one year of starting the PALS course.

• Attend all teaching and evaluation sessions.

• Successfully complete the BLS skills testing requirements using HSFC checklists.

• Successfully complete the core case scenarios using the HSFC checklists.

• Obtain 84% or greater on the closed-book, multiple-choice written examination


 A copy of your BLS through HSFC will be required and must be presented to the instructor prior to taking the course. If you cannot find your card, or require current BLS HCP - contact the course director via email


Current ACLS or PALS does not indicate your CPR is current.

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