[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-573569-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-573569-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","pals-review-2020-guidelines-bls-cpr","PALS Review 2020 Guidelines - BLS CPR","","PALS Review 2020 Guidelines provide step-by-step guidance for pediatric basic life support within advanced life support training, covering scene safety, establishing unresponsiveness, and calling for help and AED. It details CPR preparation and performance targets such as compression depth, rate, recoil, ventilation limits, and 30:2 versus 15:2 ratios. The guidance emphasizes early defibrillation, rescuer rotation, high-quality metrics like minimal interruptions and ETCO2 targets, and structured assessment for bradycardia and tachycardia using H’s & T’s, vagal maneuvers, epinephrine, adenosine, and synchronized cardioversion.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/general/","General",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/pals-review-2020-guidelines-bls-cpr/573569/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/pals-review-2020-guidelines-bls-cpr/573569.png","ImageObject",442,249,{"name":42,"@type":43},"Putri","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-16","2026-10-14",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",5,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the key compression targets for high-quality CPR in children and infants?","Question",{"text":63,"@type":64},"Use effective compressions at 100–120 per minute (average ~110) with proper depth: about 1.5 inches for infants and 2 inches for children (about 1/3 chest depth). Minimize interruptions to ideally under 5–10 seconds and ensure full recoil.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"When should AED be used and what are the general steps?",{"text":68,"@type":64},"Use the AED as it becomes available. Turn it on, follow prompts, place pads using pediatric pads for children under 8; otherwise use adult pads for all ages with an anterior/posterior approach preferred and avoid pad contact. Analyze rhythm and press the shock button if indicated, then resume immediate CPR.",{"name":70,"@type":61,"acceptedAnswer":71},"How is bradycardia with poor perfusion managed, and how does H’s & T’s fit in?",{"text":72,"@type":64},"If bradycardia (HR \u003C 60) persists after 2 minutes of CPR, consider epinephrine 0.01 mg/kg, continue CPR, and repeat every 3–5 minutes. A team leader should rapidly evaluate reversible causes using the H’s & T’s to identify underlying problems contributing to bradycardia.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},573569,1792087317,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,114,119,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},17,"Forms",40,"forms",{"id":115,"doc_module":22,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},18,"Letters",30,"letters",{"id":120,"doc_module":22,"doc_module_name":25,"category_name":121,"show_sort_weight":55,"slug":122},21,"Paper Templates","papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":125},158,"general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":124,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":85,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":33},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","PALS Review 2020 Guidelines  \nBLS CPR  \nBLS CPR changes 2020. Role of the CPR Coach and added a sixth link in the chain of survival-recovery and as a single rescuer compressions can be performed either two finger or two thumb encircling.  \n1. Scene Safety  \n2. Establish Unresponsiveness  \n3. Call for help – call “911”/code and request AED/Defibrillator  \n4. Check for breathing – if absent or agonal gasps and Check for Pulse (5-10 seconds)– simultaneously  \ni. If no pulse or pulse less than 60 with signs of poor perfusion despite adequate oxygenation  \nii. Brachial Infant  \niii. Carotid Child  \n5. Start CPR  \ni. Good depth – 1/3 anterior posterior diameter or 1 ½ inches for infant and about  \n2 inches for child.  \nii. 100 – 120 compressions per minute (average 110bpm)  \niii. Ensure great Recoil  \niv. Ratio of 30:2 if one rescuer, 15:2 if two rescuers  \nv. Use 2 thumb encircling CPR technique for infant 2 rescuers; 2 finger technique or thumb encircling for 1 rescuer--1 finger below the nipple line  \nvi. Child compressions use either one-hand or two-hand technique lower half of sternum depending on size of patient and rescuer  \nvii. Avoid excessive ventilation, it decreases cardiac output  \nviii. With Advanced Airway-2 rescuer-continuous compressions asynchronous with  \n1 breath every 2-3 seconds  \n6. Use AED as it becomes available  \ni. Steps  \n1. Turn it on  \n2. Follow Prompts  \n3. Place the pads  \na. Pediatric pads for children under 8 y/o. If pediatric pads are unavailable, adult pads are used for all ages using anterior/posterior approach preferred; avoid pads touching  \nb. Analyze Rhythm – Stand Clear  \nc. Press shock button if indicated (while AED is charging compressions can be performed), followed by immediate CPR  \n7. Rotate Rescuers every two minutes or sooner if compressor is fatigued.  \nHigh Quality CPR includes:  \n1. Effective compressions at least 100 –120/min (average 110)  \n2. Minimal interruptions (\u003C10secs) -ideally less than 5 seconds  \n3. Allow for recoil, monitor CPR quality via waveform capnography (End-tidal ETCO2)  \n* maintain ETCO2 ≥ 10)  \n4. 1.5 inches for infants, 2 inches for children compression depth or 1/3 depth of chest  \n5. Rotate q2mins/10cycles or sooner if fatigued  \n6. Use of CPR coach to monitor BLS tasks & CPR quality  \nDefibrillate early (use AED-manual defibrillator preferred over AED)  \n1. Use pediatric pads or key for infants/children under the age 8 y/o  \n2. Use adult if >8 y/o or older  \nAirway  \nPulse Oximetry to be between 94 – 99% to avoid hyperoxia (high oxygen tension can lead to increased tissue death)  \nRescue breathing with Bag Valve Mask (BVM)– 1 breath every 2-3 sec (20-30 breaths per minute)  \nRescue breathing with Advanced Airway – 1 breath every 2-3 sec (20-30 breaths per minute) -Ventilate once every 2-3 seconds for patient with advanced airway with continuous compressions  \nAdvanced Airway  \nAdvanced airway includes Endotracheal intubation and, supraglottic airways to include laryngeal mask airway and kings airway (esophageal tube)  \nWaveform Capnography (pETCO2)  \n▪ Best way to evaluate and monitor advanced airway placement  \n▪ Can assist in measuring high quality CPR  \n• ETCO2 reading must be ≥ 10 during CPR or ROSC may not be achieved  \n• Normal readings for pETCO2 for patients with a perfusing rhythm (has a pulse) should be 35-40mm/Hg  \nIf advanced airway is compromised or patient change/decreasing SaO2 THINK D O P E  \nD Dislodgement  \nO Obstruction  \nP Pneumothorax  \nE Equipment  \nBradycardia With signs of poor perfusion despite oxygenation (Bradycardia with a rate less than 60)  \n*** No. 1 cause of Sinus Bradycardia is Hypoxia***  \nSTART COMPRESSIONS  \nHigh quality CPR X 2 mins Assign team roles  \n1. Team leader  \n2. Compressor  \n3. Airway  \n4. Medications  \n5. Monitor/Defibrillator  \n6. Recorder  \n7. CPR coach  \nIf Bradycardia (HR \u003C60) remains after 2 minutes of CPR----consider Epinephrine – see below Administer Epinephrine 0.01mg/kg. Continue CPR. Repeat Epineph","cbCaigdfQJkyvEY1","https://ap.wps.com/l/cbCaigdfQJkyvEY1","pdf",826688,"English","# BLS CPR\n## Core pediatric CPR steps\n## High-quality CPR requirements\n## AED use and rhythm analysis\n## Bradycardia management\n## Tachycardia management\n## Airway and ventilation targets","[{\"question\":\"What are the key compression targets for high-quality CPR in children and infants?\",\"answer\":\"Use effective compressions at 100–120 per minute (average ~110) with proper depth: about 1.5 inches for infants and 2 inches for children (about 1/3 chest depth). Minimize interruptions to ideally under 5–10 seconds and ensure full recoil.\"},{\"question\":\"When should AED be used and what are the general steps?\",\"answer\":\"Use the AED as it becomes available. Turn it on, follow prompts, place pads using pediatric pads for children under 8; otherwise use adult pads for all ages with an anterior/posterior approach preferred and avoid pad contact. Analyze rhythm and press the shock button if indicated, then resume immediate CPR.\"},{\"question\":\"How is bradycardia with poor perfusion managed, and how does H’s \\u0026 T’s fit in?\",\"answer\":\"If bradycardia (HR \\u003c 60) persists after 2 minutes of CPR, consider epinephrine 0.01 mg/kg, continue CPR, and repeat every 3–5 minutes. A team leader should rapidly evaluate reversible causes using the H’s \\u0026 T’s to identify underlying problems contributing to bradycardia.\"}]","PALS Review 2020 Guidelines - BLS CPR | PDF",1791942847]