EPALS CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Mean heart rate in 2-10 years.
Answer: 80bpm
◍ What is the equation for oxygen delivery in children.
Answer: Delivery= Arterial content x CO
◍ Resp range 5-12.
Answer: 20-24/min
◍ CPR ventilation - 8-12 years.
Answer: 15
◍ General rule of thumb for what pO2 should be.
Answer: As a general rule of thumb, the PO2 should be 10kPa less than the
percentage of inspired oxygen, eg.if inspired oxygen is 40%, pO2 should be
30 kpa.
◍ CPR ventilation - 1-8 years.
Answer: 20
◍ DOPES: E.
Answer: Equipment failure e.g. disconnected oxygen tubing
◍ Ketamine.
Answer: A potent sedative, amnesic, analgesic and anaesthetic agent. It
inhibits the activation of NMDA receptors by glutamate. It can provide
anaesthesia and sedation with relatively little effect on the respiratory drive.
Protective airway reflexes are largely maintained. Also has a stable
haemodynamic profile.
, ◍ To do; Asthma.
Answer: Arterial blood gas if decompensatingIntubation if severe hypoxia or
arrestGive steroidsGive ipratropiumGive magnesium
◍ WETFLAG Adrenaline.
Answer: 0.01mg/kg (10ucg/kg)0.1mg/ml (1:10.000 solution)
◍ AED.
Answer: Automatyczny defibrylator zewnętrzny
◍ In relation to accidents what is tertiary prevention.
Answer: Minimising effect of accident by providing good ED services
◍ L/min.
Answer: Litr na minutę
◍ Low dose infusion of adrenaline effect.
Answer: Produces beta-adrenergic effect
◍ ICP.
Answer: Ciśnienie wewnątrzczaszkowe
◍ Resp range 1-2.
Answer: 26-34/min
◍ Filling pressure measure.
Answer: Liver size in infants and jugular vein filling in older children
◍ BE.
Answer: Nadmiar zasad
◍ ABCDE - CIRCULATION.
Answer: 5 P'S- PULSE - HR- PULSE VOLUME - Amplitude (Stroke
volume)- PRESSURE (blood) - MAP- PRELOAD - Crackles/lifur/jugular
veins- PERIPHERAL PERFUSION -CRT/Skintemp/DBP
◍ Obstructive shock.
Answer: obstruction of blood flow to/from the heart causing insufficient
blood supply to the body's tissues. Eg: tension pneumothorax, cardiac
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Mean heart rate in 2-10 years.
Answer: 80bpm
◍ What is the equation for oxygen delivery in children.
Answer: Delivery= Arterial content x CO
◍ Resp range 5-12.
Answer: 20-24/min
◍ CPR ventilation - 8-12 years.
Answer: 15
◍ General rule of thumb for what pO2 should be.
Answer: As a general rule of thumb, the PO2 should be 10kPa less than the
percentage of inspired oxygen, eg.if inspired oxygen is 40%, pO2 should be
30 kpa.
◍ CPR ventilation - 1-8 years.
Answer: 20
◍ DOPES: E.
Answer: Equipment failure e.g. disconnected oxygen tubing
◍ Ketamine.
Answer: A potent sedative, amnesic, analgesic and anaesthetic agent. It
inhibits the activation of NMDA receptors by glutamate. It can provide
anaesthesia and sedation with relatively little effect on the respiratory drive.
Protective airway reflexes are largely maintained. Also has a stable
haemodynamic profile.
, ◍ To do; Asthma.
Answer: Arterial blood gas if decompensatingIntubation if severe hypoxia or
arrestGive steroidsGive ipratropiumGive magnesium
◍ WETFLAG Adrenaline.
Answer: 0.01mg/kg (10ucg/kg)0.1mg/ml (1:10.000 solution)
◍ AED.
Answer: Automatyczny defibrylator zewnętrzny
◍ In relation to accidents what is tertiary prevention.
Answer: Minimising effect of accident by providing good ED services
◍ L/min.
Answer: Litr na minutę
◍ Low dose infusion of adrenaline effect.
Answer: Produces beta-adrenergic effect
◍ ICP.
Answer: Ciśnienie wewnątrzczaszkowe
◍ Resp range 1-2.
Answer: 26-34/min
◍ Filling pressure measure.
Answer: Liver size in infants and jugular vein filling in older children
◍ BE.
Answer: Nadmiar zasad
◍ ABCDE - CIRCULATION.
Answer: 5 P'S- PULSE - HR- PULSE VOLUME - Amplitude (Stroke
volume)- PRESSURE (blood) - MAP- PRELOAD - Crackles/lifur/jugular
veins- PERIPHERAL PERFUSION -CRT/Skintemp/DBP
◍ Obstructive shock.
Answer: obstruction of blood flow to/from the heart causing insufficient
blood supply to the body's tissues. Eg: tension pneumothorax, cardiac
