Heartcode PALS
1. Verify scene safety
What should the first rescuer arriving on 2. Check for responsiveness
the scene of a unresponsive infant or 3. Shout for help
child do? 4. Activate the emergency response sys-
tem
How long should assessing for breathing
No longer than 10 seconds
and a pulse take?
What should you do to check for breath-
Look for chest rise and fall
ing?
Where can you check a pulse on an in- Infant = Brachial
fant and a child? Child = Femoral
If the child does not have normal breath-
ing and a pulse of 64/min is present, you
will need to:
Provide rescue breathing
A) begin CPR
B) monitor
C) provide rescue breathing
For an unwitnessed cardiac arrest, what
should you do after determining unre-
sponsiveness and there is no breathing
and no pulse?
A) shout for help
Perform high quality CPR for 2 minutes
B) perform high quality CPR for 2 min-
utes
C) provide rescue breaths
D) activate the emergency response sys-
tem
The appropriate rate for compressions
for children is 100-120/min. What is the
correct depth for children?
A) approximately 2 inches (one third the
Approximately 2 inches (one third the AP
AP diameter)
diameter)
B) approximately 3 inches (one half AP
diameter)
C) approximately 4 inches (two thirds AP
diameter)
, Heartcode PALS
What is the compression to ventilation
ratio for 1- and 2-rescuer CPR for chil-
dren and infants?
A) 15:2 for both Single rescuer 30:2, 2 rescuers 15:2
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compres-
sions be delivered?
A) with 2 fingers or 2 thumbs
With 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
What is the preferred technique for infant
compressions when there are 2 or more
rescuers present?
A) 1 finger technique 2 thumb encircling hands technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
1. Turn on the AED
What are the 4 universal steps for oper- 2. Attach pads to the patient
ation of an AED? 3. Analyze the heart rhythm
4. Deliver indicated shock
If the AED indicates no shock advised,
what should be the next action?
A) start chest compressions
Start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
A - Appearance
What does A-B-C in the Pediatric As-
B - Work of Breathing
sessment Triangle (PAT) stand for?
C - Circulation
When is the Pediatric Assessment Trian-
gle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" obser-
, Heartcode PALS
vation
B) during the primary assessment During the "from the doorway" observa-
C) during the transfer of care tion
D) during the secondary assessment
What sequence is used when caring for a
seriously ill or injured child to help deter- Evaluate Identify Intervene sequence
mine the best treatment or intervention?
The evaluate-identify-intervene se-
quence should be continued until:
A) the child is stable
B) the child is ready for transport The child is stable
C) the child is ready for discharge
D) interventions are provided for the
child
The primary assessment includes the Airway, breathing, circulation, disability,
ABCDE approach. What does it assess? and exposure
How is the airway assessed? Determining if the airway is open/patent
In the primary assessment, how should
you open the airway of a child who is
not suspected of having a cervical spine
injury?
With a head tilt-chin lift
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift
In infants, the abdomen may
more than
move______the chest
What is a characteristic of normal chest
Symmetrical during inspiration
rise?
________ is usually high-pitched
breathing during inspiration, whereas Stridor, wheezing
_________ is usually during expiration
Snoring and gurgling are a result of
Upper
_____ airway obstruction.
Inspiration, expiration
1. Verify scene safety
What should the first rescuer arriving on 2. Check for responsiveness
the scene of a unresponsive infant or 3. Shout for help
child do? 4. Activate the emergency response sys-
tem
How long should assessing for breathing
No longer than 10 seconds
and a pulse take?
What should you do to check for breath-
Look for chest rise and fall
ing?
Where can you check a pulse on an in- Infant = Brachial
fant and a child? Child = Femoral
If the child does not have normal breath-
ing and a pulse of 64/min is present, you
will need to:
Provide rescue breathing
A) begin CPR
B) monitor
C) provide rescue breathing
For an unwitnessed cardiac arrest, what
should you do after determining unre-
sponsiveness and there is no breathing
and no pulse?
A) shout for help
Perform high quality CPR for 2 minutes
B) perform high quality CPR for 2 min-
utes
C) provide rescue breaths
D) activate the emergency response sys-
tem
The appropriate rate for compressions
for children is 100-120/min. What is the
correct depth for children?
A) approximately 2 inches (one third the
Approximately 2 inches (one third the AP
AP diameter)
diameter)
B) approximately 3 inches (one half AP
diameter)
C) approximately 4 inches (two thirds AP
diameter)
, Heartcode PALS
What is the compression to ventilation
ratio for 1- and 2-rescuer CPR for chil-
dren and infants?
A) 15:2 for both Single rescuer 30:2, 2 rescuers 15:2
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compres-
sions be delivered?
A) with 2 fingers or 2 thumbs
With 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
What is the preferred technique for infant
compressions when there are 2 or more
rescuers present?
A) 1 finger technique 2 thumb encircling hands technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
1. Turn on the AED
What are the 4 universal steps for oper- 2. Attach pads to the patient
ation of an AED? 3. Analyze the heart rhythm
4. Deliver indicated shock
If the AED indicates no shock advised,
what should be the next action?
A) start chest compressions
Start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
A - Appearance
What does A-B-C in the Pediatric As-
B - Work of Breathing
sessment Triangle (PAT) stand for?
C - Circulation
When is the Pediatric Assessment Trian-
gle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" obser-
, Heartcode PALS
vation
B) during the primary assessment During the "from the doorway" observa-
C) during the transfer of care tion
D) during the secondary assessment
What sequence is used when caring for a
seriously ill or injured child to help deter- Evaluate Identify Intervene sequence
mine the best treatment or intervention?
The evaluate-identify-intervene se-
quence should be continued until:
A) the child is stable
B) the child is ready for transport The child is stable
C) the child is ready for discharge
D) interventions are provided for the
child
The primary assessment includes the Airway, breathing, circulation, disability,
ABCDE approach. What does it assess? and exposure
How is the airway assessed? Determining if the airway is open/patent
In the primary assessment, how should
you open the airway of a child who is
not suspected of having a cervical spine
injury?
With a head tilt-chin lift
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift
In infants, the abdomen may
more than
move______the chest
What is a characteristic of normal chest
Symmetrical during inspiration
rise?
________ is usually high-pitched
breathing during inspiration, whereas Stridor, wheezing
_________ is usually during expiration
Snoring and gurgling are a result of
Upper
_____ airway obstruction.
Inspiration, expiration
