Before taking the PALS course, the student:
- Must know the basic pharmacology of the drugs used in cardiac arrest, including:
- Mechanism of action.
- Indications and contraindications.
- Recommended dosages.
- Appropriate route of administration.
- Possible drug interactions.
- Use of a color-coded, length-based resuscitation tape to calculate the correct drug doses.
- Must be able to perform proper airway management, including:
- Insertion of an oropharyngeal or nasopharyngeal airway.
- Effective bag-mask ventilation.
- Suctioning techniques for supraglottic airways and endotracheal tubes.
- Confirmation of the correct placement of an advanced airway.
- Securing of an endotracheal tube.
- Must be able to diagnose the common arrhythmias that may lead to cardiac arrest and perform the appropriate corresponding electrical therapies, including:
- Correct placement of the ECG leads.
- The correct electrode or paddle placement for electrical therapies.
- Identification of rhythms that may require defibrillation.
- Identification of rhythms that may require synchronized cardioversion.
- Safe operation of a manual defibrillator.
- Operation of a cardiac monitor/12-lead ECG.
- Must know how to gain intravenous (IV) and intraosseous (IO) access, including:
- Identification of the anatomic landmarks for IV and IO access.
- Use of an intraosseous needle or drill for IO insertion.
- Confirmation of good vascular access from either route.