PALS- AHA 2015

• This 2015 Guidelines Update for PALS includes science review in the following subjects:

  Prearrest Care

  • Effectiveness of medical emergency teams or rapid response teams to improve outcomes
  • Effectiveness of a pediatric early warning score (PEWS) to improve outcomes
  • Restrictive volume of isotonic crystalloid for resuscitation from septic shock
  • Use of atropine as a premedication in infants and children requiring emergency tracheal intubation
  • Treatment for infants and children with myocarditis or dilated cardiomyopathy and impending cardiac arrest

  Intra-arrest Care

  • Effectiveness of extracorporeal membrane oxygenation (ECMO) resuscitation compared to standard resuscitation without ECMO
  • Targeting a specific end-tidal CO2 (ETCO2) threshold to improve chest compression technique
  • Reliability of intra-arrest prognostic factors to predict outcome
  • Use of invasive hemodynamic monitoring during CPR to titrate to a specific systolic/diastolic blood pressure to improve outcomes
  • Effectiveness of NO vasopressor compared with ANY vasopressors for resuscitation from cardiac arrest
  • Use of amiodarone compared with lidocaine for shockrefractory VF or pVT
  • Optimal energy dose for defibrillation

  Postarrest Care

  • Use of targeted temperature management to improve outcomes
  • Use of a targeted Pao2 strategy to improve outcomes
  • Use of a specific Paco2 target to improve outcomes
  • Use of parenteral fluids and inotropes and/or vasopressors to maintain targeted measures of perfusion such as blood pressure to improve outcomes
  • Use of electroencephalograms (EEGs) to accurately predict outcomes
  • Use of any specific post–cardiac arrest factors to accurately predict outcomes

   

PALS AHA 2015 pals 2015