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CPR and Resuscitation Training
CPR and Resuscitation Training

Paediatric Advanced Life Support (PALS)

Video-based, instructor-led, advanced course, that focuses on a systematic approach to paediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation and team dynamics to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

Intended Audience

The PALS Provider Course is designed for health-care providers who either direct or participate in the management of respiratory and/or cardiovascular emergencies and cardiopulmonary arrest in paediatric patients, as well as others who need a PALS course completion card for job or other requirements.

Course Overview and Design 

The PALS Provider Course emphasizes five major concepts:

    1. Identification and treatment of problems that place the child at risk for cardiac arrest
    2. Application of a systematic approach to pediatric assessment
    3. Use of the evaluate-identify-intervene sequence
    4. Use of PALS algorithms and flowcharts
    5. Demonstration of effective resuscitation team dynamics

The course is designed to give students the opportunity to acquire, practice, and demonstrate proficiency in the assessment and management of critically ill paediatric patients.  The primary educational methodology used in the course is that of simulation, whether for skill acquisition, complex medical decision making, or teamwork.  Other modalities used are video demonstration and group discussion.

Students will have the opportunity to learn, practice and demonstrate proficiency in the following skills:

    • Perform high-quality cardiopulmonary resuscitation (CPR) per Heart and Stroke
    • Foundation basic life support (BLS) recommendations
    • Differentiate between patients who do and do not require immediate intervention
    • Recognize cardiopulmonary arrest early and begin CPR within 10 seconds of recognition
    • Apply team dynamics
    • Differentiate between respiratory distress and failure
    • Perform early interventions for respiratory distress and failure
    • Differentiate between compensated and decompensated (hypotensive) shock
    • Perform early interventions for the treatment of shock
    • Differentiate between unstable and stable patients with arrhythmia's
    • Describe clinical characteristics of instability in patients with arrhythmia's
    • Implement post–cardiac arrest management

Students will practice the application of these and other skills in simulated cases and will practice both Team Leader and team member roles.

PALS course duration

Course duration for the PALS course is approximately 15.0 to 16.0 hours over two days, normally from 8 a.m. to 5 p.m. on the first day and from 8 a.m. to 3 p.m. on the second day, depending if remediation is required. Re-certification courses are one day, normally 8 a.m. to 5 p.m. depending if remediation is required.

Course completion card expiration date

All Heart and Stroke Foundation PALS course completions cards have an expiration date of two (2) years from the date of completion.

PALS Provider Course pre-requisites

Students who take the full PALS Course, must have a current Heart and Stroke Foundation BLS course completion card, complete the mandatory Pre-course Self-Assessment and be proficient in the following:

    • Performing high-quality BLS skills through the use of the 2015 Guidelines Update for CPR and ECC
    • Identify—on a monitor and/or paper tracing—the following rhythms and rhythm disturbances:
      - Normal sinus rhythm
      - Sinus bradycardia
      - Sinus tachycardia
      - Supraventricular tachycardia
      - Ventricular tachycardia
      - Asystole
      - Ventricular fibrillation
    • Demonstrate a basic understanding of the essential drugs used in the management of:
      - Cardiac arrest
      - Bradycardia
      - Tachycardia
    • Be able to combine ECG rhythm recognition and pharmacology.

The student website provides important supplementary information and videos, as well as a link to the Pre-course Self- Assessment.  The mandatory Pre-course Self-Assessment requires a passing score of 70 per cent or higher to print the certificate.  Students can take the Pre-course Self-Assessment as many times as needed to achieve a passing score.

To registration for a PALS course

    1. Register for the PALS Course at http://www.cvent.com/d/qvq46z/1Q (Certification) or http://www.cvent.com/d/mvqr3f/1Q (Re-certification).
      Please make note of the course identifier (C-XXXXXX) associated with your class.
    2. Register with the Heart and Stroke Foundation (HSF).
      You must have an HSF account. Please do not create a duplicate account, if you have taken a BLS Provider Course through Heart and Stroke then you already have an account.
      If you are having difficulties please contact rsc@hsf.ca or 1-877-473-0333.
    3. Register for PALS on the Heart and Stroke website (https://resuscitation.heartandstroke.ca).
      Search for the class using the unique class identifier (C-XXXXXX).
      Once registered for the class you will have access to the PALS Pretest to download your pretest.
      Proof of BLS Provider Completion within previous 12 months.  You will be required to present this at the start of your class.
    4. Complete BLS Pre-Course Self-Assessment test with a successful score of 70 per cent or greater.  This will be collected at the start of the class.
      To download your Pre-Test please go to (https://resuscitation.heartandstroke.ca).

PALS Materials are not included in the course fee.  Only Heart and Stroke branded PALS materials are accepted for use in the course.
The following materials are necessary to bring to the course:

    • PALS Provider Manual (2015)
    • PALS Pocket Reference Card (2015)
    • HSFC Handbook of Cardiovascular Care for Healthcare Providers (2015)

These materials are available from

SickKids staff are also able to borrow the PALS provider manual from the Hospital for Sick Children Library [Staff will receive the PALS Pocket Reference Card (2015) in class].

If you do not provide documentation of SickKids Identification badge, BLS Completion, and PALS Pre-Test completion; you will not be permitted to take the course.

PALS Courses fees

Certification (2 days)
SickKids Staff $300.00 (Materials not included)
Public $400.00 (Materials not included)

Recertification (1 day)
SickKids Staff $200.00 (Materials not included)
Public $250.00 (Materials not included)

Key Contacts

Carrie Mendolia
Administrative Assistant
Education Resource Group,
Learning Institute,
The Hospital For Sick Children
(416) 813-7654 ext. 228772