PALS Update 2010

focus

Indian Pediatr 2012;49: 789-792

PALS Update 2010

Satish Kumar Gupta, *Stephen Sosler and *Chandrakant Lahariya

From United Nations Children Fund (UNICEF), Country Office, New Delhi, India and *World Health Organization (WHO), Country Polio Surveillance Project, New Delhi, India.

Correspondence to: Dr Satish Kumar Gupta, Health Specialist, UNICEF, 73 Lodi Estate, New Delhi, India.
Email: [email protected]

During the past decade, guidelines for cardiopulmonary resuscitation have focused on the importance of high quality CPR. The purpose is to temporarily maintain a circulation to vital organs until specialized treatment is available. In, essence, it has been a revolution in pediatric resuscitation in terms of "coming full circle" to the 1960s when basic CPR was first developed. A fifth component to the pediatric chain of survival has been added with emphasis on integrated post cardiac arrest care. With mounting scientific evidences, American Heart Association published new Pediatric Advanced life support 2010 guidelines in accordance with the established five yearly cycle of guideline changes.

Key words: Cardiac arrest, Cardio-pulmonary resuscitation, Pediatric advanced life support.

Cardiac arrest in infants and children are often the end result of progressive respiratory failure or shock. Hypoxemia, hypercapnea, and acidosis often in combination lead to bradycardia and hypotension, progressing to cardiac arrest. The current guidelines have again laid emphasis on "high Quality Cardio- Pulmonary Resuscitation (CPR)". These guidelines have replaced those published in 2005 in accordance with the established five-early cycle of guideline changes. The guidelines have highlighted the need of medical emergency teams (METs) or rapid response team (RRTs) for reducing the risk of respiratory or cardiac arrest in hospitalized pediatric patients [1]. Some of the key changes in the pediatric basic life support have been published earlier [2]. This article further summarizes the major changes by American Heart Association 2010 guidelines to the pediatric advanced life support (Table I).

TABLE I Comparison of Changes in PALS Guidelines

Contribution: SG collected, reviewed the articles and prepared the manuscript. LNT reviewed the manuscript. SG stands guarantor for the article.

Funding: None; Competing interests: None stated.

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