Interactive Paediatric Advanced Life Support
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PALS
FLOW
FLOW
Training use only: Educational rehearsal tool only. Use current JRCALC, Resuscitation Council UK guidance, local policy and clinical judgement.
Recognise cardiac arrest
Unresponsive and not breathing normally, or only occasional gasps.
Weight and shock calculation
Enter weight to calculate shock and drug doses.
Always confirm weight, dose, concentration, route and local authorisation before administration.
Call for help
Activate resuscitation team. Allocate roles early.
Start CPR
5 initial rescue breaths, then 15:2. Attach defibrillator or monitor.
Assess rhythm
Choose shockable, non-shockable, or ROSC.
Shockable
VF or pulseless VT
Give 1 shock
4 J kg-1
Immediately resume CPR
2 minutes. Minimise interruptions.
Return of spontaneous circulation
Move to post cardiac arrest care.
Post cardiac arrest care
ABCDE, oxygenation, ventilation, investigations, treat cause, temperature control.
Non-shockable
PEA, asystole, or severe bradycardia with poor perfusion.
Immediately resume CPR
2 minutes. Give adrenaline as soon as possible via drug prompt.
Current instruction
Start by recognising cardiac arrest.
Locked steps will become available as the algorithm progresses.
CPR cycle timer
02:00
Rhythm selection is locked until the timer ends.
Adrenaline timer
Not started
Adrenaline timer starts when adrenaline is recorded.
Adrenaline
Non-shockable: as soon as possible.
Shockable: after the 3rd shock.
Then every 3 to 5 minutes. Dose:
Enter weight
Shockable: after the 3rd shock.
Then every 3 to 5 minutes. Dose:
Enter weight
Locked
Amiodarone
Shockable rhythm only.
First dose after the 3rd shock.
Second full dose after the 5th shock. Dose:
Enter weight
First dose after the 3rd shock.
Second full dose after the 5th shock. Dose:
Enter weight
Locked
Arrest tracker
0CPR cycles
0Shocks
0Adrenaline
0Amiodarone
During CPR checklist
Reversible causes
Hyperkalaemia, metabolic causes, hypoglycaemia
Hypothermia
Event log
Reset
Use this to clear the current scenario, timers, drug counts, shock counts, reversible causes, BM, temperature and weight entry.
PitStop Layout
Airway Circuit
Body Weight Avg Estimate
BOYS
| Age | 25th (kg / st‑lb) | 50th (kg / st‑lb) | 75th (kg / st‑lb) |
|---|---|---|---|
| 1 | 9.0 kg (1st 6 lb) | 10.0 kg (1st 8 lb) | 11.0 kg (1st 11 lb) |
| 2 | 11.5 kg (1st 11 lb) | 12.5 kg (1st 13 lb) | 13.5 kg (2st 2 lb) |
| 3 | 13.5 kg (2st 2 lb) | 14.5 kg (2st 4 lb) | 16.0 kg (2st 7 lb) |
| 4 | 15.0 kg (2st 5 lb) | 16.5 kg (2st 8 lb) | 18.0 kg (2st 11 lb) |
| 5 | 17.0 kg (2st 10 lb) | 18.5 kg (2st 13 lb) | 20.5 kg (3st 3 lb) |
| 6 | 18.5 kg (2st 13 lb) | 20.5 kg (3st 3 lb) | 22.5 kg (3st 8 lb) |
| 7 | 20.5 kg (3st 3 lb) | 22.5 kg (3st 8 lb) | 25.0 kg (3st 13 lb) |
| 8 | 23.0 kg (3st 8 lb) | 25.5 kg (4st 0 lb) | 28.0 kg (4st 6 lb) |
| 9 | 25.5 kg (4st 0 lb) | 28.5 kg (4st 7 lb) | 31.5 kg (4st 13 lb) |
| 10 | 28.5 kg (4st 7 lb) | 32.0 kg (5st 0 lb) | 35.5 kg (5st 8 lb) |
| 11 | 32.0 kg (5st 0 lb) | 36.0 kg (5st 9 lb) | 40.0 kg (6st 4 lb) |
| 12 | 36.0 kg (5st 9 lb) | 40.5 kg (6st 5 lb) | 45.0 kg (7st 1 lb) |
| 13 | 41.0 kg (6st 6 lb) | 46.0 kg (7st 3 lb) | 51.0 kg (8st 0 lb) |
| 14 | 46.0 kg (7st 3 lb) | 51.0 kg (8st 0 lb) | 56.5 kg (8st 12 lb) |
| 15 | 51.0 kg (8st 0 lb) | 57.0 kg (8st 13 lb) | 63.0 kg (9st 13 lb) |
| 16 | 55.0 kg (8st 9 lb) | 61.0 kg (9st 8 lb) | 68.0 kg (10st 10 lb) |
GIRLS
| Age | 25th (kg / st‑lb) | 50th (kg / st‑lb) | 75th (kg / st‑lb) |
|---|---|---|---|
| 1 | 8.5 kg (1st 5 lb) | 9.5 kg (1st 7 lb) | 10.5 kg (1st 10 lb) |
| 2 | 11.0 kg (1st 11 lb) | 12.0 kg (1st 13 lb) | 13.0 kg (2st 1 lb) |
| 3 | 12.8 kg (2st 0 lb) | 14.0 kg (2st 3 lb) | 15.5 kg (2st 6 lb) |
| 4 | 14.5 kg (2st 4 lb) | 16.0 kg (2st 7 lb) | 17.8 kg (2st 11 lb) |
| 5 | 16.5 kg (2st 9 lb) | 18.5 kg (2st 13 lb) | 20.5 kg (3st 3 lb) |
| 6 | 18.5 kg (2st 13 lb) | 20.5 kg (3st 3 lb) | 22.8 kg (3st 8 lb) |
| 7 | 20.5 kg (3st 3 lb) | 23.0 kg (3st 8 lb) | 25.5 kg (4st 0 lb) |
| 8 | 23.0 kg (3st 8 lb) | 26.0 kg (4st 1 lb) | 29.0 kg (4st 8 lb) |
| 9 | 26.0 kg (4st 1 lb) | 29.5 kg (4st 9 lb) | 33.0 kg (5st 3 lb) |
| 10 | 29.5 kg (4st 9 lb) | 33.5 kg (5st 4 lb) | 38.0 kg (5st 13 lb) |
| 11 | 33.5 kg (5st 4 lb) | 38.5 kg (6st 1 lb) | 44.0 kg (6st 13 lb) |
| 12 | 38.5 kg (6st 1 lb) | 44.0 kg (6st 13 lb) | 50.0 kg (7st 12 lb) |
| 13 | 44.0 kg (6st 13 lb) | 49.5 kg (7st 11 lb) | 55.5 kg (8st 11 lb) |
| 14 | 48.0 kg (7st 8 lb) | 53.0 kg (8st 5 lb) | 59.5 kg (9st 5 lb) |
| 15 | 50.0 kg (7st 12 lb) | 55.0 kg (8st 9 lb) | 62.0 kg (9st 11 lb) |
| 16 | 52.0 kg (8st 3 lb) | 57.0 kg (8st 13 lb) | 65.0 kg (10st 3 lb) |
