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Published online January 26, 2009
PEDIATRICS Vol. 123 No. 2 February 2009, pp. 578-580 (doi:10.1542/peds.2008-0714)
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SPECIAL ARTICLE

New Opportunity to Improve Pediatric Emergency Preparedness: Pediatric Emergency Assessment, Recognition, and Stabilization Course

Mark E. Ralston, MD, MPHa, Arno L. Zaritsky, MDb

a Department of Pediatrics, Naval Hospital Oak Harbor, Oak Harbor, Washington
b Division of Critical Care, Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida

The ideal first response to a life-threatening pediatric emergency includes early recognition of the emergency, activation of the appropriate emergency response system, performance of basic life support (cardiopulmonary resuscitation/automated external defibrillator treatment), and initiation of advanced life support, but the extent of resuscitation training among health care providers likely to be first at the side of a critically ill or injured child is often deficient. In the past, resuscitation courses beyond basic life support focused on training advanced providers. The Pediatric Emergency Assessment, Recognition, and Stabilization course was developed by the American Heart Association to target a broad range of health care providers who are likely to be first at the side of a child requiring resuscitation. It is hoped that training of health care providers through the Pediatric Emergency Assessment, Recognition, and Stabilization course will translate into early recognition of life-threatening pediatric emergencies and greater resuscitation success, but results will depend on the availability of instruction and the maintenance of skills.

Key Words: cardiopulmonary resuscitation • pediatric advanced life support • Pediatric Emergency Assessment • Recognition • Stabilization course

Abbreviations: ALS—advanced life support • APLS—Advanced Pediatric Life Support • BLS—basic life support • HCP—health care provider • PALS—Pediatric Advanced Life Support • PEARS—Pediatric Emergency Assessment, Recognition, and Stabilization

Accepted May 5, 2008.


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