One Rescuer Pediatric BLS The pediatric BLS algorithms differ depending on whether you are alone or if other people/rescuers are present. If you are alone and cannot use your cell phone to call for help, you will need to leave the victim at some point to get help. The timing of when you leave the victim depends on whether or not you witnessed the collapse.
Witnessed collapse of a child or infant: Leave victim to get help.
Unwitnessed collapse of a child or infant: Perform 2 minutes of CPR, then leave victim to get help.
Two or More Rescuer Pediatric BLS
Initial Impression
An initial impression is gives you an opportunity to evaluate a child’s level of consciousness, breathing, and color within seconds.
Your initial impression guides you in making correct interventions
Impression
Consciousness
Breathing
Color
Encouraging
Alert, Appropriate
Unlabored breathing
Normal
Worrisome
Drowsy, Irritable
Labored breathing
Pale, flushed
Arrest
Unresponsive
Not breathing, Ineffective breathing
Blue/cyanotic, mottled
PALS Primary Assessment
Airway
Breathing
Circulation
Disability
Exposure
Airway
Evaluate and Identify
Clear
Maintainable
Not Maintainable
Intervene
Keep the airway open
Positioning
Use head tilt/chin lift
Jaw thrust if there is suspected neck injury
Laryngoscope-aided removal of foreign body
Use bag valve mask when available
Use advanced airways as needed(Intubation)
Remember to verify the placement of advanced airways and secure them in place
