PALS made simple |


  1. says

    Hello ACLS-Algorithms,
    Thanks to Jeff for the high level of customer service. I’m studying for PALS this week, and our old desktop Mac kept failing the signup at your site. Jeff noticed the repeated fails, contacted me, and made it right. Very good service, I’m impressed!
    Thanks again, SP RN

  2. Sherry Gill says

    Hi Jeff,
    There wasn’t a place for comments on megacodes so I am commenting here. Megacode scenario #2 question 10 in the information box you state the dose for magnesium as 25-75mg/kg. AHA PALS card says 25-50mg/kg for status asthmaticus. Do you have a page reference in the PALS book for the dosing?

    Thank you

    • Jeff with admin. says

      There is not a recommended dosage listed in the AHA PALS Provider manual. I did place a reference in the rationale regarding dosages. I have included that reference and the rationale from question #10 below.

      25-75 mg/kg is a range that has been used with good effect in clinical trials. Give the magnesium as a slow bolus over 15-30 minutes.
      A total of 9 trials—8 randomized double-blinded studies and 1 retrospective chart review were published in the literature. The retrospective chart review identified 40 asthma patients between the ages of 2 months and 15 years that were admitted to a pediatric intensive care unit in Florida. Before the use of magnesium, 15 of the 40 patients with severe asthma needed intubation. After magnesium was used, no patients required additional ventilation. There were no cardiovascular adverse events reported.”

      Reference: Magnesium for treatment of asthma in children

  3. VEERAB says

    I have taken both ACLS and PALS courses from you.First they are the quickest
    and easiest way to get through those exams.But more than the exams,they
    put real knowledge and skill deep into the brain.I plan to take them every
    3 months to keep uptodate and face emergency
    situations with confidence.

  4. Joyce Karschner says

    This is a wonderful site! I’m taking my PALS recert today, and I’m so thankful I found this website. I took my ACLS recert in January and was able to pass with your help. Thanks so much!

  5. Elisabeth Noelke says

    On PALS Megacode #9 Question #10, although you are correct that naloxone can be given by all of the routes mentioned, the AHA PALS Provider Manual pocket reference card and the book only lists IV/IO/IM/SC (p. 9 refers to the pocket reference card) and on p. 144 it lists IM and intranasal. I cannot find a reference to ET administration in the AHA material.

    • Jeff with admin. says

      A full list for the administration routes for Naloxone can be found on pg. 10 in the 3rd paragraph of the document below. The full list is not in the provider manual, but I thought that the information was important, and so I included it in a question.

      Full Quote:
      “Naloxone is a potent opioid receptor antagonist in the brain, spinal cord, and gastrointestinal system. Naloxone has an excellent safety profile and can rapidly reverse CNS and respiratory depression in a patient with an opioid-associated resuscitative emergency. Based on the rescuer’s training and clinical circumstance, naloxone can be administered intravenously, intramuscularly, intranasally, or subcutaneously ; nebulized for inhalation ; or instilled into the bronchial tree via endotracheal tube. Appropriate dose and concentrations differ by route.”

      AHA Reference: Special Circumstances of Resuscitation

      Kind regards,

    • Lauren Sears says

      Although it way not be referenced in the AHA manual as an ETT Drug, it is pretty widely taught that Narcan can be administered down the ET tube. The usual way it is taught to be remembered is, NAVEL: Naloxone, Atropine, Valium, Epinephrine and Lidocaine

      Hope this helps!

  6. Lisa Delaney says

    Do not sit on the fence debating if this site will help you, or waste your time searching for something else! This program gives you “EVERYTHING” you need to confidently sit for your written exam, and pass your mega code scenarios! I purchased the 2 week PALS cram special, but literally only had 3 days to study. Today, I aced my certification with a 90 on my written and crushed my mega code scenarios. I also utilized this site for my ACLS recertification in November and passed with a 98. Not only does this site deliver exactly what it promises, but the customer service is stellar! I had a problem the night I registered, and contacted customer service. Within 10 minutes I was contacted back, and my problem was rectified! This is a sight made for medical professionals, by medical professionals that understand exactly what we need, and provide it in a simplified manner. This is not the first time I have utilized this site, and it will not be the last. Enroll now, as you will not be disappointed. And make sure to tell all your friends…I do!!!

  7. Brenda Smith says

    I Purchased the two week access to PALS for a major cram session. It is very comprehensive. Before today I have spent too many dollars on an audio book, a kindle book, several apps and the AHA manual. I Hate to say I wasted my money but I wasted my money on these other items. Your program is the most helpful of any I have reviewed. The best two week access around. Thank you for providing this service. I hope I pass the PALS test. Sincerely,
    Brenda MPH, RN

  8. Jennifer Powell says

    This site is amazing I scored a 92% on the written exam and felt confident during the megacode scenario. Thank you for making the info easy to understand.

  9. Dhe Jay says

    Dear Jeff,

    You have a very good site for reviewing in ACLS and PALS. you know how thankful I am to you.. keep up the good work.. God bless always.. you know who I am.. thank you again

  10. Shelley says

    Jeff, your site is awesome. It helped me easily prepare for ACLS recertification class that I completed yesterday. I take PALS for the first time in 2 weeks and wanted to know if you could provide me with access to any of the unfinished portions to allow me to fully prepare.
    Thank you!

  11. Ruby2 says

    Hi Jeff
    I just wanted to add my name to the long list of well deserved praise for your work on this site.
    It helped so much . I was still nervous of course but as prepared as I could be thanks to studying and practising here.
    My kind regards!

  12. Chintha Samarawickrema says

    Hi Jeff,
    Next year I’m hoping to pay for another three months period again to prepare for my ACLS as I did last year. It was absolutely fun & very informative, and extremely helpful to get through that otherwise stressful test. Thank you so much!
    I’m taking my PALS at the end of this month (September 2017). I was so happy to see that you started PALS section here, and I understand it’s not finished. I’m so grateful that you let us take that free of charge until it’s finished. So if I study only the cardiac arrest, tachycardia & bradycardia sections from PALS provider manual by AHA , in addition to the contense you have given here, do you think it would be a good preparation for PALS?
    Thank you!

    • Jeff with admin. says

      Hi Chintha,

      Thanks for the questions.

      There are two sections of the pediatric advanced life support training that are not complete. They will be completed by October 31.
      They are the bradycardia algorithm and tachycardia algorithm.

      If you look over the links below the website should be sufficient to cover you. I have given you full access to all of the content that is available and you should have received an email with your login information. Make sure you log in to gain access to everything that is available.

      AHA PALS Bradycardia Algorithm

      AHA PALS Tachycardia Algorithm

      Please let me know if you have any questions.

      Kind regards, Jeff

      Kind Regards, Jeff

      • Chintha Samarawickrema says

        Hi Jeff, Thanks again so much for your kind offer to let me take the PALS study materials, tests, and the megacodes! It was a lot of information; thanks to your practice tests which definitely made easier to retain the information. I just finished my PALS; thanks to you, I was able to pass PALS! I found out it’s an open book test now, although, if I didn’t do the practice tests here, it would have taken me so long to finish the written test. So your practice tests & the megacodes scenarios were really helpful!

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