Heartcode PALS
What should the first rescuer arriving on the scene of a unresponsive infant or
child do?
1. Verify scene safety
2. Check for responsiveness
3. Shout for help
4. Activate the emergency response system
How long should assessing for breathing and a pulse take?
No longer than 10 seconds
What should you do to check for breathing?
Look for chest rise and fall
Where can you check a pulse on an infant and a child?
Infant = Brachial
Child = Femoral
If the child does not have normal breathing and a pulse of 64/min is present, you
will need to:
A) begin CPR
B) monitor
C) provide rescue breathing
Provide rescue breathing
For an unwitnessed cardiac arrest, what should you do after determining
unresponsiveness and there is no breathing and no pulse?
A) shout for help
B) perform high quality CPR for 2 minutes
C) provide rescue breaths
D) activate the emergency response system
Perform high quality CPR for 2 minutes
,The appropriate rate for compressions for children is 100-120/min. What is the
correct depth for children?
A) approximately 2 inches (one third the AP diameter)
B) approximately 3 inches (one half AP diameter)
C) approximately 4 inches (two thirds AP diameter)
Approximately 2 inches (one third the AP diameter)
What is the compression to ventilation ratio for 1- and 2-rescuer CPR for children
and infants?
A) 15:2 for both
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
Single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compressions be delivered?
A) with 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
With 2 fingers or 2 thumbs
What is the preferred technique for infant compressions when there are 2 or more
rescuers present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
2 thumb encircling hands technique
What are the 4 universal steps for operation of an AED?
1. Turn on the AED
2. Attach pads to the patient
3. Analyze the heart rhythm
, 4. Deliver indicated shock
If the AED indicates no shock advised, what should be the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
Start chest compressions
What does A-B-C in the Pediatric Assessment Triangle (PAT) stand for?
A - Appearance
B - Work of Breathing
C - Circulation
When is the Pediatric Assessment Triangle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment
During the "from the doorway" observation
What sequence is used when caring for a seriously ill or injured child to help
determine the best treatment or intervention?
Evaluate Identify Intervene sequence
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child
The child is stable
The primary assessment includes the ABCDE approach. What does it assess?
What should the first rescuer arriving on the scene of a unresponsive infant or
child do?
1. Verify scene safety
2. Check for responsiveness
3. Shout for help
4. Activate the emergency response system
How long should assessing for breathing and a pulse take?
No longer than 10 seconds
What should you do to check for breathing?
Look for chest rise and fall
Where can you check a pulse on an infant and a child?
Infant = Brachial
Child = Femoral
If the child does not have normal breathing and a pulse of 64/min is present, you
will need to:
A) begin CPR
B) monitor
C) provide rescue breathing
Provide rescue breathing
For an unwitnessed cardiac arrest, what should you do after determining
unresponsiveness and there is no breathing and no pulse?
A) shout for help
B) perform high quality CPR for 2 minutes
C) provide rescue breaths
D) activate the emergency response system
Perform high quality CPR for 2 minutes
,The appropriate rate for compressions for children is 100-120/min. What is the
correct depth for children?
A) approximately 2 inches (one third the AP diameter)
B) approximately 3 inches (one half AP diameter)
C) approximately 4 inches (two thirds AP diameter)
Approximately 2 inches (one third the AP diameter)
What is the compression to ventilation ratio for 1- and 2-rescuer CPR for children
and infants?
A) 15:2 for both
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
Single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compressions be delivered?
A) with 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
With 2 fingers or 2 thumbs
What is the preferred technique for infant compressions when there are 2 or more
rescuers present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
2 thumb encircling hands technique
What are the 4 universal steps for operation of an AED?
1. Turn on the AED
2. Attach pads to the patient
3. Analyze the heart rhythm
, 4. Deliver indicated shock
If the AED indicates no shock advised, what should be the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
Start chest compressions
What does A-B-C in the Pediatric Assessment Triangle (PAT) stand for?
A - Appearance
B - Work of Breathing
C - Circulation
When is the Pediatric Assessment Triangle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment
During the "from the doorway" observation
What sequence is used when caring for a seriously ill or injured child to help
determine the best treatment or intervention?
Evaluate Identify Intervene sequence
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child
The child is stable
The primary assessment includes the ABCDE approach. What does it assess?
