Version control: This document is current with respect to 2015 American Heart Association® Guidelines for CPR and ECC. These guidelines are current until they are replaced on October 2020. If you are reading this page after October 2020, please contact ACLS Training Center at for an updated document.

A critical part of Pediatric Advanced Life Support Training is an understanding of the PALS algorithms. This page is a free resource to the public to demonstrate these AHA algorithms. See our website terms. Compatible part number: 90-1055, 90-1053, 90-1056.

New! We now sell laminated 8.5"x11" crash cart algorithm cards ($60 $40 set of 10) and 24"x36" wall posters ($80 set of 9).

Primary Assessment Algorithm

The primary assessment in pediatric patients is key. The focus is on identifying and stopping life threatening issues before they deteriorate. This algorithm provides a step by step analysis of the pediatric patient that ensures that serious signs and symptoms do not go unnoticed.

Primary assessment »

Cardiac Arrest

Cardiac Arrest The cornerstone of a successful resuscitation is delivering quality compressions for the highest percentage of time possible during the resuscitation (at least 60%). Throughout the following algorithm compressions are continuous except where noted otherwise, such as during defibrillation.

Arrest — BLS » Arrest — ALS »


PALS Bradycardia Bradycardia is almost always symptomatic in infants and pediatrics. Many times it can represent a life threatening illness or injury. This algorithm guides us in the recognition of symptomatic bradycardia and provides us with the steps required for its initial treatment.

Bradycardia »


PALS Bradycardia The diagnosis of tachycardia can be a challenging one. In the infant or child with symptoms it is of the utmost importance. This algorithm provides guidance in differentiating the type of tachycardia (wide vs narrow complex) and provides for the initial treatment of the infant or child that is exhibiting serious signs and symptoms.

Tachycardia »

Respiratory Emergencies

PALS Bradycardia These are the most frequent life threatening emergencies in infants and children. This algorithm categorizes them into four categories, upper, lower, lung tissue disease and disordered work of breathing. The algorithm then provides us with the recommended treatment modalities for each type of respiratory emergency.

Respiratory emergencies »

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See our separate page for ACLS Algorithms. New Now see our separate page for BLS Algorithms.