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ACLS vs PALS: What’s the difference?

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ACLS and PALS are life-saving techniques designed by the American Heart Association. ACLS treats adults, while PALS treats children. Both serve as central patient management tools in emergency situations, prioritizing airway, breathing, and circulation. ACLS techniques include ventilation, tracheal intubation, defibrillation, and IV infusions, while PALS includes life-saving techniques for sick or injured children. The primary purpose of both is to save lives in urgent or emergency care situations.

Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) are lifesaving techniques designed by the American Heart Association (AHA). ACLS and PALS serve as central patient management tools in emergency situations. While ACLS and PALS are clinical interventions implemented to resuscitate patients or artificially sustain life, paramedics and healthcare providers use them with different patient populations in varying life-threatening circumstances. Emergency clinical interventions operate on the “ABC” principle to prioritize needs: airway, breathing and circulation.

The main difference between ACLS and PALS is the recipient of treatment: ACLS treats adults, while PALS treats children. For urgent or emergency care, advanced cardiovascular life support is an essential clinical intervention for any emergency medical team or healthcare facility. One of the main functions of the ACL is to treat cardiac arrest or other cardiopulmonary emergencies in adults. The AHA also emphasizes the need to initiate ACL interventions in the “periarrest” or early stages leading to full-blown cardiac arrest, when adults exhibit symptoms of impending cardiopulmonary events. Some of the main ACLS techniques include ventilation, tracheal intubation, defibrillation, and intravenous (IV) infusions.

Emergency medical personnel and health services dedicated to the pediatric care of infants and children must have advanced pediatric life support systems in place. Trained medical professionals using PALS can perform several crucial life-saving techniques on sick or injured children. When a child is unable to breathe or is unconscious, ACLS techniques may include ventilating the child using a bag-valve mask or inserting an endotracheal tube into the child’s windpipe or trachea. During a cardiac event or other life-threatening situation, a child may need defibrillation with cardioversion – a brief electrical shock – or the insertion of a needle directly into the child’s bone marrow for immediate access to intravenous fluid infusion.

Whether paramedics and healthcare professionals treat children, adults, or both, some form of life support system must be functional and readily available to handle urgent and emergency care situations. ACLS and PALS address these needs by providing targeted interventions for each patient population. While advanced cardiovascular life support primarily serves adults in cardiac arrest and cardiopulmonary emergencies, pediatric advanced life support ensures that the smallest patients receive the skilled emergency care they need during life-threatening situations. The primary purpose of ACLS and PALS is to try to save the lives of those in need of urgent or emergency care.

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