PALS Class, Nashville | Register Now | Pediatric Advanced Life Support

Need PALS Class in Nashville?
REGISTER HERE –  http://acls-bls-nashville.com

Watch this video on PALS regarding airway obstruction that is covered in a pediatric advanced life support class taught by a certified American Heart Association (AHA) instructor.

CPR Nashville is authorized as a Training Center for the Pediatric Advanced Life Support Course by the American Heart Association. The Pediatric Advanced Life Support (PALS) Course is designed for healthcare providers who initiate and direct advanced life support beyond basic life support through the stabilization or transport of a pediatric emergency, either in or out of hospital.

Some of the goals of this class is to be able to recognize and manage a child in respiratory distress or failure and/or compensated or hypotensive shock. Also to be able to describe key elements of effective resuscitation team behaviors and explain why the foundation of successful resuscitation includes both mastery of basic skills and effective team dynamics.

Additionally, one should be able to comprehend and be able to perform the systematic approach to pediatric assessment of a seriously ill or injured child, including the general, primary, secondary, and tertiary assessments.Use the assess-categorize-decide-act approach to decision making.

When students complete a PALS class through CPR Nashville training site in Tennessee they will be able to recognize the infant or child at risk of cardiopulmonary arrest and identify strategies for prevention. To be able to demonstrate the cognitive and psycho-motor skills necessary for resuscitating and stabilizing the infant or child in respiratory failure, shock, or cardiopulmonary arrest, Demonstrate the use of the various airway and oxygen adjuncts and methods for optimum ventilation & airway control.

Overall, CPR Nashville located in Brentwood TN in Merchant’s Walk Shopping Center with the address of 5016 Thoroughbred Lane, Brentwood TN 37027 teaches classes that are stress-free and fun. We provide classes that are organized and the instructors undergo strict training with the AHA as well as through us in order to provide healthcare providers with the best classes possible.

If you need to register for a class you can visit us at http://acls-bls-nashville.com

Thank you and see you in class!

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BLS Classes in Memphis

For a video on how to use an AED machine visit http://myfamilyplate.com/3713/bls-class-memphis-register-now-basic-life-support/

Classes Offered and Pricing

You can always view a complete monthly list of the classes and pricing we are offering at: http://www.STLcpr.com

Classes and Fees for Individuals: 

  • BLS Renewal- $67
  • BLS First Time-$77
  • ACLS First Time  – $297 (includes manuals)
  • ACLS Renewal – $199
  • PALS First Time – $297 (includes manuals)
  • PALS Renewal – $199
  • BLS and ACLS Renewal Combination – $238
  • Heartsaver CPR AED – $57
  • Heartsaver CPR AED and FirstAid – $84
  • ECG/Pharmacology
  • PEARS

Manual Fees:

  • BLS Manual -$23
  • ACLS Manual – $47
  • PALS Manual – $49
  • Heartsaver Manual – $23

 

Note: The American Heart Association requires each student to have a manual. We do not mandate that students purchase them from us, however we must make sure they have one for class.

If a student adds a manual to their class purchase on our website, we will mail it directly to them if time allows. If we do not feel the manual will reach them in time, we will put “bought manual” next to their name on Google calendar. This will alert you to have one ready to hand them when they arrive to class. 

If a student missed the note on our website that says “manual is required”, please assist them with purchasing one.

Select the manual the student needs to purchase and complete the form with payment. Their receipt will be emailed to them once the payment has been completed. Do not forget to keep note of how many manuals were issued and sold for your inventory totals at the end of class.

If you need a Basic Life Support class in Memphis, TN
visit http://acls-bls-memphis.com

The Principles of Emergency Care

Emergency plans should be established based on anticipated needs and available resources. There should be the plan of action for emergencies. There should also be the gathering of needed materials. The emergency response begins with the preparation of equipment and personnel before any emergency occurs. The things that are gathered are first aid kit, fracture boards and etc.

Always remember the initial response as follows:

  1. Ask for help
  2. Intervene
  3. Do not do further harm

It is also important to provide proper instruction to the bystanders to aid you with the emergency care procedures. Proper information and instruction to the bystander or bystanders would provide an organized first aid care.

Emergency action principles

  1. Survey the scene. Once you recognized that an emergency has occurred and decide to act. You must make sure that the scene of the emergency is safe for you, the victim or victims, and the bystander or bystanders. But the priority is the safety of the rescuer, also known as the health care provider.

Take time to survey the scene and answer these questions:

  • Is the scene safe?
  • What happened?
  • How many people are injured?
  • Are there bystanders who can help?
  • Then identify yourself as a trained first aider
  • Get consent to give care
  1. Next, activate the emergency response system. In some emergencies, you will have enough time to call for specific medical advice before administering first aid. But in some situations, you will need to attend to the victim first.
  • Call first and provide cardiopulmonary resuscitation first. Both trained and untrained bystanders should be instructed to activate medical assistance as soon as they have determined that an adult victim requires emergency care, “call first”. While for infant and children a “CPR first” approach is recommended.
  • Information to be remembered in activating Medical assistance:

-what happened?

-location?

-number of persons injured?

-extent of injury and first aid given?

-the telephone number from where you are calling?

-person who activate medical assistance must identify himself or herself and drop the phone last

  1. Primary survey is done in every emergency situation, you must first find out if there are conditions that are immediate threat to the victim’s life.
  • Check for consciousness
  • Check for airway

Ways of opening the airway

–      Head tilt chin lift maneuver

–      Jaw thrust maneuver

  • Check for breathing, look for the rise and fall of the chest, listen for breathing and feel for air coming out from the victim’s nose
  • Check for circulation
  1. Secondary survey is done next; it is a systematic method of gathering additional information about injuries or conditions that may need care.
  • Interview the victim for:

Signs and symptoms

Allergies

Medications

Past medical history

Last meal taken

Events prior to injury

  • Check vital signs every 15 minutes if stable and every 5 minutes if unstable

The CPR Nashville includes these emergency care principles into their classes.  See there site now to register – http://acls-bls-nashville.com.

Office and group classes at CPR Nashville

CPR Nashville is the best training center in the Nashville area that provides cardiopulmonary training ideal for you. Their classroom settings are very conducive for optimal learning along with hands on training that promotes fast and non stressful CPR training. CPR Nashville offers BLS (Basic Life Support) and ACLS (Advanced cardiac life support) as well as training for emergency medical services provider (paramedics).

CPR Nashville offers office and group rates! Their instructors will certify you and your group will it be a class, an office or a group of close friends. But their quality teaching is still the same. Instead of giving you the hassle to visit their training center, they themselves come to your office and gives you the training you and your group want. They offer these for any interested folks located in areas of upstate South Carolina.

CPR Nashville is 100% approved by the American heart association. They also believe that providing a relaxed, interactive and fun environment will promote optimum learning. Their classroom set classes are good for their students since the students are allowed to ask and clarify. Their classes are fast paced and organized as well. They know that every second of your time counts and they put into use every second of it. They also bring with them the materials and equipment needed to get the CPR training started without any unnecessary delays. They have photocopies of everyone’s provider card for your office records. CPR Nashville is also concerned with your convenience that they have a free reminder system which lets you know when to renew. This is the best stress free and the fastest basic life support and advanced cardiac life support certification process you will ever have. In just a few hours of training your certification and BLS or ACLS provider card will be given you right after the class. CPR Nashville also has this system of convenient scheduling, you and your group decides on the date and time of the training when everyone is free. They will maintain a dated record of all office certifications which you will also have access. They also have this easy invoice and payment processes, for more information about this call them at (615) 638-0005. If interested in going to CPR Nashville training location, they are conveniently located in Homewood Suites Brentwood-Nashville, 5107 Peter Taylor Park Drive, Nashville TN 37027.

Get their basic life support and advanced cardiac life support all inclusive office or group package:

  • American heart association certified BLS or ACLS provider card that is valid for two years
  • Complete American Heart Association CPR class with skills check
  • Well versed, experience, and friendly American Heart Association mobile CPR instructor
  • Processing and registration fee

Classes from CPR Nashville will always be fun because of their nice instruction. This would also promote a fast learning experience that is good and never boring. For more information visit http://acls-bls-nashville.com/

The ABC to CAB

The fundamental of basic life support is to attend to the proper sequence of attending to ABC or airway, breathing and circulation.

Airway- this is the first priority in basic life, the air passages needs to be cleared off for the air pass.

Breathing-when the airway is cleared, air can now ventilate the lungs, this time, the breathing should be restored and returned in to the normal breathing pattern, this can be done by rescue breathing or the use of bag-valve mask

Circulation-oxygen is needed by every single cell in the body that is why proper transport and distribution of oxygen is necessary. Normal circulation must be restored; this is done by chest compressions or the use of AED (Automated external defibrillator) but this is only done when the victim has no pulse. But now, the American Heart Association CPR guidelines have changed. The American Heart Association has changed the CPR sequence from ABC (airway, breathing and circulation) to CAB (Compressions, Airway, and Breathing). For 40 years the sequence of ABC has been followed in which the top priority is opening and maintaining an open airway to allow the air to ventilate the victim’s lungs by doing the head tilt chin life maneuver.

Chest compressions are the first interventions to provide during emergency cases mentioned earlier. The first priority is to restore the blood circulation with chest compressions. First, place the victim on a flat and firm surface. Then, locate the chest compression site (between the nipples). With your hand placed on top of the other hand, compress using your body weight with your elbows straight and compress at 2 inches. Provide chest compressions at a rate of 100 chest compressions per minute. However, If you are not trained, provide chest compressions without interruptions in between while waiting for the emergency medical services.

Next, clear the airway, start it by using the head tilt chin lift maneuver after providing 30 cycles of chest compression. Check if the victim is breathing and if it is already normal, do this as you place your ear and cheek on the victim’s mouth and nose. If the victim is abnormally breathing, like gasping for example then begin providing rescue breaths. When the head tilt chin lift maneuver is done, pinch the nostrils and seal the victim’s mouth with yours. Provide a rescue breath, slow and gentle which lasts for one second only. The victim’s chest must rise-this indicates that the lungs are ventilated and oxygen is provided in the body especially the brain. Provide a 2nd rescue breath and then resume the chest compressions to allow the oxygenated blood to circulate and nourish the vital organs. When five cycles of CAB (circulation, airway and breathing) measures have passed then us an automated external defibrillator to regain the electrical impulses to the heart. Follow the voice prompts, provide one shock and then provide cardiopulmonary resuscitation again.

Continue providing the sequence until the victim has awakened or if the victim has regained heartbeat and breathing or when the emergency medical services arrive.

Skipping the rescue breathing and starting immediately with the chest compressions has been proven to effectively increase the cardiac arrest victim’s chance for survival.

CPR Nashville knows this and they offer training on Basic Life Support, Advanced Cardiac Life Support, Pediatric Life Support based on the up to date guidelines.  Visit the CPR Nashville site to check there classes!

Spina Bifida

Spina Bifida or Myelomeningocele is a neural tube defect that is seen at birth. This is a condition of the neural tube in which it is not completely closed. The spinal cord is the main structure affected in spina bifida. The vertebrae in the spinal cord are not formed completely and it is unfused. There are some cases in which a portion of the spinal cord is protruding due to the large opening in the bones.

There are many types of Spina Bifida:

  • Spina bifida occulta

In spina bifida occulta, the vertebrae does not completely form but this does not stick out to the back since the meninges are intact and it is covered with skin.

  • Spina bifida cystica o
  • Spina bifida cystica on the other hand is the condition in which the spinal cord and the meninges have protruded against the skin.
  • Myelomeningocele

This is the most common and serious type is characterized by an unclosed backbone and spinal canal which should have closed while developing inside the mother.

The confirming sign is a sac that is located either in the middle or lower back. There might be the presence of protrusion. Other  symptoms may also manifest since the lower part of the spine is affected, the symptoms may be paraplegia or hemiplegia which is either the partial or complete paralysis of the lower extremities, the loss of bowel and bladder control, partial or complete unresponsiveness to sensation, weak hips and lower extremities. There may be also associated abnormalities such as foot or leg deformities, hydrocephalus, and the dimpling at the sacral location.

What are the causes and risk factors of spina bifida?

the cause of spina bifida is not known though some risk factors may affect such as family history, exposure to radiation and toxic chemicals and unhealthy lifestyle.

How is spina bifida prevented?

Since low levels of folic acid usually accompanies neural tube defects, it is highly recommended for those who are pregnant and those who are trying to get pregnant to take at least 0.4 mg of folic acid a day with a diet high in folic acid. This is also recommended for those who are at higher risk. The folic aicd, which is an essential vitamin, is responsible for the normal development of the brain and the spinal cord. The foods rich in folic acid are: beans and legumes, fortified cereals and bread (which is adhered by some countries), dark leafy vegetables, liver and citrus fruits and juices.

Diagnostic tests

A quadruple screen is done during the second trimester; this test screens the presence of myelomeningocele or spina bifida. The alfa fetoprotein level is also measured thru getting a sample by amniocentesis. Pregnancy ultrasound may also be done.

Treatment

The surgical closure of the defect can be done however the normal function is not restored. This is usually done thru intrauterine surgery. Some Healthcare Schools offer some considerations with Pediatric Advanced Life Support For Infants with spina bifida or myelomeningocele. Go right here to check out PALS.

 

Ventricular Septal defect

Ventricular septal defect is the most common heart defect characterized by one or more holes in the wall of the ventricle/s. When the infant is in the womb, the left and right ventricles are not yet separate. Normally, a wall has to form for the complete separation of both ventricles. But if the wall does not form completely, an opening remains which would cause the continuous flow of blood commonly known as shunting, this affects oxygenation. This defect can be seen with anomlies like tetralogy of fallot, transposition of great arteries, and atrioventricular canal defects.

Risk factors

Drinking alcoholic beverages during pregnancy increases the risk for VSD as well as Taking certain medications such as Dilantin and Phenytoin which are antiseizure medications

The signs and symptoms

This opening due to incomplete wall formation is known as the ventricular septal defect. Like that of atrial septal defect, ventricular septal defect does not produce symptoms when the opening is small but these symptoms are seen with those that have VSD: shortness of breath, fast breathing and frequent respiratory infections.

Assessment and diagnostic tests

The examiner may hear abnormal heart sounds, commonly, a heart murmur which is a sign of a turbulent blood flow. The stronger the murmur, the greater the size of the defect. echocardiogram is the number one diagnostic test done since this confirms the presence of ventricular septal defect, with the use of sound waves, it will be able to visualize the movements of the heart. Cardiac catheterization might be also done but only when there is the presence of pulmonary hypertension. Chest X-ray is another important procedure since this determines the presence of abnormalities such as an enlarged heart of if the lungs are already filled with fluid. Magnetic resonance imaging of the heart can also be done to find out the amount of blood that has entered in the lungs.

Treatment

Treatment may no longer be required when the defect is small and may close on its own. But since the patient is an infant, he or she still needs to be properly monitored to immediately manage and render treatment when complications such as heart or pulmonary failure occur. But those with large defects may need to undergo surgery to control symptoms and especially prevent heart failure. After surgery, antibiotics may be prescribed and digitalis medications as well such as digoxins. Diuretic medications may be prescribed.

Untreated ventricular septal defect can lead to:

Heart failure, slowed growth and development of the infant, aortic insufficiency, irregular heart rhythms, endocarditis dude to bacterial infection and right sided heart failure because of pulmonary hypertension.

If these complications occur, the management should be done well with the proper application of CPR skills such as Advanced Cardiac Life Support (ACLS) and Pediatric advanced life support (PALS) a health care provider especially those that are in critical units of the hospital must be updated with the guidelines and recertified every two years. There might be some Free CPR Renewal which is offered from the program or the hospital you are working on.

To know more about CPR visit the CPR Nashville here.

Acrocyanotic Heart Defects

This is a group of heart defects that is seen in newborns. These are heart defects present at birth.  From the word acrocyanosis, it is the cyanosis of the infant’s extremities. This is due to the impaired circulation resulting from the heart defect.

Atrial Septal defect

This is a condition in which the septum or the wall of the atria (singular term form atrium) has a hole. This is a normal feature when the infant is in the womb since this hole allows a passage to oxygenated blood to nourish the lungs. This hole in the atria normally closes when the baby is delivered. But if it does not close, that’s when Atrial Septal defect comes in. A shunt will form as characterized with blood that continue to go back and forth between the two heart chambers. A small hole would not create enough symptoms but these symptoms may accompany ASD: dyspnea, palpitations and shortness of breath. This could be treated with a Dacron patch to close the hole when it is big enough to cause a large amount of blood shunting or if difficult symptoms occur but if it is small, treatment might not be required.

Ventricular Septal defect

Ventricular septal defect is the most common heart defect characterized by one o more holes in the wall of the ventricle/s. When the infant is in the womb, the left and right ventricles are not yet separate. Normally, a wall has to form for the complete separation of both ventricles. But if the wall does not form completely, an opening remains which would cause the continuous flow of blood commonly known as shunting, this affects oxygenation. This opening due to incomplete wall formation is known as the ventricular septal defect.like that of atrial septal defect, ventricular septal defect does not produce symptoms when the opening is small but this symptom are seen with those that have VSD: shortness of breath, fast breathing and frequent respiratory infections. The small hole may not need treatment because usually it would close on itself but large holes can lead to respiratory depression and thus needs surgical repair with Dacron patch.

Patent Ductus Arteriosus

Patent ductus arteriosus is an open ductus arteriosus since this does not close like it normally does. When the infant is still at the mother’s womb, the ductus arteriosus provides blood to the lungs but when the infant is born, the ductus arteriosus closes since it is no longer required. But when the ductus arteriosus does not close, that’s when is known as patent leading to abnormal blood flow from the pulmonary artery and aorta. Tachypnea, fast pulse, and shortness of breath are the symptoms that may occur.

Atrioventricular Canal Defect

Also known as the endocardial cushion defect is characterized by a whole in between the atrium and ventricle. This allows extra amount of blood to circulate the lungs which may overwork. This is a number one feature in Down syndrome.

First Aid Classes in Nashville TN, available here, such as ACLS may tackle some heart conditions for the trainees to gain adequate knowledge on cardiovascular care.

Pediatric Advanced Life Support Classes

Pediatric advanced life support is different from other courses since this usually focuses on prevention of trauma or injury to the child likewise the disruption of the child’s development. It is very important to know of the standard guidelines and practices in child handling for emergency cases. This is required of health care providers such as paediatricians, midwives, paramedics, family doctors, neonatal nurses, emergency doctors and other highly trained health care providers.

Pediatric life support focuses on:

  • Management and maintenance of airways in pediatric patients
  • Initiation of intravenous fluid in pediatric patients
  • Reading or electrocardiogram results in pediatric patients
  • Emergency pharmacology
  • Health care team communication

CPR Nashville is a trusted training center certified by the American Heart Association. Aside from the skills mentioned above, this training center also includes cardiac pulmonary resuscitation, cardiac defibrillation and automated external defibrillator training unlike other pediatric life support training centers.  They also offer ACLS Class in Murfreesboro. Trusted and dedicated, this training center will provide the quality education you want.

  • They focus on a stress-free and relaxed environment conducive enough for fast learning
  • Fast and stress-free one day only PALS class
  • Guaranteed best PALS class or you’ll get your money back
  • Free replacement of lost or stolen PALS card
  • They take the responsibility of reminding you when it is time to renew
  • Offers official continuing education hours certificate
  • Monthly newsletter free every month
  • Certified by American Heart association
  • Expert, friendly, supportive and approachable American Heart Association certified PALS instructors
  • AHA pediatric life support provider card is given the same day as your class
  • Small class size that will allow the instructor to focus on each student and answer all related questions
  • Health  care systems

Before the PALS class starts, they will mail you the American Heart Association Pediatric Advance Life Support Manual and electrocardiogram and pharmacology manual for you to study and prepare for the class. Make sure that you have a good night sleep to gain enough energy.

Read several reviews:

“I liked that there was more interaction with the instructor instead of watching videos.” Michele Enloe, RDH

“Very knowledgeable. Brings the life saving scenario to real life.” Valerie Higgens, RN

“We had a great instructor and she made it fun.” Katherine Black, CNA

“Great instructor – taught the class very straightforward and to the point.” Sarah, Social Worker

“I like everything about the class!” Rashad Watkins, Dietary Aide

“Our instructor was very informative. Thanks.” Summer Ellsworth, Medical Receptionist

“Instructor was very personable.” William Whiting, Student

Register now and get their complete package:

  • All-Inclusive One Day PALS Class Includes:
  • Required PALS Manual *included ($49)
  • Required ECG-Pharmacology Manual *included ($39)
  • PALS Manual & ECG-Pharmacology Manual *FREE SHIPPING!
  • On-site AHA PALS course and skills test check off *included ($297)
  • 2 year American Heart Association PALS Wallet Card *included ($10)
  • Course Site & Registration Fee *included ($40)
  • American Heart Association Instructor Fee *included

ACLS Class in Murfreesboro is now offered at CPR Nashville which located at Home wood Suites Brentwood-Nashville, 5107 Peter Taylor Park Drive, Nashville, TN 37027.  Click here to schedule your class now.

Compression first Guidelines of CPR

The new American heart association 20120 CPR guidelines emphasize:

  • Compressions first

Then immediately deliver the 100 chest compressions a minute and it is highly recommended to avoid lags in the chest compressions. The chest compressions should have a depth of 2 inches for adults and 1.5 inches for infants. Again, the arms should be straight, avoid leaning and the strength should come from the shoulders and not the arms. By mimicking the pumping action of the heart, the blood on the veins (that still contains oxygen) will be effectively transported to the vital organs of the body especially the brain.

  • Push hard and push fast

The simplified form of cardiopulmonary resuscitation or CPR focuses on giving chest compressions to keep the blood and the oxygen in the blood flowing to the heart and brain. The landmark of chest compressions is between the 4th and 5th rib or nipple line.

  • Compressions first or “CAB” is now going to be a standard

-compress first

-check airway

-give rescue breaths

The American Heart Association has changed the CPR sequence from ABC (airway, breathing and circulation) to CAB (Compressions, Airway, and Breathing). For 40 years the sequence of ABC has been followed in which the top priority is opening and maintaining an open airway to allow the air to ventilate the victim’s lungs by doing the head tilt chin life maneuver.

Second, the victim’s breathing is the next priority. The emergency response provider gives rescue breaths to the cardiac arrest victim with two breaths for every thirty chest compressions. Then follows the chest compressions, the chest compressions as exhibited by the use of the rescuer’s hands and arms (the arms must be straight). The compressing force should be coming from the rescuer’s shoulders instead of the rescuer’s arms.

 Chest compressions are given at a rate of 30 chest compressions per cycle (approximately 24 seconds per cycle). But studies have shown that most bystanders who have witnessed a cardiac arrest event are hesitating to give a mouth to mouth resuscitation or are busy memorizing the instructions on the phone provided by an emergency personnel and that wastes a lot of time. The six minutes time after a cardiac arrest event is crucial for the victim and when it’s past 6 minutes already, irreversible brain damage has occurred which is terribly contributing to the mortality rate.

Before you start providing CPR, remember to do the following:

  • Survey the scene if it is safe, if not, then transfer yourself and the victim, as well as the bystanders to a secure area
  • Check the victim if he or she is really unconscious by tapping him or her lightly in the shoulders and calling attention by shouting

You can have quality training with the latest updates on CPR and other specialized training such as PALS and ACLS in CPR Nashville, visit this site right here!