PALS for Paramedics

PALS for Paramedics: Sick Children in the Pre-Hospital Setting

For many ambulance crews, a critically ill child is one of the least frequent and most stressful calls. A PALS course gives paramedics a structured way to assess and treat children in the field.

In short

Paramedics usually need PALS alongside ACLS. Field challenges include worried parents, equipment in many sizes, estimating weight without scales and deciding what to do on scene versus en route.

On scene

A calm, structured first look — the initial impression from the systematic approach — is often all the information you have before a parent hands you the child. Parents are a key source of history and usually stay with the child.

Estimating weight

Without scales, a length-based tape gives a weight estimate and pre-calculated doses and equipment sizes — see weight-based dosing.

Common calls

Access and drugs

IO access is often faster than IV in a small, shut-down child.

With ACLS and BLS

See ACLS for paramedics and BLS for paramedics. We train ambulance teams on site.

Transport decisions

Deciding whether to treat on scene or move quickly to hospital depends on the problem: an obstructed airway needs immediate action, while a stable child with suspected sepsis benefits most from rapid transport with pre-notification. Pre-alerting the receiving ED lets the paediatric team be ready.

Other life support and first aid courses: BLS Course · ACLS Course · First Aid Course · Training calendar

Frequently asked questions

Do paramedics need PALS?

Most ambulance services require it alongside ACLS.

How do paramedics estimate a child's weight?

Often with a length-based tape that also gives doses and equipment sizes.

Is IO access used pre-hospital?

Yes, it is often the fastest route in a critically ill child.

What are the commonest paediatric ambulance calls?

Seizures, breathing difficulty, allergic reactions and trauma.

Can you train ambulance crews on site?

Yes.

Should paramedics pre-alert the hospital for a sick child?

Yes, a pre-alert lets the paediatric team prepare.

Do paramedics need PALS if children are rare in their area?

Yes. Rare calls are when structured training matters most, because there is little day-to-day practice to fall back on.

What paediatric equipment should an ambulance carry?

Your service sets the list, but it typically includes bag-mask devices and masks in several sizes, paediatric airway adjuncts, a length-based weight tape, IO equipment and paediatric defibrillator pads.

Book an AHA PALS course in Abu Dhabi

Safety First Medical Services is an American Heart Association training centre on Al Reem Island. HeartCode blended PALS, classroom PALS and on-site PALS for paediatric, neonatal and emergency teams, with a two-year AHA PALS Provider eCard.

See PALS dates and register PALS course overview Group booking enquiry

Sources and further reading

What we teach follows the awarding body and the UAE health authorities. For the definitive position on a course or licensing question, these are the places to check.

Last reviewed by the training team at Safety First Medical Services, an American Heart Association training centre at Addax Office Tower, Al Reem Island, Abu Dhabi. Call +971 55 761 9841 or email training@safetyfirstmed.ae.