Prova Teorica Pals < CERTIFIED >
Remember: The goal is not just a certificate on the wall. It is the ability to translate that theoretical knowledge into action when a child’s life depends on it.
By Dr. A. Rossi, Pediatric Emergency Medicine Consultant prova teorica pals
A) Administer adenosine 0.1 mg/kg rapid IV push B) Perform immediate synchronized cardioversion at 0.5–1 J/kg C) Give a fluid bolus of 20 mL/kg normal saline D) Start an epinephrine infusion at 0.1 mcg/kg/min Remember: The goal is not just a certificate on the wall
The child has a narrow-complex tachycardia (likely SVT) with signs of instability (hypotension, lethargy, hypoxemia, poor perfusion). In unstable SVT, cardioversion is indicated before adenosine. Fluids and epinephrine are not first-line for unstable SVT. Conclusion The Prova Teorica PALS is a demanding but passable exam if you approach it systematically. Focus on the Evaluate–Identify–Intervene framework, master the recognition of respiratory failure and shock, and drill the cardiac arrest algorithms until they become reflex. Combine that with quality practice questions, and you will enter the exam room confident and prepared. Fluids and epinephrine are not first-line for unstable SVT
2 Comments
Kevin
Love Breevy. Love. But, the team at 16software has been missing in action for many many years. All attempts to reach anyone there is futile. the last suport post in their forums is from 2015. One needs to know what you are getting into if you use Breevy cause it has been on auto pilot for many years.
I’ll add, it is a Windows only product and the Mac keyboard at the top hints otherwise.
Breevy still rocks but there does not appear to be a company behind it and there hasn’t been in years.
Laura Earnest
These are all really valid points. The “team” is actually one person – Patrick – at 16Software. The last version of Breevy was released in 2016 and it is still solid, but I think Kevin’s points are well worth taking into account before deciding to use the software.