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PALS and NALS?
Started by edulover
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edulover said:
Depends on you, I'd think. If you want to focus on this stuff, and do extra rotations or moonlight (if there's somewhere that'll let you) in a PICU or NICU...you'll want the certs. Otherwise, I tend to think it's more trivia than anything.
We're required to do NALS and get certified. We also do PALS, but because my program doesn't have all the equipment/mannoquins, we don't get certified. I guess it all depends on what your program requires as a function of your responsibilities in the hospital.
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DOtobe said:
If you ever plan on delivering babies as the only doc for both mom and baby you'd better be darned comfortable rescucitating a newborn (ie PALS). You're it baby. It all falls squarely on your shoulders, Mom been pushing too long, baby comes out blue and limp......you're in a community center with no inhouse peds/NICU etc... you'll be resuscitating this child.
so pals should be very relevant for you.
later
At my FP program we do PALS and what I thought was called NRP (neonatal resuscitation program), but not NALS (wonder what, if any, difference there is?). I think both are important - PALS is very useful, and stresses the point that in children, a code is usually airway-related, not usually of cardiac etiology, as we're used to in adults. As for NRP, I totally agree with the previous poster - if you are EVER going to be delivering babies, this is very important. This is basic stuff (how to do compressions on a newborn, oxygen, types of apnea seen at birth, etc.) - learn it, and if your program doesn't provide it, learn it from another source. At least get the info then decide whether or not it will be useful to you eventually. I'm ending my intern year and have found both to be useful and helpful already.
12R34Y said:
Delivery room resuscitations fall more under the curriculum of the NRP (not NALs) course than the PALS course. If you are planning on delivering infants I would agree you should be NRP certified although I would recommend that you have a plan for backup from an additional NRP or ACLS certified provider as it's unlikely you will be successful resuscitating both mom and baby if that need arises.
