AHA PALS Parts 2 and 3 Hands On Skills Session

American Heart Association
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This AHA PALS Skills Session or Pediatric Advanced Life Support is a course created by the American Heart Association. This 2 hour classroom course is designed for those who work in an advanced medical setting, including Doctors, Nurses, and Paramedics. This Skills Session is done after completion of the online course Heartcode PALS e-learning course. The online portion is part 1 of the course, and the Skills Session is part 2 (practice) and part 3 (testing). Upon completion of all three parts of the course a 2-year AHA PALS certification will be awarded.

There are three parts to completing your PALS Certification.

1). Go to www.elearning.heart.org and create an account or log in. Purchase the Heartcode PALS online for $152. https://elearning.heart.org/course/439

2). Complete the online course which is Part 1. Print, or take a picture of your certificate and bring it with you to the skills session.

3). Purchase the PALS Skills Session for $100 on this website. The in-person skills session is Part 2, which is the practice and Part 3 which is the hands on testing portion where you will be a team leader in a scenario and perform one respiratory case for a patient with a pulse. During this course you may also complete your BLS written test and hands on testing at no additional charge, to obtain your PALS and BLS cards. 

Upon successful completion of the course, your AHA PALS/BLS Provider cards will be issued via email within 12 to 24 hours.

HeartCode® PALS is an online comprehensive eLearning program that uses eSimulation technology to allow students to assess and treat patients in virtual healthcare settings. In this environment, students apply their knowledge to real-time decision-making and skills development.

To enter the course, students must complete the PALS Precourse Self-Assessment. Students are then presented with 12 In-hospital patient cases and a team dynamics lesson. Cases may be repeated as many times as necessary to pass. Upon successful completion of all the patient cases, students must pass the multiple-choice exam with a minimum score of 84%.

Students who successfully complete the online portion of the course receive a certificate granting them access to a PALS Hands-on Session with an AHA PALS Instructor. Students must successfully complete both the online portion and the hands-on session to receive a PALS Provider course completion card.


Here's a sample Respiratory Case Scenario

Airway Management Megacode Scenario

You are working in the ER examining a 5-year-old female patient who presents with shortness of breath. You can hear audible wheezing. The child speaks with several breaths between each word.

1. You should perform the primary assessment: assessing airway, breathing, and circulation. (Airway is patent; patient is breathing rapidly at 60 breaths per minute, O2 saturation is 79% on room air; 150 HR; 110/76 BP)

2. You should activate emergency response. (Respiratory therapist has been called and is on their way)

3. You should provide oxygen to patient. (Instructor will ask the student how much oxygen should be given) 

The patient's oxygen saturation is not improving. Respiratory therapy arrives. There is no improvement, and the patient is gasping for air and is becoming lethargic.

4. You should demonstrate effective ventilation using bag-mask. You will be asked: "What is the correct ventilation rate"? One breath every 2-3 seconds, each breath should be given over 1 second each.

5. Your patient has now lost consciousness. You perform the head tilt chin lift and insert an oral airway, then attempt ventilation again while arrangements are made to place an advanced airway. If you have performed these steps correctly, you will pass the respiratory megacode and are ready for a cardiac case scenario. 

See our live calendar of classes here:


If you have a current AHA PALS card and need a renewal class, you can also visit


If you have an expired AHA PALS card and need an initial provider class, you can also visit