The American Heart Association Pediatric Advanced Life Support, or PALS course, is based on scientific evidence from the 2020 AHA Guidelines. The guidelines are for CPR and ECC. The PALS course aims to aid the pediatric healthcare provider, in developing the knowledge and skills necessary to efficiently and effectively manage critically ill infants and children, resulting in improved outcomes. Skills taught in the PALS certification build on BLS skills. The skills include recognition and treatment of infants and children at risk for cardiopulmonary arrest; the systematic approach to pediatric assessment; effective respiratory management; defibrillation and synchronized cardioversion; intraosseous access and fluid bolus administration; and effective resuscitation team dynamics.