How is the effectiveness of chest compressions monitored during PALS?

The effectiveness of chest compressions during Pediatric Advanced Life Support (PALS) is primarily monitored by assessing the depth and rate of compressions. Proper chest compressions are critical to ensure adequate blood flow during cardiopulmonary resuscitation (CPR), and this involves maintaining both the appropriate depth and rate as established by PALS guidelines. The recommended rate for compressions is 100 to 120 compressions per minute, and the depth should be sufficient to allow for complete recoil of the chest between compressions to enhance venous return.

Monitoring these parameters helps resuscitation providers ensure that they are delivering effective compressions that can generate enough blood flow to vital organs, particularly the brain and heart. Continuous assessment of the depth and rate aids in optimizing compressions to improve the chances of survival and favorable neurological outcomes in pediatric patients experiencing cardiac arrest.