What is the first step in the PALS algorithm for a child in respiratory distress?

The correct answer identifies that the first step in the PALS (Pediatric Advanced Life Support) algorithm for a child in respiratory distress is to assess the airway, breathing, and circulation. This assessment is crucial because it allows the responder to determine the severity of the child’s respiratory distress and to identify the most immediate interventions needed.

By checking the airway, you can ensure it is clear of obstructions; evaluating breathing helps to assess whether the child is getting enough oxygen and if ventilation support may be required; and reviewing circulation helps to determine if there are signs of inadequate perfusion. This triage ensures that no critical factors are overlooked and that the child receives the appropriate care promptly.

The other steps, while important, follow the initial assessment. Administering supplemental oxygen is often necessary, but it needs to be guided by the assessment of the child’s oxygenation status. Chest compressions would only be indicated if the child shows signs of cardiac arrest following the initial assessment, and calling emergency services is a critical step, but it comes after assessing the situation and determining if immediate emergency intervention is warranted.