Independent PALS recertification review study guide
Independent PALS recertification review, administered by American Heart Association and American Academy of Pediatrics (pediatric guideline science), is mapped here as 3 topic areas; the heaviest are Section 2 — Weight-Based Pharmacology (35%), Section 3 — Practical Application (35%) and Section 1 — Pediatric Rhythm Recognition (30%).
About this course: Review pediatric rhythms, weight-based doses and resuscitation algorithms with original practice scenarios based on the 2025 AHA/AAP Guidelines. Independent knowledge practice for clinicians preparing for the AHA PALS® course.
Independent PALS recertification review at a glance
- Questions
- 40
- Time allowed
- self-paced refresher
- Passing standard
- AHA requires at least70% on the PALS Precourse Self-Assessment before the course
- Format
- Independent self-paced knowledge practice
- Standard / edition
- 2025 AHA/AAP Guidelines for CPR & ECC
- Administered by
- American Heart Association and American Academy of Pediatrics (pediatric guideline science)
Source: 2025 AHA/AAP Guidelines for CPR & ECC, American Heart Association and American Academy of Pediatrics (pediatric guideline science). Confirm current details with the exam owner before you book.
Topic areas and weights
These percentages are this course's practice emphasis, not an official question distribution.
| Topic area | Weight | Concepts | Guide |
|---|---|---|---|
| Section 1 — Pediatric Rhythm Recognition | 30% | 4 | Section below |
| Section 2 — Weight-Based Pharmacology | 35% | 5 | Topic page |
| Section 3 — Practical Application | 35% | 6 | Topic page |
Topic guides at a glance
Section 2 — Weight-Based Pharmacology
35% of the course blueprint, 5 concepts. Emphasized: What is the pediatric epinephrine dose, concentration, and max?, What are the pediatric antiarrhythmic doses for shock-refractory VF/pVT? and What is the pediatric atropine dose, min, max, and its narrow indication?.
Section 3 — Practical Application
35% of the course blueprint, 6 concepts. Emphasized: What is the pediatric defibrillation energy ladder in VF/pVT?, What defines pediatric high-quality CPR? and What is the synchronized cardioversion energy ladder for an unstable tachyarrhythmia?.
Study plan in this course
- Recert Bay Briefing: the 2025 Cycle & Honest Scope — 5 cards · free
- Read the Monitor: Pediatric Rhythm Recognition — 4 cards · full course
- The Broselow Drawer: Weight-Based Doses With Their Caps — 5 cards · full course
- Running the Pediatric Code: Arrest & High-Quality CPR — 3 cards · full course
- With a Pulse: Unstable Brady, Tachy & Post-Arrest — 3 cards · full course
Section 1 — Pediatric Rhythm Recognition
Section 1 — Pediatric Rhythm Recognition carries 30% of the Independent PALS recertification review blueprint used in this course, the third-largest of its 3 weighted areas. It spans 4 concepts. The course teaches it in 1 study unit: Read the Monitor: Pediatric Rhythm Recognition.
These percentages are this course's practice emphasis, not an official question distribution.
What Section 1 — Pediatric Rhythm Recognition covers
- Which pediatric arrest rhythms are shockable vs non-shockable?
- How do the sinus-tach vs SVT rate cutoffs differ for infants vs children?
- What is the pediatric narrow-vs-wide QRS cutoff?
- When does pediatric bradycardia trigger CPR?
How Section 1 — Pediatric Rhythm Recognition connects to other areas
- When does pediatric bradycardia trigger CPR? links to How do you run unstable pediatric bradycardia? — Section 3 — Practical Application
In the app this area comes with 4 memory cards and 12 module-quiz questions in the full course.
Official references
- AHA ShopCPR PALS Precourse Self-Assessment
- AHA 2025 PALS Provider ILT Course FAQ
- cpr.heart.org/en/courses/pals-course-options
- ahajournals.org Part 8 Pediatric Advanced Life Support