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This integrative narrative review synthesizes evidence from the past ten years on Pediatric Advanced Life Support (PALS), emphasizing protocol adaptations to specific settings, weight estimation tools, guideline updates, and training and competency assessment methods. A structured PubMed search identified 18 relevant publications, which were organized into four thematic axes: protocol adaptation, anthropometric tapes, AHA/ILCOR guidelines, and simulation-based training/evaluation. Findings indicate that population-specific tapes improve dosing accuracy; focused guideline updates reinforce ventilation and post-resuscitation temperature management; and skill retention declines without supplementary training, with both in-person and remote simulations effectively mitigating this loss. Remaining gaps include the need for multicenter validation of tools, evaluation of clinical impact for adaptations such as Dental ALS (DALS), and wider adoption of advanced technologies in low-resource contexts. In conclusion, performance-based recertification strategies and continuous capacity-building policies are crucial to enhance pediatric emergency care quality. Future research should include randomized trials and multicenter studies correlating training modalities with real-world patient outcomes.
References
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