PALS Pediatric Tachycardia Management — free guideline decision tool
This tool applies the AHA PALS tachycardia algorithm, choosing between synchronized cardioversion, adenosine and antiarrhythmics by hemodynamic stability and QRS width, with weight-based doses.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does PALS Pediatric Tachycardia Management do?
Use in a child with tachycardia to determine management by stability and QRS width and calculate cardioversion energy and drug doses.
How is the result calculated?
Unstable (with a pulse) → synchronized cardioversion 0.5–1 J/kg → 2 J/kg. Stable narrow QRS (SVT) → vagal maneuvers → adenosine 0.1 mg/kg (max 6) → 0.2 mg/kg (max 12). Stable wide QRS (suspected VT) → expert consultation, amiodarone 5 mg/kg or procainamide 15 mg/kg.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run PALS Pediatric Tachycardia Management now
This tool applies the AHA PALS tachycardia algorithm, choosing between synchronized cardioversion, adenosine and antiarrhythmics by hemodynamic stability and QRS width, with weight-based doses.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.