Teaching of the Advanced Paediatric Life Support (APLS) in New Zealand commenced with two courses held in Wellington in 1998. Since that time it has grown in strength and numbers. Since 2010 New Zealand has run 54 courses plus three Generic Instructor Courses with over 1500 candidates completing the course. In an endeavour to decrease the length of the waiting list APLS New Zealand is gradually increasing the number of courses held each year.
This is a three-day course teaching a systematic approach to the early management of seriously ill and injured children. The course structure is being revised with the first of the “new-look” courses being run in Auckland in December 2015.
The new-look course consists of three components:
APLS Manual: Advanced Paediatric Life Support: The Practical Approach, ANZ 5th Edition. The manual is available as either a print copy or as an e-book. Reading of the course manual is a pre-requisite.
APLS Online Learning: The online learning has replaced much of the lecture content in the course and is essential to progressing onto the course, which has been improved to contain more scenarios and practical activities.
APLS Online Learning consists of 25 individual modules to enhance your learning and understanding of clinical priorities for the management of critically ill and injured children.
Each module has questions and learning activities for you to complete.
It is anticipated that the pre-course online learning will take you approximately 8-10 hours to complete. Your progress will be monitored by APLS and provided to the course director when you attend. Please note that you are required to complete the online learning component for successful completion of the APLS provider course.
It consists of approximately eight to ten hours of pre-learning, focused on key knowledge and clinical priorities in preparation for the interactive three-day course. These e-learning modules are mandatory and must be completed prior to attending the course.
APLS Face to Face Programme: This component aims to build on the knowledge gained from the APLS manual and online learning. A good understanding of this content is assumed during scenarios, workshops and skill stations. The face to face programme consists of plenary sessions, skill stations, workshops, scenarios and testing.
Each course is limited to 28 participants – usually 24 full candidates and 4 nurse observers Every candidate is allocated a mentor for the duration of the course. The role of the mentor is to advise and support candidates with any difficulties they may encounter and to provide feedback on progress.
Generally there are 12 instructors and a Course Director that make up the Faculty for each course. The instructors come from a range of disciplines including paediatrics, emergency medicine, anaesthesia, general practice and nursing.
The instructors are not paid for their services. However, their travel and accommodation costs are met by APLS.
The target audience for APLS courses is any doctor or nurse who is involved with seriously ill and injured children. It is a requirement of training for those training as paediatricians and in the vocational field of Rural Hospital Medicine.
Certification is for five years after which time the course should be repeated. Consideration is being given to the implementation of a “refresher” course.
The objectives of the course are to:
- Provide the knowledge necessary for effective treatment and stabilisation of children with life threatening emergencies
- Teach the practical procedures necessary for effective management of childhood emergencies;
- Test the acquisition of these skills
- To understand the structured approach to the recognition of a seriously ill child
- To learn a rapid clinical assessment sequence to identify serious illness in a child
- An introduction to the equipment used in the resuscitation of a seriously ill child
- To understand the structured approach to airway and breathing
- To understand the structured approach to cardiac arrest
- To understand the protocols and introduce the drugs and equipment used for cardiac arrest
- Skill stations in basic life support, airway management and defibrillation and rhythms
- To understand the structured approach to the child with breathing difficulties, including assessment resuscitation, key features and emergency treatment
- To understand the structured approach to the convulsing child, including the protocols for treatment and drugs used
- To understand the structured approach to the seriously injured child including chest injury, abdominal injury, trauma to the head and spine, burns and scalds. Includes the clinical assessment sequence to identify life threatening injuries in a child.