pals algorithms

PALS Algorithms 2019: AHA Issues A Scientific Statement on

Management of Stroke in Neonates and Children

pals algorithms

The last scientific statement on pediatric stroke was published ten years ago. Undeniably much has happened since then. The new scientific statement from the American Heart Association “represents a synthesis of data and a consensus of the leading experts in childhood cardiovascular disease and stroke.”

First, please please take time to watch these videos to obtain a better understanding of stroke in children. pals algorithms

It can happen at any age:

Signs of stroke in a child:

The writers, appointed by the AHA Stroke Council’s Scientific Statement Oversight Committee together with the Manuscript Oversight Committee to reflect the expertise of the subject matter, utilized systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and to indicate gaps in current knowledge. This enables the AHA to issue a scientific statement that is based on expert consensus considerations for clinical practice.

Some of the main points discussed in the new scientific are the following.

  • Annualized pediatric stroke incidence rates, including both neonatal and later childhood stroke and both ischemic and hemorrhagic stroke, range from 3 to 25 per 100 000 children in developed countries.
  • Newborns have the highest risk ratio: 1 in 4000 live births.
  • Stroke is a clinical syndrome.
  • Delays in diagnosis are common in both perinatal and childhood stroke but for different reasons.
  • New strategies for prevention and treatment, disease processes and risk factors that lead to pediatric stroke
  • Important differences that affect the pathophysiology and treatment of childhood stroke
  • Updates on perinatal and childhood stroke with a focus on the subtypes, including arterial ischemic, venous thrombotic, and hemorrhagic stroke
  • Updates in regard to areas of childhood stroke that have not received close attention such as sickle cell disease.

The full copy of AHA’s new scientific statement can be downloaded from this page. The statement provides practicing providers with the much-needed updated information in Management of Stroke in Neonates and Children.

pals algorithms

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Ferriero DM, Fullerton HJ, Bernard TJ, Billinghurst L, Daniels SR, DeBaun MR, deVeber G, Ichord RN, Jordan LC, Massicotte P, Meldau J, Roach ES, Smith ER; on behalf of the American Heart Association Stroke Council and Council on Cardiovascular and Stroke Nursing. Management of stroke in neonates and children: a scientific statement from the American Heart Association/American Stroke Association. Stroke. 2019;50:e•••–e•••. doi: 10.1161/STR.0000000000000183.

A Stroke Can Happen at Any Age: Alex’s Story. (2014, August 01). Retrieved from

Signs of Stroke in a Child: University of Pennsylvania’s Dr. Lori Billinghurst. (2017, February 22). Retrieved from