It seems like the older I get the faster life goes by. It seems like this past week was like that for sure. A big part of my week centered on becoming an instructor for the pediatric advanced life saving (PALS) class. A basic CPR class is called BLS (basic life saving) and you learn how to do CPR, the Heimlich maneuver and how to use an automated external defibrillator like they now have in airports. The step up from that is ACLS (advanced cardiac life saving). That class is for medical personell and you learn how to do more advanced things like give medications to stimulate the heart or stop an irregular heart rhythm. PALS is the pediatric version of ACLS and it was a new mandate that all residents (at least the 2nd years this year and interns next) would become PALS class instructors. This was mostly mandated in order to be able to give the job of teaching the classes to the residents instead of the attending pediatricians who are the usual instructors. The certification has to be renewed every two years by pediatricians, family practice, ER docs, anesthesiologists, as well as pediatric nurses and technicians so there is a steady flow of learners each month.
Becoming an instructor initially seemed like a big deal. Just 18 months back I was sitting in the class trying to grasp every detail hoping to pass. I'm now due to expire myself in June and resuscitating dying kids isn't something we do everyday.
In order to become an instructor I had to take a 3 hour class about instructing (general teaching principles) and then come back the following day to teach the class. Surprisingly there wasn't any review of the PALS material but we were given materials to study on our own and had an open afternoon to reveiw things. I was impressed with myself that I seemed to know the algorithms for shock and cardiac arrhythmias fairly well just from going through residency and keeping up with exercises we've done along the way.
The actual teaching turned out to be pretty fun. My class had a family practice physician's assistant, an anesthesiologist (a little intimidating because these are the real experts in resuscitation), 3 nurses and a respiratory therapist. I was in charge for the afternoon of running simulated cases of patients with heart or lung disease and having the group take turns being in charge of taking care of the patient. The anesthesiologist turned out to be fairly helpful and teaching the class gave me some confidence that I actually have learned a bit in the last 6 years.
I had to work all day Saturday and into Sunday morning so I didn't have much of a weekend but I won't have too many like that and I was overdue to cover a Saturday so I guess I had it coming.
Other happenings for the week included bowling with the young women for Kimi and Lucy becoming a full-time princess by wearing her dress-up dress, crown and platic pink princess shoes for at least 75% of her waking hours (she would sleep in the outfit too if we let her).