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whats going on all my healthcare brothers and sisters i hope that you are having a wonderful day the american heart association has officially come out with their 2020 guideline updates for the pediatric advanced life support certification and today were going to be discussing what those changes are lets get started in this video were only going to be discussing the pediatric advanced life support updates i highly recommend that you go back and check out my previous video on the american heart association 2020 guideline updates for basic life support when it comes to our pediatric patients so to begin lets take a look at some of the big changes that came with our pals update from the american heart association in 2020 to begin we have invasive blood pressure monitoring to assess cpr quality in 2020 for patients with continuous invasive arterial blood pressure monitoring in place at the time of cardiac arrest it is reasonable for providers to use diastolic blood pressure to assess