Advanced Life Support (ALS), also known as Advanced Cardiac Life Support (ACLS), is a set of life-saving protocols and skills that go beyond Basic Life Support (BLS). Used for emergency treatment of cardiac emergencies such as cardiac arrest, stroke, and myocardial infarction. Qualified professionals who provide extended cardiac life support are trained and approved to administer medications, injections, and airway procedures prior to the patient's arrival at advanced medical facilities and hospitals. . High-quality cardiopulmonary resuscitation (CPR) and early defibrillation should be performed within the first 3-4 minutes after sudden cardiac arrest. The American Heart Association recommends extended cardiovascular life support within the first 8 minutes after sudden cardiac arrest or other cardiac emergency to maximize a patient's chances of survival. Basic life support is the level of medical skills used to treat victims of life-threatening illnesses and injuries until they are able to receive full medical attention in hospital. BLS requires knowledge and skills in CPR, AED use, and airway clearing. EMTs, paramedics, or even qualified spectators can perform BLS. ALS should only be performed by paramedics and health care providers with more extensive training than EMT. Advanced cardiac life support is generally performed by highly trained paramedics and other qualified medical professionals. It can be carried out at emergency sites and hospitals. A healthcare provider undergoing ACLS training is expected to keep abreast of the latest practices and research and to recertify her ACLS on a regular basis. His ACLS certification is valid for two years. While the initial certification consisted of a two-day course including written and practical exams, recertification allows him to complete an eight-hour condensed course. Most hospitals do not allow grace periods, so it's important for healthcare professionals to keep track of certification renewal dates. Pediatric Advanced Life Support (PALS) is a training program offered by the American Heart Association and other organizations whose goal is to provide pediatric health care providers with the knowledge and skills they need to manage critically ill infants and children. is to The program teaches skills such as identifying and treating infants and children at risk of cardiac arrest. Defibrillation and CPR in children are similar to those used in adults, but because children differ in height and weight from adults, special care must be taken to ensure adequate chest compression depth and ventilation. Rescuers should also consider differences in interpretation of arrhythmias and the use of weight-based energy settings for defibrillation. The study found no difference between her BLS care and his ALS care outcomes in an urban setting. Advanced Life Support: Only one study directly compared the outcomes of her BLS and ALS care in a patient with altered mental status. This study found that the same number of patients improved upon arrival at the emergency department, but that patients treated with ALS for hypoglycemia had shorter stays in the emergency department. Limitations: This review article does not consider the benefits of his 2005 ALS interventions such as thrombolytics, dextrose, and nitroglycerin. Because no studies have directly compared these interventions with his BLS care. Furthermore, only his one study in this literature review was a large multicenter study. ALS offers little, if any, benefit to urban trauma patients.