The American Heart Association’s HeartCode PALS Course, web-based and accessible 24 hours a day, provides a flexible, blended alternative to traditional classroom training. This online instructional program uses eSimulation technology to allow students to assess and treat pediatric patients in virtual healthcare settings. In this environment, students apply their knowledge to real-time decision-making and skills development. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes. After completing the online portion, students attend a hands-on session to test their skills with an AHA Instructor or on a voice-assisted manikin (VAM).