Pediatric Fundamental Critical Care Support

Updated with the latest knowledge in pediatric critical care, this two-day comprehensive course addresses fundamental management principles for the first 24 hours of post-resuscitation management of the critically ill pediatric patient until transfer or appropriate critical care consultation can be arranged.

To apply for a PFCCS course license and purchase learners, please visit the Fundamentals portal. A username and password are required to log in. If you do not know this information, please e-mail Please note that each learner will receive a copy of the book and one certificate will be issued for each learner who successfully completes the course.




Now in it's newly released second edition, Pediatric Fundamental Critical Care Support (PFCCS) joins SCCM's long-running Fundamental Critical Care Support (FCCS) course, which was launched in the mid-1990s, as resources for those interested in learning to recognize critical illness and initiate care for the critically ill pediatric patient in the absence of an intensivist. It also serves as a valuable education tool for those entering the field of pediatric critical care. While FCCS addresses both adult and pediatric issues, its primary focus is the adult patient. PFCCS focuses exclusively on fundamental  concepts for professional providers who may be involved in the initial management and transfer of critically ill or injured infants and children.

PFCCS prepares non-intensivists, nurses, and critical care practitioners to deal with acute deterioration of critically ill pediatric patients. The course also assists the non-intensivist in handling the sudden decline of a previously stable patient and prepares house staff for PICU coverage.

Participation in, or completion of, this course does not confer any credential, nor does it satisfy any board certification requirement apart from the continuing education credit if offered for it. This course is not intended to replace, override, or conflict with any licensing or credentialing requirements.

Course Objectives

  • Prioritize assessment needs for the critically ill or injured infant and child.
  • Select appropriate diagnostic tests.
  • Identify and respond to significant changes in the unstable pediatric patient.
  • Recognize and initiate management of acute life-threatening conditions.
  • Determine the need for expert consultation and/or patient transfer and prepare for optimal transfer. 

Intended Audience

  • Hospitalists caring for potentially unstable, critically ill or injured pediatric patients
  • Advanced practice nurses and physician assistants with limited pediatric practice
  • Rapid response/medical emergency team members
  • Critical care fellows beginning their training
  • Emergency medicine physicians who do not routinely care for pediatric patients
  • Nurses caring for complex and potentially unstable patients
  • Pre-hospital providers with lengthy patient transfer times

Traditional Licensed Course
A live, instructor-led, two-day course is the traditional method for delivering the PFCCS course. Licensed sites arrange for qualified instructors to deliver the lectures and their related skill stations. Complete slide decks with speaker notes as well as administrative materials and forms are provided to each site. Textbooks are shipped to the site prior to the course dates, allowing learners to prepare for the live activity. The site coordinator administers the pre- and posttests and provides that information to SCCM, which prepares and ships certificates of completion to the site coordinator for distribution. The Institutional Relations team can help sites that have not previously held a course find consultants who will lead the development of PFCCS on site. The goal is for individual sites to become self-sustaining in their delivery of the PFCCS program.

Online Licensed Course
Utilizing the well-established materials from the traditional, instructor-led course, this format allows sites to more efficiently deliver the didactic educational content and creates flexibility for instructors and learners for the delivery of the hands-on skill stations. Online lectures were prepared by leaders in critical care and delivered by professional presenters. Using a state-of-the-art online learning management system, participants complete the lecture portion of the course over four weeks. Pre- and posttests assure their mastery of the educational content. Course directors and coordinators can monitor the progress of students in real time through their personalized administrative dashboard. Participants who successfully complete of the online licensed course will receive a certificate of completion. In addition, those learners will receive CE/CME from SCCM for their completion of the lecture portion of the program.

Self-Directed PFCCS provides a relaxed learning experience with access to the same didactic sessions found in the live version of the PFCCS course. Learners cover materials at their own pace from the comfort and convenience of their homes or offices and then assess their knowledge through the use of pre- and posttests. Self-Directed PFCCS includes all modules with synchronized speaker audio and the PFCCS textbook (English), which will be automatically shipped shortly after registration is completed. Six and a half hours of CE/CME credit is available for nurses, pharmacists and physicians, but this version of the course does not include the skill stations or a PFCCS provider certificate. Self-directed learners can choose to register for the skill station portion of the course at one of the live sites listed in the course calendar. Visit the Self-Directed PFCCS page to make a purchase.

​Traditional ​Online ​Self-Directed
​CE/CME ​Only if provided by the licensing institution ​6.5 hours provided by SCCM ​6.5 hours provided by SCCM
​Location/Time ​A live in-person educational event, held at the institution’s discretion. ​Didactic sessions available online for 4 weeks prior to the scheduled skill stations. ​Online at the learner’s discretion for two years from the time of purchase.
​Skill Stations ​In-person at licensing institution ​In-person at licensing institution ​None
​Cost (Tiered) ​$210-$1,260 per course. Discounts for multiple courses. ​$630-$3,780 per course. Discounts for multiple courses. ​$195 members, $250 nonmembers
Textbook​ ​Paid via learner fee ​Paid via learner fee ​Included
Provider Certificate​? ​Yes ​Yes ​No






Pediatric Fundamental Critical Care Support, now in its newly released second edition, is a valuable asset for any healthcare practitioner who treats critically ill or injured infants and children, particularly in hospitals that operate a pediatric/adult swing unit or that do not have a pediatric
intensive care unit. This edition has been updated to reflect current practices and offers essential information throughout its 21 chapters and 16 appendices. PFCCS Second EditionPediatric Fundamental Critical Care Support, Second Edition, is available in print and as an eBook.

  • Assessment of the Critically Ill Child
  • Airway Management
  • Pediatric Cardiac Arrest
  • Diagnosis and Management of the Child With Acute Upper and Lower Airway Disease
  • Mechanical Ventilation
  • Diagnosis and Management of Shock
  • Acute Infections
  • Fluids, Electrolytes, and Neuroendocrine Metabolic Derangements
  • Traumatic Injuries in Children
  • Pediatric Burn Injury
  • Nonaccidental Injuries: Diagnosis and Management
  • Pediatric Emergency Preparedness
  • Management of the Poisoned Child and Adolescent
  • Transport of the Critically Ill Child
  • Neurologic Emergencies
  • Management of the Child With Congenital Heart Disease
  • Oncologic and Hematologic Emergencies and Complications
  • Acute Kidney Injury
  • Postoperative Management
  • Sedation, Analgesia, and Neuromuscular Blockade
  • Invasive Medical Devices


The PFCCS textbook includes appendices that can serve as reference material on current pediatric critical care practice.

  • Pediatric Normal Values
  • Intraosseous Needle Insertion
  • Acid-Base Balance and Arterial Blood Gas Analysis
  • Oxygen Delivery Devices
  • Airway Adjuncts
  • Endotracheal Intubation
  • Common Medications
  • Difficult Airway Algorithm
  • Advanced Life Support Algorithms
  • Defibrillation/Cardioversion
  • Temporary Transcutaneous Cardiac Pacing
  • Thoracostomy
  • Central Venous Access.
  • Hand-off Mnemonics for Transport and Trauma
  • Pediatric Transport Form
  • Arterial Catheter Insertion

Several features make the PFCCS textbook easy to navigate and understand. Its format maximizes learning and flow of information. Each chapter and major section begins with learning objectives and a case study to focus attention on key clinical findings and patient presentation. Information boxes in the margins reinforce essential principles and emphasize clinical cautions, and many sections offer additional electronic resources for suggested reading.

Single copy purchases of the current edition of the Pediatric Fundamental Critical Care Support textbook as well as other textbooks in the Fundamental series be made through the SCCM store.




Single Course

Shaped by SCCM’s commitment to meeting the needs of each individual customer, the PFCCS course pricing structure is designed to be both fair and flexible. The Society offers two options: single course licenses, and unlimited annual course licenses. Pricing options are tiered, based on the country in which the course is held. This allows SCCM to accommodate ranges in needs and available financial resources.

Please contact the Institutional Relations team at +1 847 827-6869 or via e-mail at with any circumstances that may require special pricing consideration. 


​Live Instructor Licensed Course     ​Per Course Pricing
For Profit​ ​$1,260
Nonprofit Tier 3​ ​$790
​Nonprofit Tier 2 ​$525
​Nonprofit Tier 1 ​$210


Online Licensed PFCCS Per Course Pricing​
​For Profit ​$3,780
Nonprofit Tier 3
​Nonprofit Tier 2 ​$1,575
​Nonprofit Tier 1 ​$630


Multicourse Discounts
Are you interested in holding multiple courses throughout the year? If you plan to hold four or more courses in one year, you should consider an unlimited license. The Society offers discounted course pricing for volume purchases – the more courses you purchase, the larger the discount. Please contact the Institutional Relations team at +1 847 827-6869 or via e-mail at with any circumstances that may require special pricing consideration. 

Tiered Pricing
Tiered pricing is based on a country's Gross Domestic Product at Purchasing Power Parity Per Capita as reported by the World Bank in its most current World Development Indicators database.


​GDP (PPP) per capita
​Tier 3 ​More than $15,000
​Tier 2 ​Between $5,000 and $15,000
​Tier 1 ​Less than $5,000
Per Learner Pricing
Licensed institutions will be assessed a fee for each learner which includes a copy of the current edition of the textbook (print or eBook) and, upon successful completion of the course, a provider certificate.


​Learner Fee ​Per Learner Price
Nonprofit Tier 3​ ​$58/per learner
​Nonprofit Tier 2 ​$40/per learner
​Nonprofit Tier 1 ​$20/per learner

Versions of the PFCCS textbook  translated into Spanish and Chinese are in development. Please call the Institutional Relations team with any questions at +1 847 827-6869 or contact them via e-mail at





You will find suggestions and guidelines below to assist you in planning for your course. Detailed timelines, sample schedules, equipment lists and forms are provided to site coordinators/directors by SCCM after course dates are set. The Institutional Relations Team at the Society of Critical Care Medicine (SCCM) can answer questions or discuss your plans with you. To reach a member of the team, please call +1 847 827-6869 or e-mail

To apply for a PFCCS course license and purchase learners, please visit the Fundamentals portal. A username and password are required to log in. If you do not know this information, please e-mail Please note that each learner will receive a copy of the book and one certificate will be issued for each learner who successfully completes the course.

Live Course

In the live instructor-led PFCCS Course, the Course Director, with the assistance of the Course Coordinator, has responsibility for planning, organizing and conducting the course.  These responsibilities include faculty selection, course logistics, obtaining equipment, establishing participant registration processes, and requesting necessary course resources (audiovisual equipment, skills station equipment, catering, etc.).  Provision of CE/CME credits is also a Course Director/Coordinator responsibility.

Course Requirements

The first time a site or Course Director offers a course, Course Consultant mentorship and approval is required.
Selection of a Course Consultant is the site’s responsibility. If problems are encountered, please contact the PFCCS Institutional Relations Manager at SCCM headquarters.

The Course Consultant may request an honorarium, not to exceed $1,000. The Course Director may negotiate a lower or pro bono fee schedule; however, nothing higher than $1,000 is advocated by the FCCS Program Committee, the SCCM Council, or the SCCM Executive Office.

Travel expenses for the Course Consultant and any visiting lecturers will be reimbursed by the site.

The Course Director must be an approved PFCCS Instructor who has taught in at least two courses in the previous two years.

The Course Coordinator will provide administrative, organizational, and other types of support. There are no other requirements for the Course Coordinator.

Each course must have two approved instructors (may include the Course Director). All other lecturers may be clinical experts and associate instructors from a variety of areas and professions (e.g., nurse, physician assistant, respiratory therapist, pharmacist, and other specialist physicians).

Skill stations may be operated by non-PFCCS trained personnel, but integrity must be assured by the Course Director and the instructors.
For the initial course to be presented, the Course Director and Course Coordinator will work under the direction of a Course Consultant who will mentor them with organization and administrative issues during setup, and personally evaluate the initial course presentation.

Administrative Process

When planning and administering an PFCCS course, please use the following as a checklist.

  1. Purchase a course license and learners through the Fundamentals portal.
  2. Identify course dates.
  3. Submit payment for license and learners to SCCM.
  4. SCCM forwards course materials to approved Course Director/Course Coordinator.
  5. Conduct course.
  6. Submit final course data (e.g., attendee test results, certificate requests, faculty listing) to SCCM via the Fundamentals Portal.
  7. SCCM ships Certificates of Successful Completion to the site coordinator for distribution.