This book, "PLS and PALS," is born from a career devoted to serving others, often in their most vulnerable moments. As a former Sergeant Major in the army, I have been tested in the crucible of combat and camaraderie. My deployments to Afghanistan and Iraq taught me the value of discipline, adaptability, and resilience. Later, as a seaman navigating the piracy-ridden waters off Somalia and Yemen, I learned the importance of vigilance and teamwork in unpredictable circumstances. These lessons have stayed with me and continue to shape my approach as a paramedic, where every second counts and every decision matters. 2 "PLS and PALS" is not just a technical guide or a collection of protocols; it is a reflection of the principles and practices that have saved lives in the most extreme conditions. PLS—Prehospital Life Support—and PALS—Pediatric Advanced Life Support—are cornerstones of emergency medicine, but they are also about something deeper: the unwavering commitment to preserve life, no matter the odds. In this book, I aim to bridge the gap between theory and practice, drawing from my own experiences to illuminate the real-world application of these lifesaving methodologies. Whether you are a seasoned professional, a student entering the field, or someone looking to understand what it takes to act in moments of crisis, my hope is that this book will inspire confidence, sharpen your skills, and deepen your dedication to the art and science of saving lives. Join me as we explore the challenges, triumphs, and indomitable human spirit that underpin the principles of PLS and PALS. This journey is as much about the lives we save as the lessons we learn along the way.