Which of the following sets correctly lists the certifications required for Tier II personnel?

• A. ACLS and PALS only
• B. ACLS, PEPP or PALS
• C. PEPP or PALS and ITLS or PHTLS
• D. ACLS, PEPP or PALS, ITLS or PHTLS

Answer: (C)

Tier II personnel are expected to be prepared for both pediatric situations and trauma scenarios in the field. That means two components are required: a pediatric-focused certification (PEPP or PALS) and a trauma-focused certification (ITLS or PHTLS). The correct set includes one option from each group, ensuring competence in pediatric prehospital care and trauma management.

ACLS is not part of the Tier II minimum; including it adds a certification not required by the standard for Tier II, which is why that broader set isn’t the right answer. The other choices miss either the pediatric or the trauma component, so they don’t meet the full requirement.