Teaching the Principles of Pediatric Critical Care to Non-Intensivists in Resource Limited Settings: Challenges and Opportunities

[摘要] The essential role of community and preventative healthcare in promoting the well-being of children in RLS is well established and assumed here. Yet, improvements in primary and preventive care do not eliminate need for hospital-based care. A high percentage of children (an estimated 12–34%) seen in ambulatory settings, for example, are felt to require hospital assessment and/or admission (5). Multiple studies have shown mortality inversely related to distance from a hospital and that prehospital/emergent or advanced care resources are most limited where the majority of children die (6–8). In addition, we know that a growing percentage of preventable deaths result from the “neglected burden” of trauma; approximately 90% global trauma deaths occur in low- and middle-income countries (LMICs) and road deaths alone kill more than 200,000 children per year in RLS (9–11). All these ill or injured children require some (and perhaps an increasing) degree of medical care and demise is, in many cases, related to an inability to deliver timely or appropriate care (12).

[学科分类] 儿科学

[关键词] critical care;resource limited;training programs;pediatric;challenges