Advocating For Pediatric Rapid Response Worldwide
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Purpose of Review
General pediatricians have been involved for decades in bringing health to the world’s children with preventive and public health interventions. Building on this, this article seeks to explore the necessary concepts and components that would facilitate a rapid response for critically ill or injured pediatric patients to become a life-saving reality for all children.
It has been shown that emergency care can be done practically, cost-effectively, and is necessary to save the lives of children who will, just like children in the USA, suffer from critical illness and injury as a matter of living.
There is a challenge to the pediatric emergency medicine community to facilitate the training and delivery of rapid pediatric response worldwide, with the recognition that emergency care is a specialty of rapid team formation to identify critically ill children, and rapid action to resuscitate them.
KeywordsGlobal Pediatric Resuscitation Resource-limited Partnership Education
Compliance with Ethical Standards
Conflict of Interest
Alison Gardner and Mardi Steere declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 3.•• Robison JA, Ahmad ZP, Nosek CA, Durand C, Namathanga A, Milazi R, et al. Decreased pediatric hospital mortality after an intervention to improve emergency care in Lilongwe, Malawi. Pediatrics. 2012;130(3):e676–82. This is an important study that shows decreased mortality with improved emergency care.CrossRefPubMedGoogle Scholar
- 6.•• Molyneux E, Ahmad S, Robertson A. Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting. Bull World Health Organ. 2006;84(4):314–9. A great statement by the WHO that these interventions can save lives.CrossRefPubMedPubMedCentralGoogle Scholar
- 11.• St-Louis E, Bracco D, Hanley J, Razek T, Baird R. Development and validation of a new pediatric resuscitation and trauma outcome (PRESTO) model using the U.S. National Trauma Data Bank. J Pediatr Surg. 2017;17:30661-9. https://doi.org/10.1016/j.jpedsurg.2017.10.039. This is a great example of adapting protocols for local places.
- 16.•• Eckerle M, Crouse HL, Chiume M, Phiri A, Kazembe PN, Friesen H, et al. Building sustainable partnerships to strengthen pediatric capacity at a government hospital in Malawi. Front Public Health. 2017;5:183. A great example of partnerships between LMIC and HIC.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.• Mikrogianakis A, Kam A, Silver S, Bakanisi B, Henao O, Okrainec A, et al. Telesimulation: an innovative and effective tool for teaching novel intraosseous insertion techniques in developing countries. Acad Emerg Med Off J Soc Acad Emerg Med. 2011;18(4):420–7. An example of using new technology.CrossRefGoogle Scholar
- 19.Kabongo L, Gass J, Kivondo B, Kara N, Semrau K, Hirschhorn LR. Implementing the WHO safe childbirth checklist: lessons learnt on a quality improvement initiative to improve mother and newborn care at Gobabis District Hospital, Namibia. BMJ Open Qual. 2017;6(2):e000145.CrossRefPubMedPubMedCentralGoogle Scholar