PASS- A course in Pediatric Acute Surgical Support to build pediatric surgical emergencies capacity in developing countries
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Mar 2022 · 1 min read
In brief
In brief
PASS course trains multidisciplinary teams in low-middle income countries to manage pediatric surgical emergencies through simulation and team-based scenarios. Initial deployment across four sessions (2017-2019) showed significant improvements in written exam scores (55% to 72%) and trauma management performance among 92 physicians and nurses.
Written by the GCMD Library team from the article.
Objectives
The burden of pediatric trauma and emergency, including pediatric surgical emergencies in low middle income countries (LMIC) is high. The goal of Pediatric Acute Surgical Support (PASS) course is to prepare caregivers in LMIC for the acute management of life-threatening pediatric surgical emergencies. We aim to show the feasibility of its initial deployment.
Methods
PASS was developed in 2016 with LMIC faculty from a teaching children hospital CH. The course contents consisted of a mix of didactic materials for serious general neonatal and pediatric surgery and modified PALS/ATLS, in-person multidisciplinary team-based skill stations, and interactive clinical scenarios and simulated trauma cases. The course was subsequently revised and delivered to 92 learners in four classes of 2.5-days sessions at two CHs between 2017-2019. Learners' demographics, written exams, team-based case performance, and post-course survey data were prospectively collected and retrospectively analyzed.
Results
Physician (60%) and nurse learners (40%) from pediatric critical care (36%), surgery (23%), emergency medicine (20%) and anesthesiology (9%) had 3.6 +/- 3.6 years of clinical practice; pre- and post-course written exam score of 55.4+/-15.5 % vs 71.6+/-12.8%, team-based trauma scenario management 22.6±7.8% vs 54.7±16.6% and team-based dynamic scores 17+/- 10% vs 53.3+/- 15.5%, respectively (p