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Piloting a Pediatric Trauma Course in Western Jamaica: Lessons Learned and Future Directions

Research paper by Hadley Wesson, Valerie Plant; Marieka Helou; Karen Wharton; Jeffrey Haynes; Charles Bagwell

Indexed on: 15 Jan '17Published on: 11 Jan '17Published in: Journal of Pediatric Surgery



Abstract

Publication date: Available online 10 January 2017 Source:Journal of Pediatric Surgery Author(s): Hadley Wesson, Valerie Plant, Marieka Helou, Karen Wharton, Jeffrey Haynes, Charles Bagwell Introduction Pediatric injuries are a leading cause of death in low- and middle-income countries (LMICs). Despite this, there are few formal pediatric-specific trauma educational initiatives available in LMICs. While new educational tools are being developed to address this, they have not been piloted in LMICs. In Jamaica, pediatric injuries are a leading cause of hospital admission but care is limited by a lack of training in triage and stabilization. Our objective was to implement and evaluate a pediatric trauma course in Jamaica to determine the impact this may have on further course development. Material and Methods A pediatric trauma course was conducted at the Cornwall Regional Hospital in Montego Bay, Jamaica sponsored by the Children's Medical Services International, a non-profit organization. Participants took part in six didactic modules, an infant airway intubation skills session, and three clinical simulation scenarios. Results Twenty-five participants including surgical, pediatric, and emergency medicine residents from regional and district-level hospitals in Jamaica participated in the course. Participants viewed the course favorably. Strengths included good review of pediatric trauma physiology, short modules, hands-on practice, and applicable clinical scenarios. Using a Likert-type rating scale of 1 to 10, with 1 being minimal and 10 being very knowledgeable, pre-course knowledge was ranked as 5.9, which increased to 9.2 after the course. Using a similar scale, the pre-course comfort level to run a pediatric trauma was 4.9 and increased to 8.5 following the course. Discussion Implementation of this pilot pediatric trauma course was feasible and successful through collaboration with the hosting regional hospital. The lack of formal pediatric training can be overcome by a course such as this which includes both didactics and hands-on clinical patient simulations.