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Development of Pediatric Neurologic Emergency Life Support Course: A Preliminary Report

Anwarul Haque1, Fehmina Arif, Qalab Abass

  • 1From the *Division of Pediatric Critical Care Medicine, Aga Khan University Hospital; †Department of Pediatrics, Civil Hospital Karachi; ‡Division of Pediatric Neurology, Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan.

Pediatric Emergency Care
|February 9, 2016
PubMed

Insights

A new Pediatric Neurologic Emergency Life Support course improved recognition and treatment of acute neurological emergencies in children. The training showed good participant achievement and high satisfaction rates in resource-limited settings.

Area of Science:

  • Pediatric Emergency Medicine
  • Neurology
  • Medical Education

Background:

  • Acute neurological emergencies (ANEs) in children are critical, potentially fatal conditions.
  • Delayed recognition and treatment of ANEs lead to high mortality and severe disability.
  • Effective management strategies are crucial for improving outcomes in pediatric ANEs.

Purpose of the Study:

  • To evaluate the effectiveness of a novel "Pediatric Neurologic Emergency Life Support" course.
  • To enhance pediatricians' and trainees' knowledge and practical skills in managing ANEs.
  • To improve the early recognition and timely treatment of ANEs in children within the first hour.

Main Methods:

  • A hybrid course combining pediatric advanced life support and emergency neurologic life support principles.
  • Case simulations of four common ANEs (status epilepticus, nontraumatic coma, raised intracranial pressure, severe traumatic brain injury).
  • Protocolized, stepped-care approach emphasizing management within the critical first hour, including neuroresuscitation and neuroprotection.

Main Results:

  • Eleven courses were delivered to 196 physicians (consultants and residents) between November 2013 and December 2014.
  • The average participant score was 65.15%, with 70% achieving a passing score (>60%).
  • The overall participant satisfaction rate with the course was high at 85%.

Conclusions:

  • The Pediatric Neurologic Emergency Life Support course is an effective educational tool for improving ANE management in children.
  • The program demonstrated good participant achievement and high satisfaction, indicating its value in resource-limited settings.
  • Further large-scale courses are recommended for future validation and broader implementation.
Abstract

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