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Pediatric Critical Care in Resource Limited Settings-Lessening the Gap Through Ongoing Collaboration, Advancement in
Ashley Bjorklund1,2, Tina Slusher1,2, Louise Tina Day3
1Department of Pediatrics, Hennepin Healthcare, Minneapolis, MN, United States.
Insights
Recent advancements in pediatric critical care in low- and middle-income countries (LMICs) show progress in research, training, and technology. Equitable partnerships are vital for future global progress in pediatric critical care.
Area of Science:
- Global Health
- Pediatric Critical Care
- Medical Education
Background:
- Pediatric critical care in low- and middle-income countries (LMICs) has evolved significantly.
- Previous work highlighted care disparities between LMICs and high-income countries (HICs).
- The COVID-19 pandemic accelerated certain developments.
Purpose of the Study:
- To review recent advancements in pediatric critical care within LMICs.
- To identify progress in research, training, education, and technology.
- To discuss lessons learned and persistent gaps in pediatric critical care.
Main Methods:
- Literature review and analysis of recent developments.
- Focus on progress in LMICs since previous assessments.
- Examination of research, training, education, and technology advancements.
Main Results:
- Significant progress noted in pediatric critical care research, training, and technology in LMICs.
- COVID-19 pandemic influenced the pace of some advancements.
- Ongoing disparities and gaps in care persist, requiring attention.
Conclusions:
- Equitable and sustainable partnerships are crucial for bidirectional knowledge exchange.
- Collaboration in research and technology is essential for advancing global pediatric critical care.
- Addressing identified gaps is critical for future progress in the next decade.
Abstract:
Pediatric critical care has continued to advance since our last article, "Pediatric Critical Care in Resource-Limited Settings-Overview and Lessons Learned" was written just 3 years ago. In that article, we reviewed the history, current state, and gaps in level of care between low- and middle-income countries (LMICs) and high-income countries (HICs). In this article, we have highlighted recent advancements in pediatric critical care in LMICs in the areas of research, training and education, and technology. We acknowledge how the COVID-19 pandemic has contributed to increasing the speed of some developments. We discuss the advancements, some lessons learned, as well as the ongoing gaps that need to be addressed in the coming decade. Continued understanding of the importance of equitable sustainable partnerships in the bidirectional exchange of knowledge and collaboration in all advancement efforts (research, technology, etc.) remains essential to guide all of us to new frontiers in pediatric critical care.
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