Academic Pediatric Surgery Capacity Building in Vietnam Through PASS, a Pediatric Acute Surgical Support Course

Bich-Uyen Nguyen1, Aixuan Holterman2, Mark Holterman2

  • 1Department of Pediatric Surgery, Ho Chi Minh University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.

Insights

A new training course, Pediatric Acute Surgical Support (PASS), enhances healthcare capacity for neonatal and pediatric surgical emergencies in Vietnam. This initiative aims to improve immediate management of life-threatening conditions and road injuries.

Area of Science:

  • Global Health
  • Surgical Education
  • Emergency Medicine

Background:

  • Neonatal and pediatric surgical emergencies pose significant global health challenges, particularly in low and low-middle income countries.
  • International Pediatric Surgical Aid Collaboration (IPSAC)-Vietnam has partnered with Vietnamese children's hospitals for 12 years to build pediatric surgery capacity.
  • Understanding Vietnam's healthcare, medical training, and emergency systems is crucial for developing targeted interventions.

Purpose of the Study:

  • To describe the background of healthcare and training systems in Vietnam relevant to pediatric surgical emergencies.
  • To introduce the Pediatric Acute Surgical Support (PASS) course, designed to improve immediate management of critical pediatric surgical conditions.
  • To outline the PASS course's approach and its potential for sustainable capacity-building in developing countries.

Main Methods:

  • The study describes the healthcare and emergency systems in Vietnam.
  • It details the development and methodology of the Pediatric Acute Surgical Support (PASS) course.
  • The PASS course utilizes an interprofessional, multidisciplinary, team-training, train-the-trainers, and outcome-based approach.

Main Results:

  • The Pediatric Acute Surgical Support (PASS) course was developed to prepare healthcare personnel for immediate management of neonatal/pediatric surgical emergencies and road injuries.
  • The PASS course is designed as a horizontal outreach initiative.
  • The course emphasizes an interprofessional, multidisciplinary, team-training, train-the-trainers, and outcome-based approach.

Conclusions:

  • The Pediatric Acute Surgical Support (PASS) course serves as a tool for sustainable horizontal capacity-building in developing countries.
  • Champion leaders in teaching hospitals and medical universities can utilize PASS to strengthen training for pediatric surgical emergencies.
  • The initiative advocates for integrating pediatric and pediatric surgical care and adopting a comprehensive approach to emergency care for critically ill children.

Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
81
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
136
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
54
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
118