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Enhancing Pediatric Emergency Care in Low-Resource Settings Through Simulation-Based Training: A Narrative Review

Jose Carlos Del Castillo Miranda1, Majd Oweidat2, Eslam Abady3

  • 1Universidad Peruana Cayetano Heredia, Lima, Peru.

Sage Open Pediatrics
|July 4, 2025
PubMed

Insights

Simulation-based training (SBT) effectively improves pediatric emergency care skills in low- and middle-income countries (LMICs). This approach enhances clinical decision-making and teamwork, ultimately helping to reduce child mortality.

Area of Science:

  • Medical Education
  • Pediatric Emergency Medicine
  • Global Health

Background:

  • Low- and middle-income countries (LMICs) grapple with high pediatric mortality rates, especially in emergency care scenarios.
  • Simulation-based training (SBT) is a promising strategy to enhance healthcare providers' skills and decision-making in pediatric emergencies.
  • Effective training is crucial for improving outcomes in resource-limited settings.

Purpose of the Study:

  • To review the effectiveness of simulation-based training for pediatric emergency care in LMICs.
  • To identify challenges and successful implementation strategies for SBT in these regions.
  • To explore innovative and cost-effective simulation models suitable for LMICs.

Main Methods:

  • A narrative review methodology was employed.
  • A comprehensive literature search was performed across PubMed, Scopus, and Google Scholar.
  • Thirty-six relevant articles were selected and analyzed.

Main Results:

  • SBT significantly improves clinical skills, teamwork, and decision-making in pediatric emergency care.
  • Low-fidelity and in-situ simulations are cost-effective options for LMICs.
  • Case studies from Ghana, India, and Uganda demonstrate successful, affordable SBT models using task-trainers and homemade equipment.

Conclusions:

  • Simulation-based training is a scalable and effective strategy for improving pediatric emergency care in LMICs.
  • SBT has the potential to significantly reduce pediatric mortality in resource-limited settings.
  • Further research is needed to assess long-term outcomes and standardize evaluation metrics for SBT in LMICs.

Keywords:
childemergency medical servicesresource-limited settingssimulation training

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