Enhancing Clinical Skills Among Non-Intensivists Caring for Critically Ill Children With Cancer: A Transnational...

Over 90% of children with cancer live in low- and middle-income countries (LMICs), where critically ill children are often managed by non-intensivists. We implemented a translational, hybrid workshop between Hospital General-Tijuana, Mexico, and Rady Children's Health-San Diego, USA, to enhance non-intensivists' knowledge and clinical skills in onco-critical care. Pre- and post-workshop assessments evaluated knowledge, self-reported confidence, and satisfaction in 17/20 participants. Knowledge increased by 13.0% (68.8% vs. 81.8%; p < 0.05). Confidence increased (5.9%-41.2% vs. 64.7%-94.1%; p < 0.05) in 6/8 topics: intracranial hypertension, superior vena cava syndrome, febrile neutropenia, septic/adrenal shock, and medullary compression. Satisfaction was high (88.2%). Our low-cost, context-adapted, and replicable workshop enhanced onco-critical care knowledge and confidence among non-intensivists caring for critically ill children with cancer, enabling transnational collaboration across the United States-Mexico border.