Piloting a pediatric trauma course in Western Jamaica: Lessons learned and future directions

Hadley Wesson, Valerie Plant, Marieka Helou, Karen Wharton, Delroy Fray, Jeffrey Haynes, Charles Bagwell

Research output: Contribution to journalArticle

Abstract

Introduction Pediatric injuries are a leading cause of death in low- and middle-income countries (LMICs). Despite this, there are few formal pediatric-specific trauma educational initiatives available in LMICs. While new educational tools are being developed to address this, they have not been piloted in LMICs. In Jamaica, pediatric injuries are a leading cause of hospital admission but care is limited by a lack of training in triage and stabilization. Our objective was to implement and evaluate a pediatric trauma course in Jamaica to determine the impact this may have on further course development. Materials and methods A pediatric trauma course was conducted at the Cornwall Regional Hospital in Montego Bay, Jamaica sponsored by the Children's Medical Services International, a nonprofit organization. Participants took part in six didactic modules, an infant airway intubation skills session, and three clinical simulation scenarios. Participants completed a postcourse survey at the conclusion of the course. Results Twenty-five participants including surgical, pediatric, and emergency medicine residents from regional- and district-level hospitals in Jamaica participated in the course. Participants viewed the course favorably. Strengths included good review of pediatric trauma physiology, short modules, hands-on practice, and applicable clinical scenarios. Using a Likert-type rating scale of 1 to 10, with 1 being minimal and 10 being very knowledgeable, precourse knowledge was ranked as 5.9, which increased to 9.2 after the course. Using a similar scale, the precourse comfort level to run a pediatric trauma was 4.9 and increased to 8.5 following the course. Discussion Implementation of this pilot pediatric trauma course was feasible and successful through collaboration with the hosting regional hospital. The lack of formal pediatric training can be overcome by a course such as this which includes both didactics and hands-on clinical patient simulations. Level of Evidence 4.

Original languageEnglish (US)
Pages (from-to)1173-1176
Number of pages4
JournalJournal of Pediatric Surgery
Volume52
Issue number7
DOIs
StatePublished - Jul 1 2017

Fingerprint

Jamaica
Pediatrics
Wounds and Injuries
Patient Simulation
Nonprofit Organizations
Direction compound
District Hospitals
Triage
Intubation
Cause of Death

Keywords

  • Jamaica
  • Low- and middle-income countries (LMICs)
  • Patient simulation
  • Pediatric trauma
  • Trauma education

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Piloting a pediatric trauma course in Western Jamaica : Lessons learned and future directions. / Wesson, Hadley; Plant, Valerie; Helou, Marieka; Wharton, Karen; Fray, Delroy; Haynes, Jeffrey; Bagwell, Charles.

In: Journal of Pediatric Surgery, Vol. 52, No. 7, 01.07.2017, p. 1173-1176.

Research output: Contribution to journalArticle

Wesson, Hadley ; Plant, Valerie ; Helou, Marieka ; Wharton, Karen ; Fray, Delroy ; Haynes, Jeffrey ; Bagwell, Charles. / Piloting a pediatric trauma course in Western Jamaica : Lessons learned and future directions. In: Journal of Pediatric Surgery. 2017 ; Vol. 52, No. 7. pp. 1173-1176.
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AB - Introduction Pediatric injuries are a leading cause of death in low- and middle-income countries (LMICs). Despite this, there are few formal pediatric-specific trauma educational initiatives available in LMICs. While new educational tools are being developed to address this, they have not been piloted in LMICs. In Jamaica, pediatric injuries are a leading cause of hospital admission but care is limited by a lack of training in triage and stabilization. Our objective was to implement and evaluate a pediatric trauma course in Jamaica to determine the impact this may have on further course development. Materials and methods A pediatric trauma course was conducted at the Cornwall Regional Hospital in Montego Bay, Jamaica sponsored by the Children's Medical Services International, a nonprofit organization. Participants took part in six didactic modules, an infant airway intubation skills session, and three clinical simulation scenarios. Participants completed a postcourse survey at the conclusion of the course. Results Twenty-five participants including surgical, pediatric, and emergency medicine residents from regional- and district-level hospitals in Jamaica participated in the course. Participants viewed the course favorably. Strengths included good review of pediatric trauma physiology, short modules, hands-on practice, and applicable clinical scenarios. Using a Likert-type rating scale of 1 to 10, with 1 being minimal and 10 being very knowledgeable, precourse knowledge was ranked as 5.9, which increased to 9.2 after the course. Using a similar scale, the precourse comfort level to run a pediatric trauma was 4.9 and increased to 8.5 following the course. Discussion Implementation of this pilot pediatric trauma course was feasible and successful through collaboration with the hosting regional hospital. The lack of formal pediatric training can be overcome by a course such as this which includes both didactics and hands-on clinical patient simulations. Level of Evidence 4.

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