Purpose Injury remains an important cause of death and disability globally, with 95% of all childhood injury deaths occurring in low-and lower-middle-income countries (LMICs). Pediatric trauma training, tailored to the resources in LMICs, represents an opportunity to improve such outcomes. We explored the nature of course offerings in pediatric trauma in resource-limited settings. Methods Seven databases were interrogated up to June 12, 2020, to retrieve articles examining pediatric trauma training in LMICs, as defined by the World Bank, without language restrictions. Independent authors reviewed and selected abstracts based on set criteria. Data from included studies was extracted and analyzed. An adapted Critical Appraisal Skills Programme checklist designed for cohort studies was used to assess the risk of bias. Results After screening 3960 articles for eligibility, 16 were included for final analysis. Course delivery methods included didactic modules, simulations, clinical mentorship, small group discussion, audits, assessments, and feedback. Knowledge acquisition was primarily assessed through pre/post-tests, clinical skills assessments, and selfassessment questionnaires. Twelve studies detailed course content, nine of which were based on the WHO Emergency Triage, Assessment and Treatment model, which is not specific to trauma. The other three studies involved locally developed pediatric trauma-focused training courses, including airway management, head trauma and cervical spine management, thoracic and abdominal trauma, orthopedic trauma, burn and wound management, and shock. Conclusion Despite being essential to decreasing pediatric trauma morbidity and mortality worldwide, educational programs in pediatric trauma are not a widespread reality in low-and-middle-income countries. The development of accessible and efficient pediatric trauma education programs is critical for improving pediatric trauma quality of care.
Each year, diabetes camps provide fun, stimulating, and safe experiences to approximately 20,000 children across North America. At camp, children and teenagers living with diabetes connect with one another in an inclusive and welcoming environment, designed to meet their social, emotional, and medical needs. Campers enjoy a memorable summer experience, where they are also empowered to become more autonomous in managing their diabetes. Camp Carowanis is a specialized camp for children with Type 1 diabetes in Sainte-Agathe-des-Monts, Quebec. A multidisciplinary team of allied healthcare professionals join youth on-site to encourage and facilitate campers’ acquisition of disease management strategies. The site also serves as an undergraduate medical education elective in pediatric endocrinology for clerkship students at McGill University. In this article, Laura Pinkham, a medical student at McGill University who completed an elective at Camp Carowanis, shares her observations on the opportunities for promoting self-care among children with type 1 diabetes at camp.
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