J Pediatr Intensive Care 2017; 06(01): 039-051
DOI: 10.1055/s-0036-1584675
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Teaching Pediatric Life Support in Limited-Resource Settings: Contextualized Management Guidelines

Mark E. Ralston
1  Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States
Allan de Caen
2  Division of Pediatric Critical Care Medicine, Stollery Children's Hospital, University of Alberta, Edmonton, Canada
› Author Affiliations
Further Information

Publication History

06 May 2015

15 February 2016

Publication Date:
29 June 2016 (eFirst)


Of the estimated 6.3 million global annual deaths in children younger than the age of 5 years, nearly all (99%) occur in low- to middle-income countries (LMIC). Existing management guidelines for children with emergency conditions as taught in a variety of current pediatric life support courses are mostly applicable to high-income countries with a different disease range and full resources compared with LMIC. A revised curriculum with evidence-based application to limited-resource settings would expand their potential for reducing pediatric mortality worldwide. This review provides a supplemental curriculum of standards for selected pediatric emergency conditions with attention to the context of disease range and level-specific resources in LMIC. During training sessions, contextualized management guidelines create the framework for realistic and fruitful case simulations.