Nguyen Bich-Uyen, Holterman Aixuan, Holterman Mark, Dinh Le-Thanh
Department of Pediatric Surgery, Ho Chi Minh University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
Department of Surgery at Peoria and Chicago; Department of Pediatrics at Chicago, University of Illinois College of Medicine at Peoria and Chicago, Chicago, IL, United States.
Front Surg. 2022 Apr 20;9:868483. doi: 10.3389/fsurg.2022.868483. eCollection 2022.
Neonatal and pediatric surgical emergencies in Low and Low Middle Income countries remain a significant challenge in combatting the burden and inequities of global health. IPSAC-Vietnam is a small Non-Governmental Organization that has been engaged in a 12-year multi-pronged partnership with several children's hospitals in Vietnam VN to enhance pediatric surgery capacity. We describe the health care, medical training and emergency system in VN as the background for IPSAC activities and development of Pediatric Acute Surgical Support (PASS) course. The course goal is to prepare health care personnel in the immediate management of neonatal/pediatric life-threatening surgical conditions and road injuries at their first point of entry into Vietnam hospitals. PASS is a horizontal outreach initiative that adopts an interprofessional, multidisciplinary, team-training, train-the-trainers, and outcome-based training approach. PASS can be used as a tool for sustainable horizontal capacity-building by champion leaders at the teaching children's hospitals and medical universities in developing countries, to strengthen training for pediatric surgical emergencies, to integrate pediatric and pediatric surgical care and to advocate for a comprehensive approach to emergency care of the critically ill child.
在低收入和中低收入国家，新生儿及儿科外科急症仍然是应对全球卫生负担和不平等问题的一项重大挑战。IPSAC-越南是一个小型非政府组织，它与越南（VN）的几家儿童医院开展了为期12年的多方面合作，以提高儿科手术能力。我们将越南的医疗保健、医学培训和应急系统作为IPSAC活动及儿科急性外科支持（PASS）课程发展的背景进行描述。该课程的目标是让医疗保健人员在越南医院接收新生儿/儿科危及生命的外科病症及道路损伤患者时，能对其进行即时处理。PASS是一项横向推广举措，采用跨专业、多学科、团队培训、培训培训师以及基于结果的培训方法。PASS可被发展中国家教学儿童医院及医科大学的领军人物用作可持续横向能力建设的工具，以加强儿科外科急症培训，整合儿科及儿科外科护理，并倡导采取综合方法对危重症儿童进行急救。
