Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Pediatric Emergency Medicine, Department of Paediatrics, Schulich School of Medicine & Dentistry, London, Ontario, Canada.
Curr Opin Pediatr. 2024 Jun 1;36(3):282-287. doi: 10.1097/MOP.0000000000001355. Epub 2024 Apr 4.
Over the past four decades, pediatric emergency Medicine (PEM) has witnessed significant global development, with a notable increase in training programs and official recognition by regulatory bodies. However, disparities persist in the recognition of PEM as an independent subspecialty, availability of training programs on a global scale, academic recognition, and the ability to provide high-quality care to children worldwide. There is paucity of published literature regarding development of PEM globally. This review explores the current trends and challenges in international pediatric emergency medicine.
Current trends in international pediatric emergency medicine encompass the provision of training in pediatric-focused emergency and acute care, increased propagation of evidence-based guidelines specific to the care of children, the growth of collaborative research networks and interest groups within national and international societies. Simultaneously, the field continues to face challenges such as the lack of recognition, inequities in access, and a lack of dissemination of global PEM initiatives.
While recent advancements have significantly enhanced the state of international pediatric emergency medicine, including pediatric specific research networks and training programs, barriers still hinder its overall quality. Many of these obstacles are not unique to pediatric emergency medicine but are directly affected by financial disparities and lack of governmental and public recognition of the essential role of pediatric emergency care.
在过去的四十年中，儿科急诊医学（PEM）见证了显著的全球发展，培训计划显著增加，监管机构也给予了正式认可。然而，在将 PEM 视为独立的亚专科、在全球范围内提供培训计划、获得学术认可以及为全世界的儿童提供高质量的护理方面，仍存在差异。关于全球儿科急诊医学发展的文献很少。这篇综述探讨了国际儿科急诊医学的现状和挑战。
国际儿科急诊医学的当前趋势包括提供以儿科为重点的急诊和急性护理培训、更广泛地传播针对儿童护理的循证指南、在国家和国际社会内合作研究网络和利益集团的增长。与此同时，该领域仍然面临着一些挑战，例如缺乏认可、获取机会不平等以及全球儿科急诊医学倡议的传播不足。
尽管最近的进展显著提高了国际儿科急诊医学的水平，包括儿科特定的研究网络和培训计划，但仍存在障碍阻碍其整体质量。这些障碍中有许多并非儿科急诊医学所特有，而是直接受到财政差距以及对儿科急诊护理重要性的政府和公众认识不足的影响。
