Dr. Paul Sirbaugh
Head of Pediatrics, Emergency Medicine
Associate Professor of Pediatrics, Emergency Medicine
Dr. Heather Crouse
Director, Global Pediatric Emergency Medicine Program and Fellowship
Assistant Professor of Pediatrics, Emergency Medicine
Global Pediatric Emergency Medicine Programs
Curriculum Development and Training
The Pediatric Emergency Medicine team developed a training program and supplemental teaching curricula for the WHO Emergency Triage Assessment and Training (ETAT) course.
First piloted in Lesotho in 2008, we have worked in Guatemala in collaboration with the Texas Children’s Newborn Center designated as a World Health Organization Collaborating Center (WHO-CC) for Neonatal and Perinatal Health and the Pan American Health Organization (PAHO) to develop the program in Spanish for use in Latin America (Clasificación, Evaluación y Tratamiento de Emergencias Pediátricas (CETEP).
In 2011, in conjunction with PAHO and local ministries of health, Texas Children's began rolling out the training program through Latin America, including Nicaragua, El Salvador and Peru. We are studying both the quality and effectiveness of these training programs. This multi-phased project is funded by Texas Children’s Hospital.
Emergency Department Process and Improvement
The PEM Global Health team has worked with partners at hospitals in Antigua, Guatemala and Lilongwe, Malawi to develop and implement triage systems in their respective emergency departments. The clinical uptake and impact of these triage systems is being measured. The team has also worked with a multi-disciplinary team of local healthcare workers to develop and implement a new triage system in the Accident & Emergency Department at Princess Marina Hospital in Gaborone, Botswana. The triage system was successfully launched in April 2010 and clinical outcomes are currently being evaluated.
Local EMS Systems Development and Improvement
PEM Global Health worked with a partner hospital in Antigua, Guatemala to scale-up ETAT trainings locally for pediatric healthcare providers from referral health posts, hospitals, ambulances and fire departments in the region of Sacatepequez, Guatemala. The program includes training in pediatric evaluation and management with ETAT, the development of local triage processes, and assistance in the formalization of referral and counter-referral systems in the region.
Developing and Implementing Technology in Low-Resource Settings
In collaboration with Rice University, the PEM Global Health team developed an inexpensive, durable, easy to use device to provide bubble continuous positive airway pressure (CPAP) to provide respiratory support to infants and young children in resource-limited settings. The device and accompanying educational program were piloted in Malawi in 2011. The project was funded by a USAID / Gates Foundation grant.