Trends and challenges in international pediatric emergency medicine.
OBJECTIVE
Pediatric emergency care internationally is practiced in a wide variety of local contexts, and the quality of care varies. International pediatric emergency medicine refers to the spectrum of care provided to children with serious illnesses and injuries globally. This article serves as the first of its kind to characterize current trends and challenges in this area.


RESULTS
Current trends in international pediatric emergency medicine include international dissemination of pediatric emergency medicine guidelines, pediatric-specific disaster relief training, increasing numbers of pediatric emergency medicine research collaboratives, interest groups and training programs, and increasing numbers of spaces dedicated to pediatric emergency care. Current challenges to the field include inequalities in access to medical research and information, various nonmedical barriers and lack of reports describing approaches to the delivery of pediatric emergency care.


CONCLUSIONS
While there are many recent advances in the state of pediatric emergency medicine internationally, there still exist many barriers to the improvement in its quality. Many of these obstacles are not specific to pediatric emergency medicine, but reflect overall disparities between the developing and developed worlds. One first step to overcoming pediatric emergency medicine practiced in isolation is a formal organization of the field of international pediatric emergency medicine.
Walker
David M
DM
Division of Emergency Medicine, Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC 20010, USA. dmwalker@cnmc.org
Tolentino
Victorio R
VR
Teach
Stephen J
SJ
D003695:Delivery of Health Care / Q000639:trends*; D004635:Emergency Medicine / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D038622:Internationality; D010372:Pediatrics / Q000458:organization & administration* / Q000639:trends