Resource-Poor Settings: Infrastructure and Capacity Building

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Presentation transcript:

Resource-Poor Settings: Infrastructure and Capacity Building James Geiling, MD, MPH, FCCP, Burkle Frederick M. , MD, MPH, Dennis Amundson, DO, FCCP, Guillermo Dominguez-Cherit, MD, Charles D. Gomersall, MBBS, Matthew L. Lim, MD, Valerie Luyckx, MD, Babak Sarani, MD, Timothy M. Uyeki, MD, MPH, MPP, T. Eoin West, MD, MPH, FCCP, Michael D. Christian, MD, FRCPC, FCCP, Asha V. Devereaux, MD, MPH, FCCP, Jeffrey R. Dichter, MD, Niranjan Kissoon, MBBS, FRCPC CHEST Volume 146, Issue 4, Pages e156S-e167S (October 2014) DOI: 10.1378/chest.14-0744 Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 1 Accurate numbers of critical care centers and services worldwide are unknown. Membership in the World Federation of Societies in Intensive and Critical Care Medicine is used as an extrapolation of possible services worldwide, with countries illustrated where membership Societies are fully developed (blue), those where existing membership is developing a professional Society (gray), and countries without Federation members (white). (Adapted with permission from World Federation of Societies of Intensive and Critical Care Medicine.19) CHEST 2014 146, e156S-e167SDOI: (10.1378/chest.14-0744) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 2 A, Progression of care in developed countries leading from established community level public health and emergency services in support of both secondary and tertiary level critical care services. B, The reality of conditions in many resource-poor countries, where basic emergency and protective public health services are lacking or nonexistent. Where critical care services are available, they are limited primarily to urban academic medical centers. ACLS = Advanced Cardiac Life Support; APLS = Advanced Pediatric Life Support; ATLS = Advanced Trauma Life Support; PALS = Pediatric Advanced Life Support; PICU = pediatric ICU; WHO = World Health Organization. CHEST 2014 146, e156S-e167SDOI: (10.1378/chest.14-0744) Copyright © 2014 The American College of Chest Physicians Terms and Conditions