Tele-Pediatric Intensive Care for Critically Ill Children in Syria

Muhammad Bakr Ghbeis, Katherine M. Steffen, Elizabeth A. Braunlin, Gregory J. Beilman, Jay Dahman, Waseem Ostwani, Marie E. Steiner

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background: Armed conflicts can result in humanitarian crises and have major impacts on civilians, of whom children represent a significant proportion. Usual pediatric medical care is often disrupted and trauma resulting from war-related injuries is often devastating. High pediatric mortality rates are thus experienced in these ravaged medical environments. Introduction: Using simple communication technology to provide real-time management recommendations from highly trained pediatric personnel can provide substantive clinical support and have a significant impact on pediatric morbidity and mortality. Materials and Methods: We implemented a "Tele-Pediatric Intensive Care" program (Tele-PICU) to provide real-time management consultation for critically ill and injured pediatric patients in Syria with intensive care needs. Results: Over the course of 7 months, 19 cases were evaluated, ranging in age from 1 day to 11 years. Consultation questions addressed a wide range of critical care needs. Five patients are known to have survived, three were transferred, five died, and six outcomes were unknown. Discussion: Based on this limited undertaking with its positive impact on survival, further development of Tele-PICU-based efforts with attention to implementation and barriers identified through this program is desirable. Conclusion: Even limited Tele-PICU can provide timely and potentially lifesaving assistance to pediatric care providers. Future efforts are encouraged.

Original languageEnglish (US)
Pages (from-to)621-623
Number of pages3
JournalTelemedicine and e-Health
Issue number8
StatePublished - Aug 2018

Bibliographical note

Publisher Copyright:
© 2018, Mary Ann Liebert, Inc.


  • Emergency Medicine/Teletrauma
  • Military Medicine
  • Pediatrics
  • Telemedicine


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