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2025 ; 18
(1
): 216
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Optimizing pediatric emergency triage in low-resource settings: evidence-based
strategies, task-shifting, and technological innovations
#MMPMID41131480
Rath S
; Barzani S
; Okesanya OJ
; Tawfik AM
; Shehada W
; Aziz MM
; Urbon S
; Alsabri M
Int J Emerg Med
2025[Oct]; 18
(1
): 216
PMID41131480
show ga
PURPOSE: Effective triage in emergency settings is crucial to reduce pediatric
mortality and improve timely access to care. However, in low-resource settings,
the sustainability of models still faces barriers. This review aims to assess
pediatric emergency triage in low-resource settings by employing evidence-based
strategies, task-shifting, and technological innovations. METHODS: A
comprehensive literature review was conducted to assess current pediatric triage
models, identify barriers to effective triage, and explore innovations suitable
for low-resource settings. RESULTS: Key challenges include overcrowding, limited
training, scarce diagnostic resources, and inappropriate adaptation of adult
triage systems. Successful models of triage assessment and treatment show promise
but face sustainability challenges. Task-shifting to non-physician clinicians and
community health workers enhances capacity, while digital tools, artificial
intelligence, and point-of-care biomarkers improve diagnostic precision and
triage accuracy. Ethical challenges and inequitable access persist, particularly
for marginalized populations. CONCLUSION: Optimizing pediatric triage in
low-resource settings requires a multipronged approach including policy
integration, capacity building, technology adoption, and community involvement.
Sustainable triage systems should combine standardized protocols, training,
real-time decision support, and continuous quality improvement tailored to local
contexts.