PACE Forum 2018

1st PACE Pan-American Forum on Emergency Medical Care and Obstetric Emergencies

📍 Venue: San Miguel de Allende, Guanajuato, Mexico

📅 Date: August 15–17, 2018

The PACE Forum 2018 was the first edition of the PACE Pan-American Forum and became established as an innovative, multidisciplinary space for the exchange of knowledge and experiences in emergency medical care and obstetric emergencies in Latin America. During the Forum, specialists from diverse disciplines shared clinical knowledge, response strategies, and models of care adapted to different regional contexts.

ABOUT THIS EDITION.

During the Forum, attendees had the opportunity to exchange experiences with specialists in emergency medicine and experts in obstetric emergencies. The modular courses offered strengthened the chain of survival and contributed to the development of clinical capacities across different levels of care.

In the days preceding and following the event, training courses accredited by the AAFP, AHA, NAEMT, ENA, and AAP were delivered, expanding the educational impact of the Forum beyond the core activities.

THEMATIC AXES.

• Emergency medical care
  
• Obstetric emergencies
  
• Maternal safety
  
• Resuscitation and the chain of survival
  
• Global health
  
• Innovation in health, telehealth, and telementoring
  

+640

attendees

19

pre- and post-courses

77

speakers

18

participating institutions

+100

activities in the program

+650,000

people reached through media and digital platforms

Speakers.

Dr. Carl Olden

Exmiembro de la Junta Directiva de AAFP, exdirector de ALSO Internacional

Dra. Judith Tintinalli

Líder de Medicina de Urgencias, autora del libro Tintinalli. Manual de Medicina de Urgencias

Dr. Robert Suter

General de la Reserva del Ejército de EE. UU., presidente del ACOEP, expresidente del ACEP y la IFEM

Dr. Terry Mulligan

Secretario general de la IFEM, miembro de la junta directiva de la AAEM – Facultad de Medicina de la Universidad de Maryland-

Milestones

1. The 2018 Forum was multinational, with representation from countries including the United States, Canada, Mexico, Colombia, Venezuela, Brazil, Honduras, Chile, and Puerto Rico. The Forum took place in a spectacular city.
2. We worked together to close gaps related to Global Health and Emergency Care in Mexico and Latin America.
3. We brought together professionals from across disciplines: specialists, general practitioners, nurses, midwives, paramedics, public health specialists, and even senior officials from Mexico’s health sector.
4. We presented the remarkable Project ECHO by Dr. Sanjeev Arora from the University of New Mexico. Its implementation represents a turning point with the potential to revolutionize emergency care. In the future, we will seek opportunities to apply it to cardiac care, trauma, and high-risk obstetrics, and we also plan to support other institutions interested in telementoring.
5. We hosted the International ALSO Meeting, with participation from Mexico’s National Director of Epidemiology on the International ALSO Panel, where lively discussions addressed maternal mortality in the Americas.
6. We successfully piloted the ALSO-E program with a group of emergency medicine residents from Aguascalientes, Mexico. As a result, Dr. Portia Jones suggested transitioning to the ELSO program: Emergency Life Support for Obstetrics. Dr. Tintinalli offered to write a chapter and became an ALSO instructor during the program. The AAFP committed to developing an English-language version of the ELSO course for emergency departments.
7. We trained a group from the Mexican Navy, who will lead the ALSO program within their institution in the future. We anticipate similar progress across the rest of Mexico’s armed forces. We also completed the same training for ALSO groups from Chile and Puerto Rico.
8. We launched the Trauma Nursing Core Course (TNCC) in partnership with the UNAM Graduate School of Nursing (ENEO). This course is intended to become the gold standard in Latin America, significantly improving trauma care. Jeff Solhiem and his outstanding instructors—Manny Santiago, Juan Morales, and Valerie Pedrami—supported us throughout the week.
9. We introduced several learning management platforms for ALSO and TNCC and gained valuable experience in the process. There is more work to be done, but it was a strong start.
10. We taught PACE SONO to emergency medicine residents from the state of Aguascalientes. They will continue this work, and a strong relationship exists with David Martin and the emergency ultrasound fellowship at Highland Hospital in Oakland, USA. Ongoing development of the PACE SONO course, including the advanced course and other strategies, will help integrate emergency medicine ultrasound into emergency care in Mexico.
11. Together with the Aguascalientes residents, we created a successful research group that includes Drs. Gary and Monica Gaddis, Ángel Braña, and Nishant Kishore. The PACE Research Focus Group currently collaborates with the residents.
12. Ángel Braña led the PACE-D Disaster Focus Group and showed us the path to developing this important program, which will focus on hospital and industrial disaster management.
13. PACE and the Federal Neonatal Resuscitation team mutually adopted each other’s work. We now have a deployable Neonatal Resuscitation Program (NRP) team. With the support of Dr. Renate Savich and Carlos Ramos, we strengthened our capacity to develop Helping Babies Breathe instructors, thanks to the small number of master trainers within our network.
14. A significant number of international faculty attended the Administration and Governance meeting. Special thanks to Bob Suter, Terry Mulligan, Lisa Moreno-Walton, Portia Jones, and Gary and Monica Gaddis for their guidance and support.