What are SUGAR PEARLS?

PEARLS stands for Procedural Education for Adaptation to Resource Limited Settings and is a SUGAR Spin-Off Curriculum. Are you treating an infant in respiratory distress but you don't have access to a ventilator? Do you have a patient with a complicated pleural effusion but you don't have a chest tube drainage system? Providers working in resource-limited settings must routinely modify the way they perform procedures using available supplies and creative problem solving and these video PEARLS organize and disseminate some of these strategies for performing procedures in resource-limited settings.

The PEARLS Story

At the 2015 meeting of the Midwest Consortium of Global Child Health Educators (the group that developed and piloted SUGAR), we determined that across institutions there was no readily available resource for how to perform necessary medical procedures during global health rotations without the standardized equipment and resources that we are accustomed to. We developed a working group to collect and teach these clinical pearls, and thus PEARLS was born. The multi-institutional project has been led by Dr. Rachel Bensman under the guidance of the original SUGAR co-creators Drs. Michael Pitt and Sabrina Butteris, and Dr. Tina Slusher who has been leading workshops on many of these PEARLS for decades, and has involved content experts from multiple institutions across the country.

Are PEARLS just for Pediatrics?

We have begun the series with a set of ten commonly performed procedures with a focus in pediatrics, but most of the skills discussed are used for adults and children. We anticipate the creation of more videos, relevant to a variety of disciplines, over time.

Want to develop a SUGAR PEARLS video? Have an idea for a procedure that would be helpful to include in the series?

Submit your idea here ideas@sugarprep.org.

PEARLS

These videos are not intended to be comprehensive instructional videos but rather to give specific tips about performing procedures without the supplies you may be accustomed to using.  For more thorough and complete procedural instruction, please use additional resources such as textbooks or other online videos.

Most procedures have two videos for training:

1. A step-by-step Instructional Video describing how to make procedural modifications with supplies available to you
2. A Demonstration Video of the modified procedure being performed

Each video has a link to the right of the title - use these links to save the file to your computer if you would like to have them available when you do not have an internet coeection.


Bubble CPAP
Intraosseous Needle Placement
Chest Simulation Model
Pleurovac Chest Tube Drainage
Lumbar Puncture
Spacer for MDI
Burn Treatment/Dressings
Bag Valve Mask Ventilation (BVM)
Neonatal Resuscitation
Oxygen Delivery Devices
IV Mixtures & Drip Rates (Coming Soon)

Bubble CPAP

Authors: Amy Rule, MD; Rachel Bensman, MD; Alisha George, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Please review the World Health Organization's Guidelines for Use of Oxygen Therapy in Children for more details on Bubble CPAP and strategies for oxygen delivery and limiting oxygen toxicity.

Intraosseous Needle Placement

Authors: Brinda Desai, MD; Tina Slusher, MD; Michael Pitt, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Chest Simulation Model

Authors: Tina Slusher, MD; Ron Johannsen, MD; Michael Pitt, MD

Simulation Model Video - Click here if you wish to download a copy of the video file

We recommend you watch this video provided by the New England Journal of Medicine which reviews chest tube placement.

Pleurovac Chest Tube Drainage

Authors: Tina Slusher, MD; Ron Johannsen, MD; Michael Pitt, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Lumbar Puncture

Authors: Rachel Bensman, MD; Alisha George, MD; Amy Rule, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Spacer for MDI

Authors: Brinda Desai MD; Tina Slusher, MD; Michael Pitt, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Burn Treatment/Dressings

Authors: Andrew Kiragu, MD; Jessica Pearson, RN; Tina Slusher, MD; Michael Pitt, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Bag Valve Mask Ventilation (BVM)

Authors: Scott Hagen, MD; Amanda Becker, MD; Katy Miller, MD; Sabrina Butteris, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file

Neonatal Resuscitation

Authors: Amy Rule, MD; Rachel Bensman, MD; Alisha George, MD

Demonstration Video - Click here if you wish to download a copy of the video file

Learn more at Helping Babies Breathe

Oxygen Delivery Devices

Authors: Scott Hagen, MD; Katy Miller, MD; Amanda Becker, MD; Sabrina Butteris, MD

Instructional Video - Click here if you wish to download a copy of the video file

Demonstration Video - Click here if you wish to download a copy of the video file