Clinical Research Directory

Inclusion Criteria: Pediatric participants: * Provision of signed and dated informed consent form by legal guardian (as determined by local policies and laws) * Stated willingness (by guardian) to comply with all study procedures and availability for the duration of the study * Presentation to the Emergency Department with cough or difficulty breathing (as documented in triage notes) * Meeting the World Health Organization definition for severe pneumonia: Exhibiting severe respiratory distress (clinical respiratory score of at least 8) OR Exhibiting hypoxemia (SpO2\<90%) OR Exhibiting a general danger sign (Vomiting everything (as reported by child's caregiver), Inability to feed (as reported by child's caregiver), Seizure/convulsion (as documented in medical chart or reported by child's caregiver), Reduced level of consciousness (as assessed at screening) * In addition, exhibiting either: * Severe respiratory distress (clinical respiratory score of at least 8) * Hypoxemia (SpO2\<90%) Physicians and nurses: * Provision of signed and dated informed consent form * Stated willingness to comply with all study procedures and availability for the duration of the study * Male or female, over 18 years of age * Directly cared for any child receiving bCPAP therapy during the post-implementation period of the study Caregivers: * Provision of signed and dated informed consent form * Stated willingness to comply with all study procedures and availability for the duration of the study * Male or female, any age * Primary caregiver at bedside of a child enrolled in the post-implementation period of our study. Exclusion Criteria: Pediatric participants: * Known congenital heart disease * Asthma * Upper airway obstruction * Tracheostomy Physicians and nurses: * Temporarily rotating through the department, ward, or unit Caregivers: * Does not speak Urdu or English fluently