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Monitor Response and Vital Sign Targets
References Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4)
IV Escalation Plan
References Children's Hospital of Philadelphia (2023). Immediate IV access, IV escalation plan. https://www.chop.edu/clinical-pathway/sepsis-immediate-iv-access-iv-escalation-plan-ed-inpatient-picu Weiss...
Fluid Resuscitation
Fluid Therapy Administer a LR or NS fluid bolus of 10-20 mL/kg if shock present Monitor response to fluids (Vital Sign Targets and Clinical Goals for Initial Resuscitation) Tailor fluid therapy to the...
Laboratory Studies
Consider Inflammatory Conditions That May Manifest With Fever and Shock Kawaski Disease While rare, shock may be present in children with Kawasaki disease (Çakan et al., 2016) Multisystem Inflammatory...
Alternative Diagnoses
Syncope, convulsive syncope Complicated migraine or migraine with aura Gastrointestinal disorders (reflux) Psychiatric conditions (panic attacks, psychogenic non-epileptic events) Transient ischemic attack...
Outpatient Electroencephalogram (EEG)
While 75% of otherwise healthy, typically developing children with a first-time non-febrile seizure will not experience recurrence, 25% of these children may experience another non-febrile seizure. As such...
Frequently Asked Questions
Will my child have a seizure again? 75% of children will not have any further seizure activity. Could my child die from a seizure? Death after a first-time, unprovoked seizure is very rare. Does brain...
Frequently Asked Questions
What is the chance of my child having another febrile seizure? It is hard to predict if your child will have another febrile seizure. If your child does have another febrile seizure, it will likely be like...
Understanding parasocial relationships in teen media use
Learn signs of unhealthy relationships with social media use and how to guide your teen through parasocial relationships.
February
Get updates Suggest a Parent-ish topic NEW! Parent-ish podcast Listen to the Parent-ish podcast Top Posts Topics Archive Have questions about a specific condition or symptom? Click Here Subscribe button Have...
IV Contrast for MRI and CT: Contrast-associated Acute Kidney Injury
Any acute kidney injury (AKI) occurring within 48 hours after the administration of contrast media. The term post-contrast acute kidney injury (PC-AKI) is synonymous with contrast-associated acute kidney...
Pay My Bill
Children’s Mercy has a new payment system — MyChart. Some older balances may need to be paid in our previous system. Pay in full discount Paying your balance in full may qualify you for a discount. Minimum...
Children's Mercy on Ash Ave.
Save My Spot for Express Care Save My Spot for Ortho Injury Now Open Children’s Mercy on Ash Ave. offers convenient, expert pediatric care for kids in the Kansas City metropolitan area. This location...
Navigating challenges in blended families
Explore effective ways for blended families to communicate, adapt and create a nurturing environment for kids adjusting to change.
The Link - January 2026
Our January issue features the latest news and updates on pediatric care from Children's Mercy clinicians. The Link - January 2026 Evidence Based Strategies: Closing the Gap - Best Practices for...
Dr. Bridgette Jones Receives NIH Funding to Bring Pediatric Clinical Trials to Rural Areas in Kansas
Drs. Jones and Davis are using this grant to expand their projects work as one of the top Environmental Child Health Outcomes (ECHO) Institutional Development Award (IDeA) States Pediatric Clinical Trials...
Vaccine Update: Shingles Vaccine May Reduce the Risk of Dementia and Slow Disease Progression
Ongoing research suggests that the shingles vaccine can not only reduce the risk of dementia, heart disease and death in people age 50 and older but also slow the progression of dementia. Dementia refers to...
Evidence Based Strategies: Closing the Gap - Best Practices for Pediatric Laceration Repair
From playground tumbles to kitchen mishaps, lacerations are among the most common reasons children seek medical care. This article offers an updated, evidence-based guide to pediatric laceration...
State of the Art Pediatrics: Pediatric Pulmonology Year in Review 2025
As 2026 commences, we reflect on the advancements in pediatric pulmonology in 2025. There was an overall theme of improved and personalized treatment plans for children with chronic lung disease, such as...
Mental Health: Anxiety - The Silent Elephant in the Room
The word “anxiety” carries a wide variety of meanings for both clinicians and patients. Understanding the mosaic of anxiety disorders and their varied presentations is essential for treating one of the...