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Family Education
When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
Respiratory Support
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use...
Fluid Choice and Blood Products
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use...
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...
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
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Classification of Differences of Sex Development (DSD)
Primary Cause Secondary Root Tertiary Root 46,XY,DSD Disorders of gonadal development Monogenic forms of complete gonadal dysgenesis or partial gonadal dysgenesis (e.g., SRY, NRSA1, and WT1) Testes...
Strategies for Communicating with Families About Differences of Sex Development
If diagnosed prenatally: Care of these patients is outside the scope of the clinical pathway until after birth, but communication strategies may include: "It is hard to know what your baby's genitals...
Differences of Sex Development (DSD)
Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...
Differences of Sex Development: Mean Stretched Penile Length
Penile length should be measured from the pubic ramus to the tip of the glans while applying gentle traction along the shaft until resistance is met. Age Mean (cm) ± Standard Deviation -2.5 Standard...
Differences of Sex Development (DSD) Resources
General Interconnect Interface Project - Stories (2019) interACT: Advocates for Intersex Youth Differences of sex development (A.D.A.M. Medical Encyclopedia, 2024) Accord Alliance Accord Alliance Handbook...
Academic Success
OFD Children’s Mercy is an independent pediatric academic health system. Our faculty hold academic appointments at multiple universities, including the University of Missouri-Kansas City and the University...
Children’s Mercy MyChart
MyChart is Children’s Mercy’s secure online patient portal that lets families manage care in one place—view appointments, test results, records, medications, pay bills, and message care teams anytime.