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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...
Lucy Raab: Child Life Distinguished Service Award
Lucy's award photo Although Lucy Raab holds a leadership role as Assistant Director of Child Life, you’re just as likely to find her squishing shaving cream with a patient during a difficult procedure...
PTNS: Julianne’s Story
Julianne has had painful urology symptoms since she was a baby. 12 weeks of Posterior Tibial Nerve Stimulation (PTNS) therapy brought relief and let her get back to being a kid!
Comfort Promise for Needle Procedures: Anna's Story
The Children's Mercy Comfort Promise helped patient Anna Beach face and overcome her extreme fear of needles used for vaccinations or to draw blood for testing.
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...
Intubation and Sedation Medications
References Children's Hospital of Philadelphia (2023). Intubation/sedation medications. https://www.chop.edu/clinical-pathway/sepsis-emergency-department-inpatient-picu-clinical-pathway Vet, N.J., Kleiber...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
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...
Children’s Mercy on Ash Ave. near Liberty, Mo.
Children’s Mercy on Ash Ave. near Liberty, Mo. offers convenient, expert pediatric care for kids. This location brings together Express Care, the Orthopedic Injury Clinic and Sports Medicine follow‑up...
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...
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)
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...
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...
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...