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May
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Visual Diagnosis: Constipation
A 5-year-old female with a pertinent history of constipation presents to the emergency department for abdominal pain.
Outbreaks, Alerts and Hot Topics: Undescended Testicles: Steps to Follow Prior to Urology Referral
Scrotal exams should be performed at all well-child checks to ensure testicles are descended. Any undescended testicles that persist after 6 months of age are unlikely to descend spontaneously and need to...
Children's Mercy Sports Medicine Conference
Conference presentations and handouts Concussion- What’s New, Doc? James H. Roberson, MD, FAAP Clinical Associate Professor of Orthopedics UMKC Sports Medicine Center Children’s Mercy Hospital
Sepsis Huddle
(can be initiated by any member of the care team at any time when there is a concern) Intended to identify evidence of organ dysfunction Conduct huddle at beside, if possible Discuss clinical exam findings...
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...
Emergency Declarations Are Expiring. What Does This Mean for COVID-19 Vaccines?
The emergency declarations related to COVID-19 are expiring. If they have not already, patients and families may ask you what this means for them. Are you prepared to respond?
Systematic Screening for Sepsis/Septic Shock
References Bonfide, C.P., Brady, P.W., Keren, R., Conway, P.H., Marsolo, K., & Daymont, C. (2013). Development of heart and respiratory rate percentile curves for hospitalized children. Pediatrics...
Dr. Winston Manimtim Using Funding from Courtney S. Turner Charitable Trust to Measure Respiratory Mechanics in Normal Term Infants and Preterm Infants with BPD
The funding will be used for a project led by Winston Manimtim, MD, Neonatology. The project, “Conducting Lung Function Assessments in Premature Infants with Bronchopulmonary Dysplasia (BPD) and Term Well...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
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...
Evidence-Based Management of Pediatric Obesity: Highlights of the New AAP Clinical Practice Guideline
The most up-to-date evidence to guide obesity screening, treatment and referral.
How dads are celebrating Mother’s Day
It’s often said a mom’s job is never done. From birthday parties to school plays to graduations, and everyday love and support, moms go above and beyond to make sure their youngsters always feel special –
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)
Dr. Craig Smail Receives R21 NIH Grant to Better Understand Biology of Complex Rare Diseases
Dr. Smail’s study, “Novel computational approaches to characterize the effects of rare functional outlier variants on cis- and trans-regulatory disease processes,” will work to understand the genome-wide...
11Q Chromosome Deletion: Londyn's Story
Londyn's mother knew something wasn't right with her baby. She followed her gut and persisted until Londyn got the diagnosis and the treatment she needed at Children's Mercy Kansas City.
Add safety to your sprucing this spring
Nearly 4 million kids across the country take a trip to the emergency department each year for injuries that happen at home. Even more eye-opening: many of them can be prevented. While January gets...
Anaphylaxis – Tryptase
Tryptase levels may be elevated in the setting of anaphylaxis. However, this lab is not rapidly available and is not useful in the immediate management of the patient. It may be useful in case of recurrent...
Link Newsletter - March 2023
Our March issue features the latest news and updates on pediatric care from Children's Mercy clinicians. We want to hear from you! Do you have ideas, questions or suggestions for future articles in The...
Dr. Karen Lewing Receives Funding to Develop Predictive Model for Pediatric Leukemia Patients with Febrile Neutropenia
Dr. Lewing’s project, “KUCC COE Spring 2022 Pilot: Predictive Analytics for Fever in the Setting of Neutropenia in Pediatric Leukemia” will use Cerner Health Facts data to predict pediatric leukemia...