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Rumination Syndrome in Children and Adolescents: A Mini Review
This review looks at literature surrounding rumination syndrome with a focus on neurotypical youth. Authors found higher prevalence in patients with other gastrointestinal (GI) issues. However, more...
Genomic Research
Award Our gastroenterologists are working with the Genome Center to investigate the genetic causes of gastroenterology disorders and move patients into appropriate treatment. Genomic...
Adelante Kansas City
Adelante Kansas City is an innovative culture and language coaching program for mental and behavioral health care providers. The name Adelante, a Spanish word meaning, “forward,” “ahead,” or “onward,”
Academic Curriculum Pediatric Optometry Residency
The curriculum of the Pediatric Optometry Program at Children's Mercy Kansas City utilizes the mission, goals and objectives of the residency as its basic elements. The residency program is designed to...
Empiric STI Treatment:
While tests are pending, empiric treatment for Chlamydia and Gonorrhea should be provided for those at increased risk (e.g., women <25 years, new sex partner, known STI exposure), if follow-up cannot be...
Initiation of Therapy Days 1-4
Warfarin is generally started on day 1 or 2 of heparin or low molecular weight heparin (LMWH) therapy. Heparin or LMWH administration should overlap with warfarin for a minimum of 6 days and until INR is...
Heparin Antidote
Termination of the IV infusion generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in neutralization of heparin. The dose of protamine...
LMW Heparin Antidote
Antidote: Termination of the subcutaneous injection generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in partial neutralization. If the...
2. Asthma Diagnosis
The diagnosis of asthma is clinical. Asthma is defined by: Chronic recurrent respiratory symptoms (coughing, wheezing, chest tightness, shortness of breath) Variable airflow limitation (evidenced in...
Delayed Treatment Option
In children greater than 8 weeks with suspected bacterial conjunctivitis, is delayed treatment a valid option? We RECOMMEND based on low quality evidence consideration for delayed treatment or delayed...
Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C)
If you are concerned you may have a patient with MIS-C, please consult ID. An individual aged <21 years presenting with feveri, laboratory evidence of inflammationii, and evidence of clinically severe...
Alteplase Dosing
Low Dose Systemic Thrombolysis Alteplase 0.03-0.06 mg/kg/hr x 24 hours (max hourly dose 2 mg/hr) If on heparin: decrease heparin dose to 5-10 units/kg/hr If on direct thrombin inhibitor (DTI), decrease...
Patient's Pain
Is the patient's pain assessed to be >3? Assess the patient's comfort level using an age and developmentally appropriate pain scale. Children's Mercy Kansas City uses the following pain...
Low Dose Systemic Thrombolysis
tPA 0.03-0.06 mg/kg/hr x 24 hours (max hourly dose 2 mg/hr) If on heparin: decrease heparin dose to 5-10 units/kg/hr. If on direct thrombin inhibitor (DTI) decrease rate by 50%. Heparin and/or DTI lab...
Nursing Professional Development
The Nursing Department at Children's Mercy is committed to providing a variety of professional development opportunities for nurses. Children's Mercy recognizes the importance of specialty certification...
Required Intern Competencies
Musical skills Ability to play basic chord progressions (I, IV, V) on the guitar in at least two keys to accompany singing. Ability to play basic chord progressions (I, IV, V) on the piano/keyboard in...
Cardiac: Bypass and Thoracotomy ERAS
Enhanced Recovery After Surgery (ERAS) pathways promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay...
Croup: Definition of croup
Croup Definition: Croup, or viral laryngotracheitis, is characterized by barking cough and may be accompanied by hoarseness or inspiratory stridor. When severe, it leads to respiratory distress due to...
Blood Stream Infections
Resources According to the Centers for Disease Control and Prevention (CDC), 248,000 bloodstream infections occur in U.S. hospitals each year. Many of these are in patients who have a central vascular...
Central Line Associated Bloodstream Infection (Text Only)
Children's Mercy Kansas City Quarter Number of CLABSI (Infections) Number of Central Line Days Infections per 1000 Central Line Days (Number of CLABSI/Central Line Days) Jan-Mar 2015 20 7.34 2.72479564...