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Nonviable Tissue

Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...

Toddler Tibia Fracture

Outbreaks, Alerts and Hot Topics: Typhoid Update

Typhoid fever remains a significant concern worldwide, primarily in low- and middle-income countries. Antibiotic resistance and poor sanitation contribute to higher rates, though vaccine distribution in...

Pulse Oximetry and Skin Pigmentation

This article examines the evidence surrounding the role of skin pigmentation and other factors in the accuracy of pulse oximetry as a diagnostic tool.

Outbreaks, Alerts and Hot Topics October 2021

Clinicians should be aware of recent human brucellosis cases in the United States caused by an antibiotic-resistant RB51 bovine vaccine strain and related to raw milk consumption.

Home Care: Lucas' Story

Lucas Whitacre started life as a healthy, happy baby. But when he reached the 4-month-old mark, he began vomiting several times a day and losing weight. At first, doctors thought Lucas might have...

What to Expect: Your Visit

Scheduling an appointment For your first visit to the Sickle Cell clinic, you’ll need a referral from your child’s primary care provider. Many of our families come to us by referral from their primary...

Neurostimulation for Epilepsy

Neurostimulation is a type of therapy that uses a small device placed under the skin to deliver electrical pulses through the nerves to interrupt seizure activity. This device works to regulate electrical...

Initiation and Maintenance

Initiation of enoxaparin therapy: Obtain blood for baseline CBC, PT, PTT. Calculate enoxaparin dose (mg) based on age, weight and indication. See Table 1. Table 1 - Initial Dosing of Enoxaparin...

Continuation Of Therapy - Day 5 Forward

Target INR for patient who have completed Day 1 - 4 of the initiation protocol: 2.5 - 3.5 for patients with mechanical /prosthetic valves or recurrent thrombotic events 2 - 3 for ...

Urine Blockage

Urine blockage in newborns The kidneys and urinary system keep fluids and natural chemicals in the body balanced. There are several types of blockages that can develop while a baby is in the womb that...