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Wide World of Vaccines May 2022
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
What's the Diagnosis? April 2022
A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...
Wide World of Vaccines August 2021
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Assure Pregnancy Test is Negative
LexiComp (2016) places valproic acid in Category X for migraine prophylaxis and Category D for all other indications when assessing Pregnancy Risk Factors. For medications that are in either category X or...
Myelomeningocele: Recommendation if Born at Outside Hospital for Pre-natal Repair
Recommend transfer to Children's Mercy for further evaluation, management and initial inpatient care coordination. Timing of transfer, if stable, can be arranged after 48 hours closer to maternal discharge...
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?
Visual Diagnosis
A 3-year-old male presents to the emergency department (ED) for evaluation of a burn. Test your knowledge of how to classify and treat the burns.
ACEs and Mental Health in Adolescents - Hot Topics - October 2022
A recent CDC study found that 73% of high school students experienced at least one ACE during the COVID-19 pandemic. As the number of ACEs increased, mental health worsened. Screening for depression in...
Heat-Related Illness - Hot Topics - August 2022
During summer months, heat-related illness in children is a significant medical concern. While heat stroke is the extreme of heat-related illnesses, many other medical conditions are seen in hot and humid...
Out-of-Pocket Cost Comparison
Below are actual claims for children insured by major health insurance companies to show the difference in out-of-pocket costs when Children's Mercy is included in a plan and excluded from a plan.
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 Contrast for MRI and CT: Population at Risk for Acute Kidney Injury
Stem cell transplant Acute or past treatment of oncologic disease Congenital heart disease Undergoing cardiopulmonary bypass Single ventricle physiology History of heart transplant Solid organ transplant...
Pulmonary Embolism Risk Stratification
Low Risk: Acute PE and the absence of the clinical markers of adverse prognosis that define massive or submassive PE and oxygen requirement of less than 2L. Intermediate Risk (Submassive): Acute PE without...
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...
Talking With Teens About Suicide
You matter At Children’s Mercy, we care about the whole person, mind and body. You may be coming to us for a medical condition or injury and wonder, why do we ask about suicidal thoughts? We ask because we...
1.6
Continue to provide public policy leadership to ensure that every child has access to quality health care Working in collaboration with the American Telemedicine Association on potential telemedicine...
2.2
Advance trauma-informed education efforts throughout the community Case reviews through State of Kansas Provided multiple trainings and parenting classes at Kansas City Housing Authority sites Child...
McPherson County
Center for Independent Living Prairie Independent Living Resource Center (620) 663-3989 Developmental Disability Organization McPherson County CDDO (620) 241-6693 Department of Children and Families DCF...
Tumor Lysis Syndrome
Clinical Pathways promote evidence-based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...
Toddler Tibia Fracture: Mepilex Foam Secured With Tape
Cleanse wound with sterile saline and gauze. Dry thoroughly with gauze. Apply a square of Mepilex® over the wound (silicone side touches wound). Secure with 1-2 pieces of Primafix™ tape. Change every other...