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AOM – Mild Bulging of Tympanic Membrane (TM)
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...
Pediatric Bioethics Certificate Program Application
Application for the Pediatric Bioethics Certificate Program at Children's Mercy Kansas City.
Prochlorperazine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with a refractory migraine, is prochlorperazine an effective treatment compared to ketorolac, metoclopramide, sodium valproate, IV magnesium? Plain language summary from...
Myelomeningocele: Clean Intermittent Catheterization (CIC)
After 24 hours of life, check post void residuals. To check post void residual, perform clean intermittent catheterization immediately after wet diaper. If post void residual is consistently above 20 ml...
Treatment Options
Hormonal Forms of Treatment Progesterone only method: Norethindrone Acetate 10 mg daily; does not act as contraception; goal is amenorrhea while taking Estrogen & Progesterone method: Sprintec...
Vulvar Aphthous
Non-sexually acquired genital ulceration (NSGU) refers to complex aphthous ulcers in genital areas. NSGU occurs more commonly in young women. NSGU may be preceded by flu-like symptoms and is possibly...
Myelomeningocele: MRI and Renal Ultrasound
Infant may be on back and swaddled for MRI. Protect large lesion with donut as needed. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Cerebral Edema Therapy
Those at increased risk include younger age (<5 y/o), new onset diabetes, and longer duration of symptoms. Additional risk factors at diagnosis or during treatment include - more severe acidosis or very...
Distal Radius Fracture
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...
Insulin Drip
For algorithms related to this topic, please visit our complete list of Clinical Practice Guidelines and Care Process Models. BUTTON: 10/2022 See all algorithms Insulin Drip...
Von Hippel-Lindau Syndrome (VHL): Bryce's Story
Meet Bryce Bryce Munson remembers the very first time he had what he thought was a panic attack. Mom Erryn Westerhold does, too. “I was in my 7th grade math class when I started having trouble breathing...
Evidence-Based Strategies for Common Clinical Questions February 2022
As was discussed in last month’s LINK column on evidence-based practice, children are disproportionately affected by secondhand smoke, and this exposure is detrimental to children’s health. The Surgeon...
Outbreaks, Alerts and Hot Topics December 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.
Outbreaks, Alerts and Hot Topics July 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.
What's the Diagnosis - October 2022
An 11-day-old male presents to the emergency department with his mother for concerns of intermittently increased respiratory rate. He started having some subcostal retractions with increased work of...
What's the Diagnosis? March 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...
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...
Toddler Tibia Fracture: Inclusion and Exclusion
Inclusion Criteria: Patients aged 1 to 4 years. Not bearing weight. Low energy mechanism, defined as: Fall from standing. Trip and fall Injury at the bottom of a slide. Stable tibial shaft or distal tibia...
Play Healthy KC Podcast from the Children's Mercy Sports Medicine Center
Experts from the Children's Mercy Sports Medicine Center discuss comprehensive care for student-athletes including training, mental therapy and nutrition.
Febrile Infants: CSF Studies
Cell count. Bacterial culture. Gram stain. Protein. Glucose. Enterovirus PCR (summer and fall) or evidence of viral meningitis. HSV PCR (if pleocytosis). These pathways do not establish a standard of care...