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Contraindications to Alteplase IV for Acute Stroke in Childhood

Patient last seen well more than 4.5 hours previously. Patients in whom time of symptom onset is unknown. Prior stroke, major head trauma or intracranial surgery within the last 3 months. History of prior...

Sumatriptan

In the pediatric patient diagnosed with refractory migraine is sumatriptan an effective treatment for refractory migraine in the ED? Plain language summary from the office of evidence based practice: Based...

Diagnostic Testing

Does a head CT scan compared to no head CT scan change the management of a child with migraine? Plain language summary from the office of evidence based practice: Based on moderate quality evidence, the...

Indications For Hematology Consultation

Initiation of therapy for patients: Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired renal function Maintenance of anticoagulation therapy with: Delay in reaching therapeutic...

Discharge

Can the patient be discharged? After each medication intervention the patient should be assessed to determine if the patient meets the following discharge criteria: Headache pain score ≤3 or decrease...

Acetaminophen

For children who rate their pain as mild (<3), and do not meet the exclusion criteria of the Analgesia Standing Order, either acetaminophen or ibuprofen may be administered. Acetaminophen is preferred if...

Severe Cephalosporin Allergy

For patients at high risk for severe delayed reaction to cephalosporins or penicillins,  do not administer beta-lactams. See alternatives below.   Cystitis or pyelonephritis Ciprofloxacin: ...

Maternal Fetal Transport

When expecting moms have a medical emergency, there are two patients who need care—mom and baby. The award-winning Children's Mercy Transport team partners with experts from our Elizabeth J. Ferrell...

Alumni Pediatric Residency

Group photo of residents 2025 Graduates 2024 Graduates 2023 Graduates 2022 Graduates 2021 Graduates 2020 Graduates Our alumni by the numbers for the 2020 – 2025 graduating classes: 51% pursued Fellowship...

Discharge Recommendations

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...

Community Health Needs Assessment

2025 Community Health Needs Assessment Adopted June 18, 2025 Children's Mercy Children's Mercy Kansas Implementation Strategy Approved October 1, 2025 2025-2028 Implementation Strategy 2022...

Chromosomal Abnormality: Odin’s Story

Odin Buser was born with a rare chromosomal abnormality. His team at the Children's Mercy Beacon Program partners with his family to closely monitor his complex medical care.

Osteosarcoma: Kambre's Story

The first day of kindergarten is one many parents remember—as both a happy and sad milestone. But Kambre Jo Konrade’s first day marked a milestone of a different kind. She was diagnosed with...

Aplastic Anemia: Nick's Story

Every Little League pitcher who takes the mound dreams of one day unleashing a perfect fastball in a Major League stadium, but few ever get the chance. For most young athletes, their talent eventually fails...

Refractory Anemia with Excess Blasts: McKenzie's Story

McKenzie Haynes isn’t an athlete who puts up with losing. So, in 2010, when the Salina, Kan., high school sophomore earned an admirable eighth place in the 5A state tennis tournament, she made it a priority...

Osteopathia Striata with Cranial Sclerosis: Emersyn’s Story

Meet Emersyn Emersyn Gross is a sassy, fun 4-year-old who loves wearing her pink and purple tutus, pretending to be a doctor, and watching Peppa Pig. But when she was born Nov. 1, 2017, doctors weren’t...

8. Treating Co-Morbid Conditions

Common co-morbid conditions that complicate the care of asthma include are reviewed here. These should be assessed as they may worsen asthma severity and complicate control of asthma. Allergic...

Weight Management Program Team

Meet the Weight Management Program team at Children's Mercy.

Hospital Medicine Team

Meet the Hospital Medicine team at Children's Mercy.

General and Thoracic Surgery Team

Meet the General and Thoracic Surgery team at Children's Mercy.