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Special Opportunities
Have a clinical pharmacology interest? We have the only accredited training program in the country. T32 programs are available and would represent a 4th year of training. Learn more by visiting...
Opportunities for Research
At Children’s Mercy, residents and fellows don’t just observe research. They drive it. Microscope photo Across every department and subspecialty, research is one of the pillars supporting Children’s...
Bioethics Center Team
Meet the Center for Bioethics team.
1-On-1 Coaching
The Culture and Language Coaching Program at Children's Mercy provides 1-on-1, personalized attention to bilingual health care providers in multiple areas of healthcare.
EMS Heroes
Children’s Mercy recognizes and applauds the first responders who work with our patients every day. Read on to find out more about one of our EMS heroes. Ryan Koehler What's your name and current position?
AOM – Moderate/Severe 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...
AOM – Tympanic Membrane Perforation
Images for AOM Tympanic Membrane Perforation: Children’s Mercy Providers Providers without Children’s Mercy privileges These pathways do not establish a standard of care to be followed in every...
Fast Facts
Low molecular weight heparin (LMWH) is the anticoagulant of choice for most pediatric patients Advantages include: Minimal monitoring requirements Reduced interference of other drugs and diet Reduced...
nPEP Medication Guidance
Disclaimer This care process model does 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...
AETC Risk Assessment
AIDS Education and Training Centers Program. (2022). Non-occupational post-exposure HIV prevention and risk assessment. Retrieved from https://aidsetc.org/resource/npep-toolkit on January 10, 2023.
Hypertension, Inpatient
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...
IV Contrast for MRI and CT: Risks and Benefits of Contrast Administration
The potential risks for developing serious skin conditions such as nephrogenic systemic fibrosis (NSF) related to the modern gadolinium-based contrast agents are extremely low even in patients with...
Fluid Resuscitation
Fluid Therapy Administer a LR or NS fluid bolus of 10-20 mL/kg if shock present Monitor response to fluids (Vital Sign Targets and Clinical Goals for Initial Resuscitation) Tailor fluid therapy to the...
Suspected Stroke - References
1. Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J. P., Ortega-Gutierrez, S., ... & Lansberg, M. G. (2018). Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging.
Rasburicase Administration Considerations
Administration of rasburicase beyond 5 days is not recommended by the manufacturer. In fact, a single dose of rasburicase has been shown to rapidly reduced hyperuricemia and multiple doses are rarely...
Elevated Serum Creatinine
1) An increase of >0.5mg/dL from baseline OR 2) Greater than or equal to 50% increase in serum creatinine from baseline OR 3) Any patient with an elevated serum creatinine based on normal range for patient...
Treatment/Plan Greater than 3 Days
If unsure at 24-48 hours, it is not necessary to obtain a trough level before 72 hours. Reassess entire patient daily for any changes that may lead down a different pathway in the algorithm.
Pediatric Guides
Children’s Mercy specialists have developed guides on constipation, abnormal thyroid, abnormal menstrual patterns, short stature, pediatric obesity and antimicrobial stewardship.
State-of-the-Art Pediatrics February 2021
Elderberry – Is the Herbal Remedy Safe for Kids? Co-author: Emily J. Goodwin, MD, FAAP | Pediatrician | Clinical Assistant Professor of Pediatrics...
What's the Diagnosis? January 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...