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Autism and/or Developmental Delay: AAP Guidelines
AAP Clinical Report – Autism Spectrum Disorder: https://pediatrics.aappublications.org/content/145/1/e20193447 AAP Developmental Surveillance and Screening Guidelines...
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...
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...
Recommended Partner Notification
Recommend that the patient notify sexual partners by: Partner notification card OR TellYourPartner.org Health Department involvement: Can assist with partner notification for Gonorrhea and Chlamydia upon...
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...
Troubleshooting Neurosurgical Shunts for Malfunction
Shunt malfunction may occur at ANY TIME after shunt placement with the risk of malfunction being the highest in the first 6 weeks post shunt surgery. Patient's symptoms are usually progressive, rarely...
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...
Considerations for Allergy Referral
Reinforcement of anaphylaxis education Unknown cause of anaphylaxis Recurrent anaphylaxis These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Febrile Infant: Lumbar Puncture Considerations
Clinicians may obtain a CSF analysis on infants 22 to 28 days of age even if all of the following criteria are met: Urinalysis result is negative or positive. Inflammatory Markers obtained are abnormal.
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...
Supportive Care Measures
Encourage non-caffeinated and non-carbonated fluids. For girls, encourage wiping after each void from front to back. Decrease discomfort with voiding by urinating while sitting in a warm bath tub. Provide...
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: ...
Mediastinal Mass
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...
Training Program Newsletter
Get the latest information about our internship program, learn about former trainees, and get to know our training staff through the training newsletter. Training newsletter: 2020-2021 Training newsletter...
Hirschsprung Disease in Children
Hirschsprung disease (also known as congenital aganglionic megacolon) is a birth defect in which nerve cells that naturally occur in the colon are missing. Pull-through surgery removes the portion of the...
Pediatric Nephrology Fellowship
Our Nephrology Department Faculty and Fellows Meet the Nephrology Team How to Apply The Children’s Mercy Pediatric Nephrology Fellowship is one of the oldest training programs, with continual accreditation...
Academic Curriculum - Pediatric Infectious Diseases Fellowship
Required Conferences Pediatric infectious diseases fellows, attendings, APRNs, pharmacists, and rotating residents and medical students attend divisional conferences. ASP Journal Club Every other...
Academic Curriculum - Pediatric Pulmonology Fellowship
Fellows are expected to engage in meaningful scholarly activity leading to “the generation of a specific written work product” during the course of their fellowship training. Scholarly activity may include...
Electrophysiology Program
The electrophysiology team cares for children with all types of heart rhythm disorders. Our team consists of experienced pediatric electrophysiologists trained to identify and correct abnormal...