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September
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Spine Care Outreach Services
Orthopedic Outreach Clinic in Wichita, Kansas In addition to telemedicine clinics, members of the Spine Care team travel to Wichita, Kansas every three months, providing new evaluations and...
Concussion Treatment
Concussions can happen during almost any sport. If you are concerned that your student-athlete has a concussion, they should be removed from play immediately and seen by a health care professional as soon...
Mental Wellness for Student-Athletes
Children’s Mercy offers a team of sports medicine mental health professionals to help student-athletes cope with the emotional challenges of participating in sports, whether they’re at the top of their game...
6. Asthma Outpatient Management
The following tables are intended to guide clinical management along with other resources in this reference guide. These tables combine EPR and GINA recommendations for the management of asthma. Asthma...
Steven Leeder, PharmD, PhD
J. Steven Leeder, PharmD, PhD, is Deputy Director of the Children's Mercy Research Institute and leads the Precision Therapeutics Area of Emphasis.
Autism Clinic Recorded Trainings
Children's Mercy offers several online training modules and educational events for families affected by autism. These recorded presentations are available anytime at no cost to families. Training...
Automatic Reflex Aerobic Eye Culture Recommendations
The Conjunctivitis Team along with the Red Book and the Children's Mercy Department of Infectious Diseases recommends eye culture in the low risk group for GC, Chlamydia, and HSV. This recommendation is...
Constipation: RED FLAGS for Underlying Disease Causing Constipation
RED FLAGS to consider: Meconium not passed in first 48 hours as a newborn. Family history of Hirschsprung disease. Blood in the stools with fever. Failure to thrive (chronically low weight for height).
Criteria for Insulin Drip Discontinuation
Discontinue insulin when: Bicarbonate level is ≥17mmol/L. Anion gap is normalized. And/or blood ketones are negative to small. Once the insulin drip is stopped, discontinue D10NS with additives ...
Dihydroergotamine (DHE)
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of DHE IV to decrease migraine pain in the Emergency Department? Plain language summary from the office of evidence based...
Triptan
DHE cannot be given if the patient has received triptans with the previous 24 hours (Lexi-Comp, 2016). These pathways do not establish a standard of care to be followed in every case. It is recognized that...
Migraine Therapy in the ED
Guideline inclusion criteria: Children up to 18 years of age. Physical exam normal. History consistent with primary headache. Guideline exclusion criteria: Abnormal physical exam normal. History...
Myelomeningocele: Antibiotics
UTI prophylaxis if any hydronephrosis on renal US: Amoxicillin 20 mg/kg/dose enterally once a day. Cephalexin 20 mg/kg/day either once or divided twice a day. If patient is NPO the IV equivalents are...
High Dose Systemic Thrombolysis
tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...
Shock
Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.
Nonviable Tissue
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Toddler Tibia Fracture: Evidence Supporting 3rd View
Noe, M. C., Jarka, D. E., Sinclair, M. K., & Grote, C. W. (2025). Toddler’s fracture: an updated guide on evaluation and management. Journal of Pediatric Orthopaedics B, 34(2), 193-197. Tenenbein...
Sepsis
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...
Bronchiolitis Feeding
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