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Link Newsletter - June 2023
Our June issue features the latest news and updates on pediatric care from Children's Mercy clinicians. We want to hear from you! Do you have ideas, questions or suggestions for future articles in The...
Evaluating Menstrual Regularity in Adolescence
Column Author: Emily Paprocki, DO | Pediatric Endocrinologist, Assistant Professor of Pediatrics Column Editor: Amita Amonker, MD, FAAP| Pediatrics | Pediatric Hospitalist | Division Billing...
5. Asthma Severity and Asthma Control
Severity and control are two different assessments for a child’s asthma. Definitions of severity and control will be reviewed in this section. Tables summarizing the management of asthma based on severity...
3. Asthma Presentation
Clinical signs and symptoms of asthma can vary between patients and even within the same patient. When well, there may be no signs or symptoms. During an asthma exacerbation, hyperinflation of chest...
Febrile Infant: Lumbar Puncture Considerations
There is substantial evidence Inflammatory Markers (IM) are predictive of invasive blood infections including bacterial meningitis. For this age group, the number of meningitis cases in published studies...
Hypertension Inpatient Medication List
Common medications/substances associated with hypertension:Antipsychotics / Tricyclic Antidepressants, Amphetamines/stimulants, Caffeine, Chemotherapy, and more.
Glucocorticosteroids
In the pediatric patient diagnosed with a refractory migraine, is glucocorticosteriods an effective treatment for the prevention of migraine relapse (return to ED or provider for relapse of the same...
Magnesium Sulfate
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of intravenous magnesium sulfate to decrease migraine pain in the Emergency Department? Plain language summary from the...
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit. Age < 30 days. Baseline INR ≥ 1.2 prior to initiation of warfarin.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired...
Fast Facts
Warfarin is generally started on day 1 or 2 of heparin or low molecular weight heparin (LMWH) therapy. Heparin or LMWH administration should overlap with warfarin for a minimum of 6 days and until INR (
Stratification Guidelines for Tumor Lysis Syndrome
For risk assessment in tumor lysis syndrome, see Figures 2 and 3 in the Pediatrics in Review (access is provided below): For Children's Mercy providers: Library Services For providers without Children's...
Obtain CT or rMRI and Shunt Series
If possible, it is preferable to be consistent with imaging when evaluating for ventricular changes (such as if the patient had a prior CT, then obtain CT now or if patient had a prior rMRI...
Suspected Neonatal Conjunctivitis 2023
Neonatal conjunctivitis, also known as ophthalmia neonatorum, should be suspected clinically among neonates (≤ 28 days of age) with both injected conjunctiva and mucopurulent discharge, or among those...
Neisseria gonorrhoeae (GC) Eye Culture Results 2023
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Endometriosis ERAS
Enhanced Recovery After Surgery (ERAS) programs promote an evidence-based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay...
Infusion Reaction in Hematology/Oncology
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...
Sickle Cell: Acute Chest Syndrome
Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...
Plastic and Reconstructive Surgery: Makayla's Story
Ask 9-year-old Makayla Hainline’s mother, Angie, to describe her daughter in one word, and there’s no hesitation. “Fearless,” Angie said. “She’s fearless, unless it involves a spider.” Makayla scrunches...
Apply for the Pediatric Residency Program
We are so excited to begin application review for 2025-2026 recruitment season. To support students applying to our residency program and due to recommendations by APPD, Children’s Mercy Pediatric...