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Ayden's Story
Diagnosed at birth with a rare form of tetralogy of Fallot, Ayden received lifesaving care at Children’s Mercy. After two open-heart surgeries and years of follow-up, he is now an active 11-year-old who...
Normal Mean and Lower Limits of Normal for Hemoglobin, Hematocrit, and Mean Corpuscular Volume
Age (year) Hemoglobin (g/dL) Hematocrit (%) Mean Corpuscular Volume (fL) Mean Lower Limit Mean Lower Limit Mean Lower Limit 0.5-1.9 12.5 11.0 37 33 77 70 2-4 12.5 11.0 38 34 79 73 5-7 13.0 11.5 39 35 81 75...
Cardiac Imaging Research Core Lab
The Cardiac Imaging Research Core (CIRC) provides image acquisition, interpretation, and reporting of echocardiographic and vascular studies for use in clinical research. The Core provides end-to-end...
Kawasaki Disease: Treatment
Initial Therapy Agent Description Dose Additional Information IVIG Pooled polyclonal immunoglobulin 2 gm/kg IV, given over 8–12 h; consider slower infusion in KD shock or myocardial dysfunction Utilize...
Kawasaki Diseases: Differential Diagnoses
Alternative diagnosis Note: This list is not exhaustive and the full clinical picture must be considered Classic features Testing to consider (in addition to labs for KD diagnosis)
Why local pediatric care matters
When your child is sick, local pediatric care offers quick access to the specialists they need, reducing stress and improving health outcomes.
EpicCare Link FAQ
Latest questions we've received since going live with Epic Here are answers to some questions we have recently received. New to EpicCare Link? Here are answers to some common questions as you are...
Acute Lymphoblastic Leukemia: Munira's Story
Meet Munira Meet Munira photo Munira Nuru is a proud Black Muslim woman. She presents every aspect of her identity through her appearance; from the hijab she wears as a symbol of her religious faith...
Understanding Pharmacogenetic Testing Results
Pharmacogenomic (PGx) testing looks at how your genes affect your response to certain medications. Genes are pieces of DNA that provide instructions to make our bodies look and work as they do. Some genes...
Strategies for Communicating with Families About Differences of Sex Development
If diagnosed prenatally: Care of these patients is outside the scope of the clinical pathway until after birth, but communication strategies may include: "It is hard to know what your baby's genitals...
Intubation and Sedation Medications
References Children's Hospital of Philadelphia (2023). Intubation/sedation medications. https://www.chop.edu/clinical-pathway/sepsis-emergency-department-inpatient-picu-clinical-pathway Vet, N.J., Kleiber...
Family Education
When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...
Classification of Differences of Sex Development (DSD)
Primary Cause Secondary Root Tertiary Root 46,XY,DSD Disorders of gonadal development Monogenic forms of complete gonadal dysgenesis or partial gonadal dysgenesis (e.g., SRY, NRSA1, and WT1) Testes...
Differences of Sex Development (DSD)
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...
Differences of Sex Development (DSD) Resources
General Interconnect Interface Project - Stories (2019) interACT: Advocates for Intersex Youth Differences of sex development (A.D.A.M. Medical Encyclopedia, 2024) Accord Alliance Accord Alliance Handbook...
Differences of Sex Development: Mean Stretched Penile Length
Penile length should be measured from the pubic ramus to the tip of the glans while applying gentle traction along the shaft until resistance is met. Age Mean (cm) ± Standard Deviation -2.5 Standard...
Respiratory Support
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...
Fluid Choice and Blood Products
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...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
Monitor Response and Vital Sign Targets
References Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4)