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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)
IV Escalation Plan
References Children's Hospital of Philadelphia (2023). Immediate IV access, IV escalation plan. https://www.chop.edu/clinical-pathway/sepsis-immediate-iv-access-iv-escalation-plan-ed-inpatient-picu Weiss...
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...
Laboratory Studies
Consider Inflammatory Conditions That May Manifest With Fever and Shock Kawaski Disease While rare, shock may be present in children with Kawasaki disease (Çakan et al., 2016) Multisystem Inflammatory...
Alternative Diagnoses
Syncope, convulsive syncope Complicated migraine or migraine with aura Gastrointestinal disorders (reflux) Psychiatric conditions (panic attacks, psychogenic non-epileptic events) Transient ischemic attack...
Frequently Asked Questions
Will my child have a seizure again? 75% of children will not have any further seizure activity. Could my child die from a seizure? Death after a first-time, unprovoked seizure is very rare. Does brain...
Frequently Asked Questions
What is the chance of my child having another febrile seizure? It is hard to predict if your child will have another febrile seizure. If your child does have another febrile seizure, it will likely be like...
Children’s Mercy MyChart
MyChart is Children’s Mercy’s secure online patient portal that lets families manage care in one place—view appointments, test results, records, medications, pay bills, and message care teams anytime.
Understanding parasocial relationships in teen media use
Learn signs of unhealthy relationships with social media use and how to guide your teen through parasocial relationships.
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...
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...
February
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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: 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...
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...
PTNS: Julianne’s Story
Julianne has had painful urology symptoms since she was a baby. 12 weeks of Posterior Tibial Nerve Stimulation (PTNS) therapy brought relief and let her get back to being a kid!
IV Contrast for MRI and CT: Contrast-associated Acute Kidney Injury
Any acute kidney injury (AKI) occurring within 48 hours after the administration of contrast media. The term post-contrast acute kidney injury (PC-AKI) is synonymous with contrast-associated acute kidney...
Careers at Children's Mercy
Children's Mercy is widely recognized for outstanding clinical achievements and compassionate care. But we're also known for taking great care of our employees.
Pay My Bill
Children’s Mercy has a new payment system — MyChart. Some older balances may need to be paid in our previous system. Pay in full discount Paying your balance in full may qualify you for a discount. Minimum...
Navigating challenges in blended families
Explore effective ways for blended families to communicate, adapt and create a nurturing environment for kids adjusting to change.