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Celebrity Visits and Support
As Children's Mercy Kansas City continues to celebrate the tremendous success of the Big Slick Celebrity Weekend, it’s fun to remember another baseball game benefit almost 100 years ago. Photo collage...
The Value of Kindness
Giving back and acts of kindness have been a part of the fabric of Children’s Mercy since our very beginning, starting with the spirit of our Founding Berry Sisters. Another example is lifelong Children’s...
Clinical Experience Pediatric Dentistry Residency
The Residency Program in Pediatric Dentistry is conducted in the Hall Family Outpatient Center of Children's Mercy. The hospital is located adjacent to the University of Missouri-Kansas City School of...
About Us
Jeff Hughley – Senior Director of the Office for Community Impact; jhughley@cmh.edu Elizabeth Friedman, MD, MPH – Medical Director of Environmental Health; Region 7 PEHSU Director; efriedman@cmh.edu Emily...
Nutrition for Injury Recovery in Athletes
Injuries and sports participation are a common occurrence and proper nutrition can assist with a speedier return to play. Poor nutrition lengthens recovery time due to impairing the healing process. ...
Apply for the Pediatric Dentistry Residency
The Children's Mercy Pediatric Dentistry Program is sponsored by Children's Mercy in affiliation with the University of Missouri-Kansas City School of Dentistry. Each year, we utilize the PASS/MATCH...
Isokinetic Testing
What is Isokinetic Testing? After a major knee injury, isokinetic testing is used to assess the strength of the quadricep and hamstring of each leg. During this type of strength test, the amount of force...
Research Experience
Pediatric Resident Research Program The Pediatric Residency Program at Children’s Mercy is committed to providing research opportunities and mentorship support for research to pediatric residents. The...
Atopic Dermatitis: Noninfected - Wet Wraps
Wet wraps: Are used to help moisturize and soothe the skin. TO BE USED WITH TOPICAL STEROIDS AND MOISTURIZERS ONLY (not with Protopic or Elidel). For a demonstration of how to apply wet wraps...
Delayed Treatment Option
In children greater than 8 weeks with suspected bacterial conjunctivitis, is delayed treatment a valid option? We RECOMMEND based on low quality evidence consideration for delayed treatment or delayed...
Patient's Pain
Is the patient's pain assessed to be >3? Assess the patient's comfort level using an age and developmentally appropriate pain scale. Children's Mercy Kansas City uses the following pain...
Discharge Recommendations and Follow-up
If the patient meets the discharge criteria, discharge after providing the patient with the discharge information. The Headache Action Plan may be helpful in creating a discharge plan. The patient...
Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C)
If you are concerned you may have a patient with MIS-C, please consult ID. An individual aged <21 years presenting with feveri, laboratory evidence of inflammationii, and evidence of clinically severe...
Heparin Antidote
Termination of the IV infusion generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in neutralization of heparin. The dose of protamine...
Maintenance and Monitoring
Once a therapeutic standard heparin level is obtained draw CBC, PT, aPTT and/or heparin level at least daily. Measure platelet counts daily. If platelet count decreases below 150,000/microL or drops by ≥
Initiation of Therapy Days 1-4
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 is...
Low Dose Systemic Thrombolysis
tPA 0.03-0.06 mg/kg/hr x 24 hours (max hourly dose 2 mg/hr) If on heparin: decrease heparin dose to 5-10 units/kg/hr. If on direct thrombin inhibitor (DTI) decrease rate by 50%. Heparin and/or DTI lab...
Bruising
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...
Empiric STI Treatment:
While tests are pending, empiric treatment for Chlamydia and Gonorrhea should be provided for those at increased risk (e.g., women <25 years, new sex partner, known STI exposure), if follow-up cannot be...
Hypertension
For Children's Mercy Kansas City providers: Skills: Blood Pressure Measurement (Pediatric) - CE (elsevierperformancemanager.com) For providers without Children's Mercy privileges, tables...