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Liver Transplant Program
The Pediatric Liver Transplant Program provides a comprehensive approach to treating children with end-stage liver disease and/or failure. Families have a dedicated transplant coordinator who is with them...
Fetal Health Center - Expert Care for High Risk Pregnancies
From consultations to specialized fetal surgery and delivery — there's no better place for a baby with complex medical needs than the Fetal Health Center at Children's Mercy. We're here to help...
Research Education at the Children's Mercy Research Institute
The Children’s Mercy Research Institute (CMRI) offers several research education opportunities for healthcare professionals, researchers, and students.
ADHD Treatment: Medications
CHADD ADHD Quick Facts: Medications in Treatment CDC ADHD Treatment Healthy Children ADHD Medications ADHD Medication Guide When deciding to start medications, prescribers should take into account the...
Febrile Infant: Lumbar Puncture Considerations
Clinicians may obtain a CSF analysis on infants 22 to 28 days of age even if all of the following criteria are met: Urinalysis result is negative or positive. Inflammatory Markers obtained are abnormal.
Assure Pregnancy Test is Negative
LexiComp (2016) places valproic acid in Category X for migraine prophylaxis and Category D for all other indications when assessing Pregnancy Risk Factors. For medications that are in either category X or...
Valproic Acid
In the pediatric patient diagnosed with refractory migraine, is valproic acid an effective treatment? Plain language summary from the office of evidence based practice Migraine in the ED Team...
Necrotizing Fasciitis
Swollen limb with pain out of proportion history or exam Frequently with overlying warmth on palpation, +/- cellulitis or ecchymosis Surgical emergency: debridement in OR necessary Consult Infections...
Autism and/or Developmental Delay: AAP Guidelines
AAP Clinical Report – Autism Spectrum Disorder: https://pediatrics.aappublications.org/content/145/1/e20193447 AAP Developmental Surveillance and Screening Guidelines...
Pulmonary Embolism Risk Stratification
Low Risk: Acute PE and the absence of the clinical markers of adverse prognosis that define massive or submassive PE and oxygen requirement of less than 2L. Intermediate Risk (Submassive): Acute PE without...
Supportive Care Measures
Encourage non-caffeinated and non-carbonated fluids. For girls, encourage wiping after each void from front to back. Decrease discomfort with voiding by urinating while sitting in a warm bath tub. Provide...
Redness
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: Mepilex Foam Secured With Tape
Cleanse wound with sterile saline and gauze. Dry thoroughly with gauze. Apply a square of Mepilex® over the wound (silicone side touches wound). Secure with 1-2 pieces of Primafix™ tape. Change every other...
Consider Additional Consults
Consider additional consults to: Either Allergy & Immunology OR Pulmonology. Social Work. Environmental Health. Indications for all 3 consults: > 4 ED/UCC/Inpatient episodes in the past 12 months...
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...
IV Contrast for MRI and CT: Population at Risk for Acute Kidney Injury
Stem cell transplant Acute or past treatment of oncologic disease Congenital heart disease Undergoing cardiopulmonary bypass Single ventricle physiology History of heart transplant Solid organ transplant...
Local Processes for Patients Lost to Follow-Up:
First check for Confidential Information Form in the Patient Information Form (found in orders or ad hoc form) If a test returns positive on a discharged patient and attempts to contact them are...
Doxycycline for treatment of chlamydia
Changing treatment recommendations for Chlamydia trachomatis from single dose azithromycin to 7 days of treatment with doxycycline has opened the door of adherence concerns for young adult and adolescent...
Distal Radius Fracture - Surgical Indications
Initial evaluation for suspected wrist fracture: History and Physical Exam Radiographs of the wrist AND forearm Signs and Symptoms concerning for wrist fracture include one or more of the following: History...
Criteria for Transfer to Higher Level of Care
Hypotension Impending airway obstruction Need for Epi drip >1 dose of Epi given These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...