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Diagnostic Testing
Does a head CT scan compared to no head CT scan change the management of a child with migraine? Plain language summary from the office of evidence based practice: Based on moderate quality evidence, the...
Indications For Hematology Consultation
Initiation of therapy for patients: Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired renal function Maintenance of anticoagulation therapy with: Delay in reaching therapeutic...
Contraindications to Alteplase IV for Acute Stroke in Childhood
Patient last seen well more than 4.5 hours previously. Patients in whom time of symptom onset is unknown. Prior stroke, major head trauma or intracranial surgery within the last 3 months. History of prior...
Troubleshooting Neurosurgical Shunts for Malfunction
Shunt malfunction may occur at ANY TIME after shunt placement with the risk of malfunction being the highest in the first 6 weeks post shunt surgery. Patient's symptoms are usually progressive, rarely...
Patient STI Education
To minimize transmission and reinfection, patients should abstain from sexual intercourse until they and their partners have been treated (i.e., until completion of a 7-day regimen or for 7 days after...
Recommended Partner Notification
Recommend that the patient notify sexual partners by: Partner notification card OR TellYourPartner.org Health Department involvement: Can assist with partner notification for Gonorrhea and Chlamydia upon...
Considerations for Allergy Referral
Reinforcement of anaphylaxis education Unknown cause of anaphylaxis Recurrent anaphylaxis These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
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...
Bronchiolitis
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Mediastinal Mass
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...
Discharge Recommendations
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...
Croup
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...
Severe Cephalosporin Allergy
For patients at high risk for severe delayed reaction to cephalosporins or penicillins, do not administer beta-lactams. See alternatives below. Cystitis or pyelonephritis Ciprofloxacin: ...
Osteosarcoma: Kambre's Story
The first day of kindergarten is one many parents remember—as both a happy and sad milestone. But Kambre Jo Konrade’s first day marked a milestone of a different kind. She was diagnosed with...
Aplastic Anemia: Nick's Story
Every Little League pitcher who takes the mound dreams of one day unleashing a perfect fastball in a Major League stadium, but few ever get the chance. For most young athletes, their talent eventually fails...
Refractory Anemia with Excess Blasts: McKenzie's Story
McKenzie Haynes isn’t an athlete who puts up with losing. So, in 2010, when the Salina, Kan., high school sophomore earned an admirable eighth place in the 5A state tennis tournament, she made it a priority...
Osteopathia Striata with Cranial Sclerosis: Emersyn’s Story
Meet Emersyn Emersyn Gross is a sassy, fun 4-year-old who loves wearing her pink and purple tutus, pretending to be a doctor, and watching Peppa Pig. But when she was born Nov. 1, 2017, doctors weren’t...
Home Care | Children's Mercy Kansas City
Children's Mercy Home Care is the only full-service pediatric home-health agency in the region. Our team provides continuity of care following inpatient stays and often in lieu of hospitalization. See...
Otolaryngology (Ear, Nose and Throat)
The Department of Otolaryngology (Ear, Nose and Throat) at Children's Mercy offers proven expertise in the diagnosis and effective treatment of children with both routine and complicated head and neck...
Pain Management Program
Children's Mercy is proud to offer the only Pain Management Program in Missouri. Our goal is to provide safe, effective, and patient-centered pain care.