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Laceration: History and Physical
<!--StartFragment--> After the initial assessment of ABCDE and vital signs, determine the timing of the injury, mechanism of the injury, and tetanus immunization status. If there is...
Adulting 101: How to talk to your teen about family medical history
As teens grow up, they start to take more control of their own health. One way parents can help is by teaching them about their family’s medical history. This helps teens understand their health better and...
Fever-Causing Diseases by Geographic Area
Geographic Area Fever-Causing Diseases to Consider Usual Incubation Period Incubation Period (Range) Caribbean Chikungunya 2 - 4 days 1 - 14 days Dengue 4 - 8...
The Link - October 2025
Our October issue features the latest news and updates on pediatric care from Children's Mercy clinicians. The Link - October 2025 Evidence Based Strategies: To Catch a Coarct: Recognizing Heart Defects...
Severe Delayed Reactions Resource Page
Acute Generalized Exanthematous Pustulosis (AGEP) VisualDx Images in Children (CMH users) AGEP is a severe cutaneous adverse reaction that appears rapidly, often within 2-3 days of exposure. The reaction...
Test Page
Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees...
Red Flag Signs
RED FLAGS to consider: Meconium not passed in first 48 hours as a newborn Onset before 1 month of age Family history of Hirschsprung disease Blood in the stools with fever Failure to thrive Abnormal lower...
Wise Use of Antibiotics: Incorporating Quality Improvement into a Busy Clinic
Quality improvement (QI) is essential for all health care providers and staff, as it fosters a culture of excellence and ensures the highest standards of patient care. The American Academy of Pediatrics...
Dr. Kai Ling Kong Receives NEA Grant to Test Music-Based Program for Low-Income Families
The funding is to support a randomized-controlled feasibility study to test a music-based program for parents and children from low-income families in the U.S., looking at how it affects behavior...
Children’s Mercy Kansas Expansion Plan
The $152 million expansion plan for Children’s Mercy Kansas will expand capacity, consolidate services and introduce new clinical programs.
Severity of Asthma Exacerbation
<!--StartFragment--> Mild Moderate Severe Respiratory Rate 2-3 yrs: <34/min 4-5 yrs: <30/min 6-12 yrs: <...
Gift Planning Council Additional Resources
Here you will find additional resources for the Gift Planning Council, including a link to donate to the Donald H. Chisolm Gift Planning Council Endowed Children’s Hope Fund.
Dr. Tomoo Iwakuma Receives Over $2.7 Million NIH Grant to Study New Compound to Kill Cancer Cells Lacking p53 Gene
Dr. Iwakuma's study aims to find new ways and compounds to kill cancer cells that don’t have a normal p53 gene, which is found in about 50 percent of human cancers.
22q11.2 ERAS: Discharge Recommendations
For children who had calcium values less than 8 mg/dL or ionized calcium less than 1.1 mmol/L following the procedure, continue the same dose of calcium and Calcitriol (if needed) at discharge. Educate...
22q11.2 ERAS: Initial Calcium/Calcitriol Dose to Treat Hypocalcemia
Initial Dose Recommendations Calcitriol 0.025 mcg/kg/day PO/IV in 2 divided doses Calcium* Neonates: Ca++ (elemental) 75 mg/kg/day PO in 3 - 4 divided doses; not to exceed...
Dosing Options
Inpatient Metronidazole < 45 kg: 10 - 13 mg/kg (max 500 mg/dose) PO or IV q 8 hrs Inpatient, transition to oral therapies Metronidazole < 45 kg: 10 - 13 mg/kg (max 500 mg/dose) PO q 8 hrs Outpatient...
PCR by First Catch Urine
No void during the previous hour No genital cleaning 20 - 30 mL sample: do not overfill DO NOT order as an add-on unless an appropriate sample is confirmed by the lab These pathways do not establish a...
Patient/household Infection Control Instructions
Patient/household members should immediately quarantine at home (or continue quarantine if admitted) until contacted by the health dept. with further instruction (quarantine of 21 - 28 days is generally...
State of the Art Pediatrics: Not Just Another Picky Eater: Looking Out for Pediatric Eosinophilic Esophagitis
Column Author: Rachel Chevalier, MD| Director of CMH Fellow's Grant Writing Curriculum, Department of Peds/GME; Medical Director of Eosinophilic Gastrointestinal Diseases Program...
Measles Postexposure Prophylaxis (PEP)
For Individuals who are NOT pregnant or immunocompromised <!--StartFragment--> Age Group Immune Status Time Since Exposure Recommended PEP Home Quarantine Recommendations All ages (≥ 6...