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Critical Care Transport: Paizlee's Story
Saturday, July 14, 2018, was just another busy summer day in Ft. Scott, Kan., for the Crumby family. Mom Stephanie was playing in a softball game, and her team was up to bat. “My daughters, Paizlee and...
Critical Care Transport: Owen's Story
As a 2-year-old, Owen Sheeley had an unexplained seizure. Testing showed nothing remarkable but after a few seizure-free months, Owen had another major seizure. He was taken to the nearest hospital where...
Epilepsy Keto: Reed's Story
Reed Williams was seemingly healthy the first 12 months of life, but shortly after his first birthday, he was sitting at the dinner table one night when suddenly his whole body drooped to one side. “We...
Drug-Resistant Seizures: Derek’s Story
Meet Derek Thirteen-year-old Derek Ahlstedt just wants to do what other teens his age do—play baseball with his friends, go to scout camp, and one day, drive a car. But a lifetime of epileptic seizures put...
Preparing for a Renal Scan
A renal scan provides pictures of your child's kidneys to see how the kidneys are working, including size, shape, position, and urinary flow. The following information will help prepare you and your child...
Coarctation of the Aorta
Coarctation of the aorta involves narrowing of the large blood vessel that carries oxygenated blood out of the heart to the body. Learn how Children’s Mercy treats this condition in its Heart Center.
Manifestations of GAS Other Than Pharyngitis
Manifestations of Group A Streptococcus Other Than Pharyngitis The majority of GAS manifestations do NOT represent complications of GAS pharyngitis Manifestations, Non-invasive Scarlet fever1...
Alternative First-line Anti-seizure Medications
Route Drug Dose Max IV Midazolam 0.1 mg/kg 5 mg IV Diazepam 0.2 mg/kg 10 mg Rectal Diazepam 6 - 11 months: 2.5 mg 1 - 5 years: 0.5 mg/kg (rounded to nearest 2.5 mg) 6 - 11 years: 0.3 mg/kg (rounded to...
Obtain CT or rMRI and Shunt Series
If possible, it is preferable to be consistent with imaging when evaluating for ventricular changes (such as if the patient had a prior CT, then obtain CT now or if patient had a prior rMRI...
Pairing hearing aids
Help you and your child learn how to better utilize your hearing aids. Below you will find resources to different hearing aid companies on how to pair your hearing aids to phones and other Bluetooth...
Endometriosis: Taylor’s Story
Meet Taylor Meet Taylor photo Thirteen-year-old Taylor Stewart looks like the picture of health, but looks can be deceiving. Behind her big, beautiful smile and bubbly personality is a teen who once...
Swallowed Magnets: Elijah's Story
Meet Elijah Photo: Elijah at Xmas Elijah is an energetic three-year-old who lives with his mom, Jenna, in Topeka, Kan. He loves having his picture taken and running really, really fast. “He’s always...
Spanish-Speaking Cancer Clinic
Clinica de Hematologia/Oncologia: Puente de Esperanza (HOPE Clinic) Clear communication between families and care providers leads to much better health results for children. That’s why Children’s Mercy...
Common questions before surgery
Thank you for choosing Children’s Mercy for your child’s surgery. We perform procedures that require anesthesia at Children's Mercy Adele Hall Campus and Children’s Hospital Mercy Kansas. We look forward...
Rasburicase Administration Considerations
Administration of rasburicase beyond 5 days is not recommended by the manufacturer. In fact, a single dose of rasburicase has been shown to rapidly reduced hyperuricemia and multiple doses are rarely...
AOM – Moderate/Severe Bulging of Tympanic Membrane (TM)
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...
Fast Facts
Low molecular weight heparin (LMWH) is the anticoagulant of choice for most pediatric patients Advantages include: Minimal monitoring requirements Reduced interference of other drugs and diet Reduced...
Treatment/Plan Greater than 3 Days
If unsure at 24-48 hours, it is not necessary to obtain a trough level before 72 hours. Reassess entire patient daily for any changes that may lead down a different pathway in the algorithm.
Elevated Serum Creatinine
1) An increase of >0.5mg/dL from baseline OR 2) Greater than or equal to 50% increase in serum creatinine from baseline OR 3) Any patient with an elevated serum creatinine based on normal range for patient...
Bilirubin/Albumin Ratio
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...