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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...
Infectious Diseases Clinic
Refer a Patient Although childhood infections are common, the majority are benign and most children make a speedy recovery. But in cases where a child has recurrent, prolonged or severe infections...
LMW Heparin Antidote
Antidote: Termination of the subcutaneous injection generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in partial neutralization. If the...
Alteplase Dosing
Low Dose Systemic Thrombolysis Alteplase 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...
Rumination Disorder: Bobbi’s Story
Meet Bobbi Just try keeping up with Bobbi Horr. The junior at Holton High School, Holton, Kan., is on the school’s spirit squad, in band, plays volleyball, runs track, takes dance and gymnastics, and works...
Evaluating Menstrual Regularity in Adolescence
Column Author: Emily Paprocki, DO | Pediatric Endocrinologist, Assistant Professor of Pediatrics Column Editor: Amita Amonker, MD, FAAP| Pediatrics | Pediatric Hospitalist | Division Billing...
Hand Surgery Team
Request an Appointment Refer a Patient Hand Surgery Team Contact Us Patient Review (816) 234-3075...
Dietetic Internship
Program experience The Nutrition Services department at Children’s Mercy offers dietetic internships to students from universities that have a student affiliation agreement with the hospital. Limited...
Contact the Children's Mercy Comprehensive Colorectal Center
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Chlamydia Trachomatis
Among infants bom to untreated mothers with Chlamydia trachomafis infections, the overall risk of disease is estimated at 50 to 75% and typically involves the mucous membranes of the eye, oropharynx...
Swab Affected Eye(s) For Gonorrhea, HSV, and Chlamydia 2023
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Systematic Screening for Sepsis/Septic Shock
References Bonfide, C.P., Brady, P.W., Keren, R., Conway, P.H., Marsolo, K., & Daymont, C. (2013). Development of heart and respiratory rate percentile curves for hospitalized children. Pediatrics...
he Emergency Medical Services for Children Task Force recommends the following sequence for rapid assessment
“Doorway assessment” of the overall appearance, work of breathing, and perfusion Airway – Is the airway able to be maintained? Breathing – respiratory rate and effort (retractions, grunting, stridor...
Toddler Tibia Fracture: Inclusion and Exclusion
Inclusion Criteria: Patients aged 1 to 4 years. Not bearing weight. Low energy mechanism, defined as: Fall from standing. Trip and fall Injury at the bottom of a slide. Stable tibial shaft or distal tibia...
Myelomeningocele: Clean Intermittent Catheterization (CIC)
After 24 hours of life, check post void residuals. To check post void residual, perform clean intermittent catheterization immediately after wet diaper. If post void residual is consistently above 20 ml...
Vulvar Aphthous
Non-sexually acquired genital ulceration (NSGU) refers to complex aphthous ulcers in genital areas. NSGU occurs more commonly in young women. NSGU may be preceded by flu-like symptoms and is possibly...
Catheter Directed Thrombolysis
tPA 0.1-0.3 mg/kg (max dose 10 mg) bolus followed by 0.01-0.03 mg/kg/hr (max 2 mg/hr) x 24-72 hrs. Administer heparin at 10 units/kg/hr or decrease direct thrombin inhibitor rate by 50%. These pathways do...
AOM – Mild 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...