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Suspected Neonatal Conjunctivitis 2023
Neonatal conjunctivitis, also known as ophthalmia neonatorum, should be suspected clinically among neonates (≤ 28 days of age) with both injected conjunctiva and mucopurulent discharge, or among those...
Glucocorticosteroids
In the pediatric patient diagnosed with a refractory migraine, is glucocorticosteriods an effective treatment for the prevention of migraine relapse (return to ED or provider for relapse of the same...
Magnesium Sulfate
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of intravenous magnesium sulfate to decrease migraine pain in the Emergency Department? Plain language summary from the...
Febrile Infant: Lumbar Puncture Considerations
There is substantial evidence Inflammatory Markers (IM) are predictive of invasive blood infections including bacterial meningitis. For this age group, the number of meningitis cases in published studies...
Hypertension Inpatient Medication List
Common medications/substances associated with hypertension:Antipsychotics / Tricyclic Antidepressants, Amphetamines/stimulants, Caffeine, Chemotherapy, and more.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired...
Cerebral Edema Therapy
Those at increased risk include younger age (<5 y/o), new onset diabetes, and longer duration of symptoms. Additional risk factors at diagnosis or during treatment include - more severe acidosis or very...
Decrease Environmental Stimuli
Minimization of environmental stimuli no: Bright lights. Strong smells. Excessive loud noises. Cell phone/text message usage in room. Television usage. Keep patient door closed. Minimal visitation. Level...
Febrile Infants: CSF Studies
Cell count. Bacterial culture. Gram stain. Protein. Glucose. Enterovirus PCR (summer and fall) or evidence of viral meningitis. HSV PCR (if pleocytosis). These pathways do not establish a standard of care...
Constipation: Rome IV Criteria for Constipation
Neonate/Toddler Child/Adolescent 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...
Prochlorperazine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with a refractory migraine, is prochlorperazine an effective treatment compared to ketorolac, metoclopramide, sodium valproate, IV magnesium? Plain language summary from...
Treatment Options
Hormonal Forms of Treatment Progesterone only method: Norethindrone Acetate 10 mg daily; does not act as contraception; goal is amenorrhea while taking Estrogen & Progesterone method: Sprintec...
Broad-Spectrum Antibiotics for Use in Fever and Suspected Neutropenia
If patient is ill-appearing or with signs of shock (i.e. hypotensive requiring > 60 ml/kg fluid resuscitation and/or critical care interventions)*** <!-- [if gte mso 9]> <![endif]--> <...
Velopharyngeal Dysfunction Clinic
The Velopharyngeal Dysfunction (VPD) Clinic at Children’s Mercy helps children with velopharyngeal dysfunction (VPD), a condition where parts of the throat and soft palate do not work right during speech.
Supplemental Funding Supports COVID-19 Research
Five Children’s Mercy investigators have received supplemental funding to add a COVID-19 component to their current studies. ...
Kindness during unmasking
We have all been through a rough time these past two years of the COVID-19 pandemic. When you look at everything that has happened, and everything that has changed, there is no doubt that COVID-19 has left...
Tips to help your toddler communicate
Concerned about your child meeting language milestones? You’re not alone. I often work with children whose parents are really concerned their children are not yet talking. One thing I try and point out is...
5 harmless April Fool’s Day pranks to play on kids
Well, it’s that time of year again – April Fool’s Day. This year is a good time for some light-hearted, harmless pranks parents can play on kids.
Dr. Robin Shook Receives Grant from The Kansas City Royals Foundation to Create a Central Repository for Youth Physical Activity
The project’s aim is to create a free, public facing, searchable central repository of youth physical activity programs in the Kansas City region. This comprehensive database will be available to all...
Dr. Shayla Sullivant Receives Grant from Menorah Heritage Foundation to Expand Prepped and Ready Program
Prepped and Ready is a program to help equip parents for the transition into parenting teenagers. The goal is to empower parents and caregivers to address the hard topics that can be very uncomfortable.