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Wide World of Vaccines March 2022
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Great Surge in Respiratory Illnesses - Hot Topics - December 2022
The U.S. is experiencing very high levels of influenza-like illnesses, including influenza, RSV and COVID-19.
State-of-the-Art Pediatrics March 2022
On March 29, 2019, Children’s Mercy hosted a remarkable series of lectures and presentations about immigrants, refugees and caring for children at the U.S.-Mexico border. The first presentation was at...
Visual Diagnosis: Eye Movement
A 4-year-old male is brought to the emergency department by his mother for further evaluation of ear pain and headache.
Outbreaks, Alerts and Hot Topics April 2021
Clinicians should be aware of recent human brucellosis cases in the United States caused by an antibiotic-resistant RB51 bovine vaccine strain and related to raw milk consumption.
Jewell County
Center for Independent Living Independent Connection (785) 827-9383 Developmental Disability Organization Disability Planning Organization of Kansas (785) 823-3173 Department of Children and Families DCF...
Introducing Peanuts: A Guide for Parents
Allergy to peanuts is one of the most common food allergies. It tends to develop early in life and can persist through adulthood. Reactions can range from mild to life threatening. The current treatment...
Abstract: Towards a Diabetes Rapid Learning Lab: Creation of a “D-Data Dock” to Integrate Diverse Data Sources and Facilitate Rapid Insights from the Deployment of Novel Interventions
B. Lockee1, C. Vandervelden1, M. Barnes1, S. Patton2, R. McDonough1, M. Clements1 1Children's Mercy Kansas City, Endocrinology, Kansas City, United States, 2Nemours Children's Health, Center for...
Infant Tracheostomy and Home Ventilator Program
This Children's Mercy team cares for babies and toddlers who need a tracheostomy, with or without a ventilator. This allows you to care for your baby at home rather than prolonging a hospital stay.
Leveraging institutional support to build an integrated multidisciplinary care model in pediatric inflammatory bowel disease
In this commentary, Jennifer Schurman, PhD, and Craig Friesen, MD, draw from personal experience in building successful integrated care models to highlight key considerations for decision makers regarding...
Myelomeningocele: Antibiotics
UTI prophylaxis if any hydronephrosis on renal US: Amoxicillin 20 mg/kg/dose enterally once a day. Cephalexin 20 mg/kg/day either once or divided twice a day. If patient is NPO the IV equivalents are...
Vancomycin Clinical Pathway
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...
Typical Laboratory Findings in Sickle Cell Disease
Genotype Hb* (g/dL)† HbS* (%) HbA* (%) HbA2* (%) HbF *(%) HbC* (%) SS 6–9 >90 0 <3.5 <10 0 Sβ0-thalassemia 7–9 >80 0 >3.5 <20 0 Sβ+-thalassemia 9–12 >60 10–30 >3.5 <20...
End of Life Resources and Support
When a child dies booklet Guides for parents: End of life for your child: Preparing, Part 1 End of life for your child: What to expect, Part 2 Understanding nutritional needs These pathways do not establish...
Toddler Tibia Fracture: Evidence Supporting 3rd View
Noe, M. C., Jarka, D. E., Sinclair, M. K., & Grote, C. W. (2025). Toddler’s fracture: an updated guide on evaluation and management. Journal of Pediatric Orthopaedics B, 34(2), 193-197. Tenenbein...
Shock
Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.
High Dose Systemic Thrombolysis
tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...
Initiation, Maintenance and Duration of Therapy
This clinical pathway is not intended for patients on ECMO, cardiac bypass pump, hemodialysis or continuous renal replacement therapy. Refer to specific guidelines for these situations. Initiation of...
Juvenile Vasculitis
What is vasculitis? Resources Vasculitis is a term for a group of rare diseases that cause inflammation of the blood vessels (arteries and veins). The different types of vasculitis vary in severity from...
Kyphosis
What is kyphosis? When the trunk is viewed from the side, the back of the upper chest area has a normal rounded appearance called kyphosis. When this curve becomes excessive, it is referred to as...