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Troubleshooting Neurosurgical Shunts for Malfunction
Shunt malfunction may occur at ANY TIME after shunt placement with the risk of malfunction being the highest in the first 6 weeks post shunt surgery. Patient's symptoms are usually progressive, rarely...
Acetaminophen
For children who rate their pain as mild (<3), and do not meet the exclusion criteria of the Analgesia Standing Order, either acetaminophen or ibuprofen may be administered. Acetaminophen is preferred if...
Considerations for Allergy Referral
Reinforcement of anaphylaxis education Unknown cause of anaphylaxis Recurrent anaphylaxis These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Febrile Infant: Lumbar Puncture Considerations
Clinicians may obtain a CSF analysis on infants 22 to 28 days of age even if all of the following criteria are met: Urinalysis result is negative or positive. Inflammatory Markers obtained are abnormal.
Pulmonary Embolism Risk Stratification
Low Risk: Acute PE and the absence of the clinical markers of adverse prognosis that define massive or submassive PE and oxygen requirement of less than 2L. Intermediate Risk (Submassive): Acute PE without...
Supportive Care Measures
Encourage non-caffeinated and non-carbonated fluids. For girls, encourage wiping after each void from front to back. Decrease discomfort with voiding by urinating while sitting in a warm bath tub. Provide...
Severe Cephalosporin Allergy
For patients at high risk for severe delayed reaction to cephalosporins or penicillins, do not administer beta-lactams. See alternatives below. Cystitis or pyelonephritis Ciprofloxacin: ...
Academic Curriculum - Pediatric Infectious Diseases Fellowship
Required Conferences Pediatric infectious diseases fellows, attendings, APRNs, pharmacists, and rotating residents and medical students attend divisional conferences. ASP Journal Club Every other...
Academic Curriculum - Pediatric Pulmonology Fellowship
Fellows are expected to engage in meaningful scholarly activity leading to “the generation of a specific written work product” during the course of their fellowship training. Scholarly activity may include...
Clinical Experience - Pediatric Nephrology Fellowship
Inpatient time is split between supervision of primary renal resident service and nephrology consultation services. Fellows will become proficient in the prescribing and supervision of all modalities of...
Clinical Experience - Neonatal-Perinatal Medicine Fellowship
Year Clinical Months Elective Month Research Total 1 5 months 7 months* 12 months 2 5 months (1 month MFM) 7 months* 12 months 3 4 months 1 month 7 months* 12 months *Vacation eligible months...
Starting Doses of Opioids
Titrate dose and frequency to maintain adequate symptom control. Dose and frequency increases may need to be very aggressive during the active dying process. There is no absolute maximum dose for opioid...
Bolus Dosing of Home Anti-seizure Medications
Route Drug Dose Max IV Lacosamide 2 - 6 mg/kg 200 mg IV Phenobarbital 5 - 10 mg/kg Use blood level to determine dose if available; 1000 mg max IV Valproic Acid 10 - 20 mg/kg Use blood level to determine...
Discharge Recommendations
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...
Apply for the Pediatric Emergency Medicine Fellowship
Applicants interested in applying for the Pediatric Emergency Medicine Fellowship at Children's Mercy must be in their final year of residency training or have completed training in either pediatrics...
Research Opportunities: Developmental and Behavioral Pediatrics Fellowship
All fellows must complete a scholarly project as part of their training. The fellowship program director will appoint a chair for each fellow’s Scholarship Oversight Committee (SOC). The fellow will work...
Apply for the Adolescent Medicine Fellowship
Prerequisites Qualified applicants must complete an ACGME-accredited, Pediatrics, Med-Peds, Internal Medicine, or Family Medicine residency program prior to beginning the fellowship. All candidates...
Apply for the Pediatric Hospital Medicine Fellowship
Fellows are required to have completed an ACGME-accredited pediatric or combined pediatric-internal medicine residency program. All candidates must have passed Step 3. Applicants can apply through ERAS.
Pediatric Rehabilitation Medicine Fellowship: Research Opportunities
During the course of the fellowship, each fellow will have the ability to conduct research with a chosen faculty mentor. Education will be implemented to teach basic principles of research, how to evaluate...
Experimental Therapeutics in Pediatric Cancer
These clinical trials test treatment methods that have not yet been used for a cancer diagnosis. Children's Mercy is the only pediatric hospital in the region that provides access to these trials.