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Severe Delayed Reactions Resource Page

Acute Generalized Exanthematous Pustulosis (AGEP) VisualDx Images in Children (CMH users) AGEP is a severe cutaneous adverse reaction that appears rapidly, often within 2-3 days of exposure. The reaction...

Severe Delayed Reactions

Severe cutaneous adverse drug reaction (SCARS) Stevens-Johnson Syndrome (SJS) Toxic epidermal necrolysis (TEN) Drug reaction with eosinophilia and systemic symptoms (DRESS) Acute generalized exanthematouc...

Cerner Instructions for Documenting/Removing Allergies

If patient is assessed as "no increased risk" (i.e., history is not consistent with a true medication allergy): Cancel allergy in Cerner*  Document reason and family member with whom it was...

Alternative Antibiotics for Patients with Penicillin Allergy

Note: While guidance is provided regarding available alternatives, specific choice of antibiotic should be based on clinical judgement and previous history of antibiotic use.   These pathways do not...

Emergency preparedness tips every family should know

Most parents don’t want to consider worst case scenarios. Thinking of your family encountering a natural disaster, fire or the like is scary, but a little preparation can ease worries and help make sure...

September

Get updates Suggest a Parent-ish topic NEW! Parent-ish podcast Listen to the Parent-ish podcast Top Posts Topics Archive Have questions about a specific condition or symptom? Click Here Subscribe button Have...

Penicillin Adverse Drug Reaction

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...

Home Disimpaction/Oral Home Clean Out

Oral Home Clean-Out Minimum of 2 days Age/Weight PEG 3350 Chocolate Senna (adjunct therapy) 2-4 yrs 10-20 kg 1/2 capful (8.5 grams) 3-4 times/day in 4-6 oz of clear liquid* 0.5 Chewable (7.5 mg) BID** 5-10...

Cerebral Palsy Screening

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...

Rome IV Criteria

Rome IV Diagnostic Criteria for Functional Constipation in Children Neonate/Toddler (Benninga et al., 2016) Child/Adolescent (Hyams et al., 2016) Infants and toddlers up to 4 years: One month of at least 2...

Patient < 2 years of age

For patients < 2 years of age, polyethylene glycol and lactulose may be appropriate, but patients < 2 may require nuanced consideration for underlying pathology, outside the scope of this pathway. Tabbers...

Daily Maintenance Therapy

Tips Daily maintenance therapy is a 3 pronged approach involving medications, behavioral modifications, and diet modifications If not improving despite following clean out and maintenance recommendations...

Red Flag Signs

RED FLAGS to consider: Meconium not passed in first 48 hours as a newborn Onset before 1 month of age Family history of Hirschsprung disease Blood in the stools with fever Failure to thrive Abnormal lower...

Conversation Recommendations For HINE and Cerebral Palsy Diagnosis for Caregivers

Link to PDF of conversation recommendations and scripting 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...

Emerging Principal Investigators: Dr. Ana Cohen

Originally from Portugal, Dr. Ana Cohen moved to the U.S. in 2017 and joined Children’s Mercy in 2020, now serving as Assistant Director of Molecular Genetics and Assistant Professor of Pathology at...

Children's Mercy Research Partners Select Two Research Projects to Accelerate at 2025 Pitch Party

At the sixth annual Mercy Research Partners Pitch Party held in April 2025, the group selected two research projects, out of five pitches and 23 applicants, to accelerate.

Partial Hospitalization Program

Mental health treatment for children age 6 to 17. Patients attend the PHP during the day and return home at night to spend time with family and practice new skills.

When the Levees Failed, Children’s Mercy Prevailed 20 Years Later: A Hurricane Katrina Retrospective

20 years ago, more than 20 children were rescued from the rising floodwaters of Hurricane Katrina and airlifted to Children’s Mercy. Our Critical Care Transport team flew into the storm to rescue as many...

Saying goodbye to the pacifier: A gentle guide for parents

Let’s be real — pacifiers can be a lifesaver, especially in those early days. They help babies calm down, feel safe and sometimes stop a meltdown before it starts. But as your child grows, you might wonder...

Tracheoesophageal Fistula ERAS

Enhanced Recovery After Surgery (ERAS) programs promote an evidence-based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay...