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Family Education
When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...
Respiratory Support
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...
Fluid Choice and Blood Products
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...
Differences of Sex Development (DSD)
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...
Monitor Response and Vital Sign Targets
References Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4)
IV Escalation Plan
References Children's Hospital of Philadelphia (2023). Immediate IV access, IV escalation plan. https://www.chop.edu/clinical-pathway/sepsis-immediate-iv-access-iv-escalation-plan-ed-inpatient-picu Weiss...
Fluid Resuscitation
Fluid Therapy Administer a LR or NS fluid bolus of 10-20 mL/kg if shock present Monitor response to fluids (Vital Sign Targets and Clinical Goals for Initial Resuscitation) Tailor fluid therapy to the...
Laboratory Studies
Consider Inflammatory Conditions That May Manifest With Fever and Shock Kawaski Disease While rare, shock may be present in children with Kawasaki disease (Çakan et al., 2016) Multisystem Inflammatory...
Alternative Diagnoses
Syncope, convulsive syncope Complicated migraine or migraine with aura Gastrointestinal disorders (reflux) Psychiatric conditions (panic attacks, psychogenic non-epileptic events) Transient ischemic attack...
Differences of Sex Development: Mean Stretched Penile Length
Penile length should be measured from the pubic ramus to the tip of the glans while applying gentle traction along the shaft until resistance is met. Age Mean (cm) ± Standard Deviation -2.5 Standard...
Frequently Asked Questions
Will my child have a seizure again? 75% of children will not have any further seizure activity. Could my child die from a seizure? Death after a first-time, unprovoked seizure is very rare. Does brain...
Frequently Asked Questions
What is the chance of my child having another febrile seizure? It is hard to predict if your child will have another febrile seizure. If your child does have another febrile seizure, it will likely be like...
Differences of Sex Development (DSD) Resources
General Interconnect Interface Project - Stories (2019) interACT: Advocates for Intersex Youth Differences of sex development (A.D.A.M. Medical Encyclopedia, 2024) Accord Alliance Accord Alliance Handbook...
Evidence Based Strategies: G-Tube Troubleshooting: Tips and Tricks for the Primary Care Provider
Gastrostomy tube (i.e., G-tube) placement is one of the most common surgical procedures in pediatrics, with an estimated 1.4 million children born every year with a condition that requires assisted feeding...
Children's Mercy Medical Records
For medical records requests, call (816) 234-3455.
Understanding parasocial relationships in teen media use
Learn signs of unhealthy relationships with social media use and how to guide your teen through parasocial relationships.
February 2026
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...
PTNS: Julianne’s Story
Julianne has had painful urology symptoms since she was a baby. 12 weeks of Posterior Tibial Nerve Stimulation (PTNS) therapy brought relief and let her get back to being a kid!
ADHD Treatment: Medications
CHADD ADHD Quick Facts: Medications in Treatment CDC ADHD Treatment Healthy Children ADHD Medications ADHD Medication Guide When deciding to start medications, prescribers should take into account the...
IV Contrast for MRI and CT: Contrast-associated Acute Kidney Injury
Any acute kidney injury (AKI) occurring within 48 hours after the administration of contrast media. The term post-contrast acute kidney injury (PC-AKI) is synonymous with contrast-associated acute kidney...