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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...
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.
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.
How to talk with your kids about the “D” word
It’s the conversation no parent wants to have with their kids – the conversation about death. Death makes us uncomfortable and it can be hard to talk about, especially the first time your child brings it...
Tips for celebrating the holidays safely during COVID-19
The holidays are generally a time for people to reconnect with family and friends, but it is important to remember you can spread illnesses, like the virus that causes COVID-19, even when you feel healthy.
Today’s forecast: Springtime storms and possible anxiety
April showers bring May flowers. But they can also bring bouts of anxiety. It’s normal for storms to be a little scary, but when does that become something to be concerned about?
How to stay safe this Halloween
Halloween is a great time of year for many children. Like many other activities, Halloween could look different this year during the COVID-19 pandemic as we all work to keep our families and community...
Returning to play: indoor sports
As our climate seasons change, so do our sport seasons. With the onset of cooler temperatures, indoor sports are starting to gear up. Typically, this transition is not much of an issue, but as we know 2020...
Apps parents should know about: Where cyberbullying can happen
Kids have phones at younger and younger ages these days. Many apps are there to make our lives easier and help us connect, but some may be used in harmful ways. Here are some apps parents should be aware...
Teens and Social Media During Stay-at-Home Orders
With the stay-at-home orders in place, as an active participant, we have all given up a lot. But, in the eyes of a teenager, it probably seems even greater if you factor in proms, graduations, athletic...
Newborn sleep tips
Bringing a baby home is one of the most incredible feelings. All that time waiting for this precious little person and then, they are here. And awake! Here is the real talk about newborn sleep, so you can...
Sports and mental health: What we can learn from Simone Biles
USA gymnast, Simone Biles, withdrew from the Olympic team final competition on July 27 due to a medical reason that was later clarified as a mental health issue. This decision has brought mental health in...
Are you a new mom feeling sad, tired or anxious? Here is a guide to help.
While many moms and other birthing people experience the “baby blues” in the first 2 weeks after having a baby (worry, sadness and tiredness), these symptoms usually resolve on their own. However...