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Abstract: Evaluation of Child Opportunity Index 2.0 as a Predictor for Hemoglobin A1c in Youth with Type 1 Diabetes
Hamp Henning1, Kelsey Panfil1, Brent Lockee1, David D. Williams1, Erin M. Tallon1, Anna R. Kahkoska2, Angelica Cristello Sarteau2, Craig Vandervelden1, Susana R. Patton 3, Mark A. Clements1 1Children’s...
Abstract: Enhanced Classification of Diabetes Status and Type Using Structured Data from Nationwide U.S. Electronic Health Records: A High-Throughput Approach
Erin M. Tallon, PhD, RN1,2; Grant Scott, PhD2,3; Cintya Schweisberger, DO1; Joseph T. Cernich, MD1; Ryan McDonough, DO1; Camila Manrique-Acevedo, MD4; Mark A. Clements, MD, PhD1; Chi-Ren Shyu...
Dihydroergotamine (DHE)
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of DHE IV to decrease migraine pain in the Emergency Department? Plain language summary from the office of evidence based...
Triptan
DHE cannot be given if the patient has received triptans with the previous 24 hours (Lexi-Comp, 2016). These pathways do not establish a standard of care to be followed in every case. It is recognized that...
Abdominal Pain: Metronidazole
Do not take on an empty stomach Even a small amount of food will decrease the chances of getting nausea with the medication Avoid alcohol while taking the medication, as this can cause vomiting Be sure...
Nonviable Tissue
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Patella Tendonitis
USNWR Ortho Media Block Tendons are like ropes which connect muscles to bone. The patellar tendon connects the kneecap (the patella) to the shinbone (the tibia). Patellar tendonitis is the condition that...
Azithromycin
Rationale, current evidence, and consensus statement: The 2015 Red Book and the 2015 CDC Treatment Guidelines for STD's recommends that young infants with C. trachomafis conjunctivitis may be treated with...
Migraine Therapy in the ED
Guideline inclusion criteria: Children up to 18 years of age. Physical exam normal. History consistent with primary headache. Guideline exclusion criteria: Abnormal physical exam normal. History...
Antihypertensive(s) and/or Lifestyle Modifications
Severe BP elevation means a BP consistently ≥ 99th percentile. Consult Nephrology if ≥ 2 doeses in 24 hours required to normalize BP.
Genotyping
CYP2C9 and VKORC1 genotype results may provide directional guidance for warfarin dosing in pediatric patients. Clinical genotyping is available through the CMH Laboratory. Approximately 50% of the...
Metoclopramine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with refractory migraine, is metoclopramide an effective treatment? Plain language summary from the office of evidence based practice: Based on very low quality evidence...
Febrile Infant: Observing Closely at Home
Infant may be managed at home if parent and clinician agree that the following are present: reliable phone and transportation, parent willingness to observe and communicate changes in condition, and...
Anaphylaxis – Tryptase
Tryptase levels may be elevated in the setting of anaphylaxis. However, this lab is not rapidly available and is not useful in the immediate management of the patient. It may be useful in case of recurrent...
Fetal Cardiology: Levi's Story
Being in the right place – at the right time When a fetal echocardiogram reveals a critical heart defect—and the baby has to undergo life-saving cardiac surgery only eight days after birth—you don’t expect...
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: Typhoid Update
Typhoid fever remains a significant concern worldwide, primarily in low- and middle-income countries. Antibiotic resistance and poor sanitation contribute to higher rates, though vaccine distribution in...
Pulse Oximetry and Skin Pigmentation
This article examines the evidence surrounding the role of skin pigmentation and other factors in the accuracy of pulse oximetry as a diagnostic tool.
Pharyngitis Images
For Children's Mercy providers: Streptococcal pharyngitis image 1 (tonsils with palatal petechiae) Streptococcal pharyngitis image 2 (palatal petechiae) Streptococcal pharyngitis image 3 (tonsillar...