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Necrotizing Fasciitis
Swollen limb with pain out of proportion history or exam Frequently with overlying warmth on palpation, +/- cellulitis or ecchymosis Surgical emergency: debridement in OR necessary Consult Infections...
Autism and/or Developmental Delay: AAP Guidelines
AAP Clinical Report – Autism Spectrum Disorder: https://pediatrics.aappublications.org/content/145/1/e20193447 AAP Developmental Surveillance and Screening Guidelines...
Blood Flow Restriction (BFR) Training
Blood flow restriction training, also known as occlusion training, uses a specialized device to help athletes rehabilitate injured muscles and limbs.
Indications For Hematology Consultation
Initiation of therapy for patients: Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired renal function Maintenance of anticoagulation therapy with: Delay in reaching therapeutic...
Recommended Partner Notification
Recommend that the patient notify sexual partners by: Partner notification card OR TellYourPartner.org Health Department involvement: Can assist with partner notification for Gonorrhea and Chlamydia upon...
Discharge
Can the patient be discharged? After each medication intervention the patient should be assessed to determine if the patient meets the following discharge criteria: Headache pain score ≤3 or decrease...
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...
Contraindications to Alteplase IV for Acute Stroke in Childhood
Patient last seen well more than 4.5 hours previously. Patients in whom time of symptom onset is unknown. Prior stroke, major head trauma or intracranial surgery within the last 3 months. History of prior...
Sumatriptan
In the pediatric patient diagnosed with refractory migraine is sumatriptan an effective treatment for refractory migraine in the ED? Plain language summary from the office of evidence based practice: Based...
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: ...
Cloaca (Cloacal Anomaly)
Cloaca is a birth defect in which a baby's rectum, vagina and urinary tract are fused together. This common channel ends in a single opening on the baby’s bottom.
Research Areas
Children’s Mercy fosters integrated research by supporting labs and research groups and providing a rich environment for discovery and collaboration.
Protein C Deficiency: Will’s Story
Meet Will Will McKinnon photo When Amber and Blake McKinnon’s first child, Ben, was born in 2017, they went through an experience no parent would ever want to repeat. Ben suffered a life-threatening...
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.
How Simulation Works
Our simulation model offers the latest resuscitation training in the convenience of your own hospital setting. Training is designed to recreate real-life medical crises and situational anxiety for an...
Hirschsprung Disease in Children
Hirschsprung disease (also known as congenital aganglionic megacolon) is a birth defect in which nerve cells that naturally occur in the colon are missing. Pull-through surgery removes the portion of the...
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...