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Vocal Cord Dysfunction Breathing Exercises

Use these breathing techniques at any sign of tightness or stridor/noisy breathing. If this occurs during activity, stop activity, do exercise until it stops and then resume activity gradually. Remember...

Classification of Seizure Type

Types of Seizures | Epilepsy Foundation Scheffer, I. E., Berkovic, S., Capovilla, G., Connolly, M. B., French, J., Guilhoto, L., Hirsch, E., Jain, S., Mathern, G. W., Moshé, S. L., Nordli, D. R., Perucca...

Evaluating Menstrual Regularity in Adolescence

Column Author: Emily Paprocki, DO | Pediatric Endocrinologist, Assistant Professor of Pediatrics   Column Editor: Amita Amonker, MD, FAAP| Pediatrics | Pediatric Hospitalist | Division Billing...

Migraine

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

Bacterial Conjunctivitis … Does It Always Need Antibiotics?: Wise Use of Antibiotics

Column Author & Editor: Rana El Feghaly, MD, MSCI | Director, Clinical Services | Director, Outpatient Antibiotic Stewardship Program | Associate Professor of Pediatrics, UMKC School of Medicine  ...

Link Newsletter - December 2023

Our December issue features the latest news and updates on pediatric care from Children's Mercy clinicians. We want to hear from you! Do you have ideas, questions or suggestions for future articles in The...

Outbreaks, Alerts and Hot Topics: Nirsevimab and RSV: Long-Term High Hopes and Short-Term Cautious Optimism

A new monoclonal antibody to prevent respiratory syncytial virus (RSV), nirsevimab (Beyfortus), has been approved and recommended by the Advisory Committee on Immunization Practices (ACIP) for all infants...

Bioethics: Addressing the Burdens That Newborn Screening Imposes on Underserved Communities

Newborn screening (NBS) began in the 1960s with testing for phenylketonuria (PKU), which, when identified and treated early, significantly reduces morbidity. While NBS is rightly viewed as a public health...

Evidence Based Strategies: Implications of Marijuana Legalization and Identification of THC Toxidrome in the Young

Recreational marijuana first became legal in two states in 2012. As of January 2023, only four states have not decriminalized marijuana in some capacity.1 A challenge to legalizing marijuana is a decrease...

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.

Ethics from the Pediatric Home Care Perspective: Bioethics

Column Authors: Lisa Bailey, BSN, RN, CPN | Children’s Mercy Home Care   Angie Knackstedt, BSN, RN, NPD-BC | Children’s Mercy Bioethics Center Column Editor: Brian Carter, MD |

Can You Keep a Secret?

Column Author: Sunny Jeong, BScN, RN, MBE | Pediatric Fellow  Column Editor: Brian Carter, MD | Neonatal/Perinatal Medicine, Bioethics; Neonatologist; Pediatric Bioethicist; Interim Director...

What's the Diagnosis: Injured Finger

A previously healthy 3-year-old male presents to Children Mercy’s Emergency Department (ED) due to finger injury. Parents state that patient’s right third fingertip was accidentally shut in a car door...

9. Asthma Medications

Asthma device quick guide - this is a printable guide to different common medication device systems and technique. Different types of inhaler devices exist including:    Pressurized ...

Visual Diagnosis: Constipation

A 5-year-old female with a pertinent history of constipation presents to the emergency department for abdominal pain.

Maintenance and Monitoring

Once a therapeutic standard heparin level is obtained draw CBC, PT, aPTT and/or heparin level at least daily. Measure platelet counts daily. If platelet count decreases below 150,000/microL or drops by ≥

Febrile Infant: Lumbar Puncture Considerations

Clinicians may obtain a CSF analysis on infants 22 to 28 days of age even if all of the following criteria are met: Urinalysis result is negative or positive. Inflammatory Markers obtained are abnormal.

Attention Deficit Hyperactivity Disorder ADHD

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

HearPlay Audiometric Testing App from Children's Mercy

HearPlay is an audiometric testing app for children 2 1/2 to 5 years that supports conditioned play audiometry (CPA) for measuring speech reception thresholds and pure tone thresholds.

Critical Care Transport Safety

Safety is the top priority for Children's Mercy Critical Care Transport. Safety awareness is integrated into all aspects of the transport program. Each day people entrust the transport teams with their...