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Sexually Transmitted Infection (STI)

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...

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...

Musculoskeletal Infection

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...

Anaphylaxis

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...

Acute Otitis Media (AOM) Care Process Model

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...

Further Work-Up in the Acute Care Setting is Not Indicated: Resources

Brugman, J., Solomons, R. S., Lombard, C., Redfern, A., Du Plessis, A. M. (2020). Risk-stratification of children presenting to ambulatory paediatrics with first-onset seizures: Should we order an urgent...

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...

Epileptic Spasm Resources

  Epileptic or Infantile Spasms | Epilepsy Foundation  What Can Infantile Spasms Look Like? | Infantile Spasms Action Network Infantile Spasms | Child Neurology Foundation Infantile Spasms (West...

Admission Criteria

Eating Disorders Admission Criteria (The following evidence based criteria is used in medical decision making when considering admission to CMKC) Heart Rate/EKG < 50 bpm while awake, < 45 bpm while...

5. Asthma Severity and Asthma Control

Severity and control are two different assessments of a child’s asthma. For example, a child may be a well-controlled severe persistent asthmatic or a poorly controlled mild persistent asthmatic. We will...

Visual Diagnosis: Poor Weight Gain

A 3-month-old female is admitted directly to the hospital for further evaluation of poor weight gain.

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)

Wise Use of Antibiotics: Diagnostic Stewardship: Ushering in a New Era of Stewardship

In line with the shared goals of antibiotic stewardship, diagnostic stewardship aims to improve outcomes, avoid patient harm, optimize antibiotic use, improve care efficiencies and minimize institutional...

Bronchiolitis Management

This article reviews evidence surrounding the role of pulse oximetry and implications of hypoxemia in the setting of bronchiolitis.

Anaphylaxis Management

Epinephrine is the best treatment for anaphylaxis and should be administered immediately. Following treatment, observe patients until signs and symptoms of anaphylaxis have resolved.

Lab Follow-Up Processes by Care Setting:

Check for a Confidential Information Note for patient's contact information (found in ad hoc forms). Lab will complete the following steps automatically: Reporting of positive HIV through confirmation...

Pediatric Thromboembolism Review - State-of-the-Art Pediatrics - November 2022

Venous thromboembolism (VTE) is an increasingly diagnosed condition in the pediatric population that the general pediatrician should be aware of, particularly for hospitalized patients, who are at higher...

Croup: Definition of croup

Croup Definition: Croup, or viral laryngotracheitis, is characterized by barking cough and may be accompanied by hoarseness or inspiratory stridor. When severe, it leads to respiratory distress due to...

Complete History and Physical Exam

The patient with refractory headache will typically present with: Headache attack lasting 1-72 hours. Headache has at least two of the following four features: Either bilateral or unilateral...

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...