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Valproic Acid

In the pediatric patient diagnosed with refractory migraine, is valproic acid an effective treatment? Plain language summary from the office of evidence based practice  Migraine in the ED Team...

Necrotizing Fasciitis

High likelihood of MSK infection with sepsis or necrotizing fasciitis: History, Exam. Lab work: (CBC with Differential, Blood Culture, ESR and CRP). Administer antibiotics: (vancomycin, clindamycin, and...

Myelomeningocele: Recommendation if Born at Outside Hospital for Pre-natal Repair

Recommend transfer to Children's Mercy for further evaluation, management and initial inpatient care coordination. Timing of transfer, if stable, can be arranged after 48 hours closer to maternal discharge...

Pulmonary Embolism Risk Stratification

Low Risk: Acute PE and the absence of the clinical markers of adverse prognosis that define massive or submassive PE and oxygen requirement of less than 2L. Intermediate Risk (Submassive): Acute PE without...

Redness

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...

Toddler Tibia Fracture: Mepilex Foam Secured With Tape

Cleanse wound with sterile saline and gauze. Dry thoroughly with gauze. Apply a square of Mepilex® over the wound (silicone side touches wound). Secure with 1-2 pieces of Primafix™ tape. Change every other...

KIDS KC

PFAC Kids KC Logo Kids and Families Impacting Disease through Science (KIDS KC) is a teen council that works to impact medicine, research, and innovation at Children’s Mercy and internationally. KIDS KC is...

Materia Awarded ADA Nutrition and Diabetes Postdoctoral Fellowship To Better Understand African Americans’ Adoption of Mobile Health Methods To Prevent T2D

Frank T. Materia, PhD, Post Doctoral Research Scholar, Health Services and Outcomes Research, was awarded a 3-year $195,396 Postdoctoral Fellowship Award from the American Diabetes Association, as well as a...

Colorectal Center Team

At the Comprehensive Colorectal Center, you can see all the specialists your child might need in one place for a collaborative and comprehensive approach to their care.

Imagine Your Potential at Children's Mercy

Let’s connect at AAP to discuss a future opportunity with Children’s Mercy.

PGY1 Residency

Children's Mercy offers three postgraduate year-one (PGY1) positions. The PGY1 program meets the requirements of applicable standards set forth and approved by ASHP for a residency and has received...

What's the Diagnosis - October 2022

An 11-day-old male presents to the emergency department with his mother for concerns of intermittently increased respiratory rate. He started having some subcostal retractions with increased work of...

Kirby Bauer Testing

In January 2010, the Clinical and Laboratory Standards Institute (CLSI) published new minimum inhibitory concentration (MIC) breakpoints for cefazolin against Enterobacteriaceae (Wayne, 2010). These new...

4. Goals of Asthma Therapy and Management

The complete EPR 4 working group report and GINA reports are widely available for review. In this reference guide we will only highlight key aspects of these guidelines. EPR-4 Update report GINA 2020...

Caregiver Tobacco and Smoking Cessation Support

Children's Mercy Kansas City smoking cessation support process Medical team training National resources Local/state resources Caregiver Smoking Cessation Support at CM - Instructions for Medical Team...

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...

Acute Chest Syndrome: Severe or Rapidly Progressing ACS

Symptoms of Severe or Rapidly Progressing Acute Chest Syndrome: Oxygen saturation below 90% despite supplemental oxygen, Increasing respiratory distress, Progressive pulmonary infiltrates, and/or Decline...

Atopic Dermatitis: Infected - Practical Guidelines to Obtain Skin Cultures

Aerobic Culture  Perform hand hygiene.  Obtain e-swab.  If needed, gently clean affected site with sterile saline on sterile 4x4 gauze pad.  Avoid using alcohol to clean specimen site. ...

Chlamydia Trachomatis

Among infants bom to untreated mothers with Chlamydia trachomafis infections, the overall risk of disease is estimated at 50 to 75% and typically involves the mucous membranes of the eye, oropharynx...

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...