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Family Education

When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...

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...

Dyslexia Screening - Pediatric Bioethics - October 2022

Identifying and helping children with dyslexia early can drastically improve their chance of reading at grade level. Pediatricians and schools need to work together to identify and screen these kids early...

Severe Cephalosporin Allergy

Trimethoprim-sulfamethoxazole: Cystitis or Pyelonephritis: 6-12 mg TMP/kg/day PO (max: 160 mg TMP/dose). OR Ciprofloxacin: Cystitis: Oral: Immediate release tablet or oral suspension: 20 – 40 mg/kg/day...

Asthma Reference Guide

The goal of this asthma care reference guide is to help clinicians provide quality care to children with asthma across the care continuum at Children's Mercy. This was done by summarizing national...

Asthma Control Tests

Questionnaires used at CM to assess asthma control Test for Respiratory and Asthma Control in Kids (TRACK) Test for Respiratory and Asthma Control in Kids (TRACK) for under 5 years of age AND has a history...

8. Treating Co-Morbid Conditions

Common co-morbid conditions that complicate the care of asthma include are reviewed here. These should be assessed as they may worsen asthma severity and complicate control of asthma. Allergic...

Four Extremity Blood Pressure

The clinical diagnosis of coarctation of the aorta is initially on characteristic blood pressure findings. The characteristic findings are based on the location of the aorta coarct. Most commonly, systolic...

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...

Ketorolac

In the pediatric patient diagnosed with refractory migraine is ketorolac an effective treatment? Plain language summary from the office of evidence based practice: Based on very low quality evidence...

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...

Diagnostic Testing

Does a head CT scan compared to no head CT scan change the management of a child with migraine? Plain language summary from the office of evidence based practice: Based on moderate quality evidence, the...

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...

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...

Flu Season - Wide World of Vaccines - October 2022

As we prepare for the upcoming flu season, it is vital to inform our patients that it may be a very strong flu season and to emphasize the importance of getting vaccinated.

SSTI: Impetigo (Images)

For Children's Mercy providers: https://www-visualdx-com.ezproxy.cmh.edu/visualdx/diagnosis/non-bullous+impetigo?moduleId=103&diagnosisId=51763&lang=en_US#view=text&gid=1&pid=7 https://

Exclusion Criteria

Concern for sepsis: Sepsis - ED/Inpatient  Sepsis - ICU Chronic kidney disease. Suspected OR known genitourinary abnormalities, such as (but not limited to): previous genitourinary surgery (other than...

16. Asthma Education Resources

External website for families Medication Access and Co-Pay Assistance Programs Pippin the Puffin Asthma Price Cap Guide  Preferred Asthma Combination and Biologic Products by Insurance 16. Asthma...

Fast Facts

Low molecular weight heparin (LMWH) is the anticoagulant of choice for most pediatric patients Advantages include: Minimal monitoring requirements Reduced interference of other drugs and diet Reduced...

Shoebox Baby

A 91-year-old former patient credits Children's Mercy with saving her life.