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Sports Medicine ERAS
Enhanced Recovery After Surgery (ERAS) programs promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay...
Suspected Stroke - References
1. Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J. P., Ortega-Gutierrez, S., ... & Lansberg, M. G. (2018). Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging.
Link Newsletter - March 2023
Our March 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...
Anaphylaxis – Tryptase
Tryptase levels may be elevated in the setting of anaphylaxis. However, this lab is not rapidly available and is not useful in the immediate management of the patient. It may be useful in case of recurrent...
Outbreaks, Alerts and Hot Topics: Typhoid Update
Typhoid fever remains a significant concern worldwide, primarily in low- and middle-income countries. Antibiotic resistance and poor sanitation contribute to higher rates, though vaccine distribution in...
Pulse Oximetry and Skin Pigmentation
This article examines the evidence surrounding the role of skin pigmentation and other factors in the accuracy of pulse oximetry as a diagnostic tool.
Visual Diagnosis
A 3-year-old male presents to the emergency department (ED) for evaluation of a burn. Test your knowledge of how to classify and treat the burns.
Criteria for Transfer to Higher Level of Care
Hypotension Impending airway obstruction Need for Epi drip >1 dose of Epi given These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
he Emergency Medical Services for Children Task Force recommends the following sequence for rapid assessment
“Doorway assessment” of the overall appearance, work of breathing, and perfusion Airway – Is the airway able to be maintained? Breathing – respiratory rate and effort (retractions, grunting, stridor...
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...
WHO Updates HPV Schedule Recommendations
The World Health Organization (WHO) stated that a single-dose (off-label) schedule can provide similar efficacy and durability of protection to a two-dose schedule.
HIV Testing: Alternate Testing
CDC guideline for ARV medications Disclaimer This care process model does not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals...
nPEP Medication Guidance
Disclaimer This care process model does 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 health care...
AETC Risk Assessment
AIDS Education and Training Centers Program. (2022). Non-occupational post-exposure HIV prevention and risk assessment. Retrieved from https://aidsetc.org/resource/npep-toolkit on January 10, 2023.
Invasive Group A Streptococcus
The Centers for Disease Control and Prevention is currently investigating an increase in invasive group A streptococcal (iGAS) infections in children in the U.S. and several European countries.
Alteplase Dosing
Low Dose Systemic Thrombolysis Alteplase 0.03-0.06 mg/kg/hr x 24 hours (max hourly dose 2 mg/hr) If on heparin: decrease heparin dose to 5-10 units/kg/hr If on direct thrombin inhibitor (DTI), decrease...
HIV: Education
PrEP Healthy Sexual Behavior Handout Your Test for HIV Handout HIV: Education...
Pneumococcal Vaccines
Use of PCV 15 (pneumococcal 15-valent conjugate vaccine) as an alternative to PCV 13 (pneumococcal 13-valent conjugate vaccine) is anticipated to further reduce pneumococcal disease incidence in children...
Link Newsletter - February 2023
Our February 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...
Treating Group A Streptococcal Infections
Although invasive GAS infections are on the rise, outside of peritonsillar abscess, these infections generally do not arise from pharyngitis. Thus, we should continue to be diligent in testing only...