Esophageal Button Battery Management Clinical Pathway
In the US, approximately 3,500 children are treated annually in emergency departments for button battery ingestion. Button batteries that are lodged in the esophagus have the potential to cause catastrophic thermal injuries. Quick recognition and removal of the battery leads to
Suspected Nephrolithiasis Clinical Pathway
Studies have demonstrated an increasing incidence of pediatric stone disease over the past 20 years. In addition, there has been a shift to outpatient care of patients with nephrolithiasis, particularly to the Emergency Department setting. Despite published national guidelines
Referrals
Find resources for referring patients to Connecticut Children's, including access to EpicCare Link, directions to submit an online referral form, and contact information for our OneCall physician access line.
Hemangioma Management Clinical Pathway
Infantile hemangiomas are common benign tumors that can cause significant complications such as permanent disfigurement, ulceration, bleeding, visual compromise, airway obstruction, and congestive heart failure. They affect up to 2-5% of all infants and up to 30% of premature
Ovarian Torsion Clinical Pathway
Ovarian torsion is the complete or partial rotation of the ovary on its pedicle, leading to ischemia and potential loss of the ovary. Early diagnosis can be challenging as ovarian torsion accounts for only 3% of acute abdominal pain in females, and can mimic other more common
Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Clinical Pathway
Posterior spinal fusion for adolescent idiopathic scoliosis is associated with significant pain and prolonged hospitalization. Standardizing care for posterior spinal fusion can allow early mobilization, decreased LOS, and minimize opioid related side effects. We also wish to
Renal Injury Clinical Pathway
The kidney is the most frequently injured urologic organ, with 70% to 80% being a consequence of blunt trauma. Although few urologic injuries are immediately life-threatening, they do account for some of the more frequent complications of trauma. In the late 1990s, the American
Penicillin Allergy Delabeling – Pilot for PHM Patients
Note: This clinical pathway is currently a pilot for Pediatric Hospital Medicine (PHM) patients at CT Children’s. Pathway Background and Objectives Inappropriate penicillin allergy labels are very common. Carrying a penicillin allergy label can result in use of overly broad
Peripheral Venous Access Clinical Pathway
Peripheral venous access is a frequently performed procedure, and the most common source of pain, for children in the hospital. Pain control is a high priority for patients and families and pain experiences can have long term effects on children. The use of topical anesthetics
COVID-19 Clinical Pathway
The COVID-19 pandemic continues to infect millions of people. Although the majority of children who are infected with COVID-19 have milder illnesses, particularly when fully vaccinated, some children can become seriously ill and require hospitalization. New SARS-CoV-2 variants
Agitation
Acute agitation in the hospital setting can be dangerous and highly distressing for patients, families, and staff. Further, it can result in disruption of care, injury, and need for chemical or physical restraint. Management of agitation requires understanding of its etiology and
Antenatal Risk of Coarctation of the Aorta (ARCH) Clinical Pathway
Coarctation of the aorta can develop as the ductus arteriosus closes after delivery. Because the ductus arteriosus is open in utero, diagnosis prenatally can be challenging. Coarctation of the aorta can never be completely ruled out in the presence of a patent ductus arteriosus
Blunt Liver and Spleen Injury Clinical Pathway
Blunt abdominal trauma causing liver and/or spleen injury is one of the most common indications for hospital admission for injured children. In 2012, a pediatric trauma consortium, ATOMAC, developed a practice management guideline for blunt liver or spleen injury that is evidence
Brachial Plexus Palsy Management Clinical Pathway
Brachial plexus palsies occur in about one in 1000 live births. Older literature quotes over 90% rate of recovery, however “recovery” has a broad definition that includes any reanimation of the limb. Recognizing secondary weakness and deformity, the actual recovery rate is closer