Appendicitis Clinical Pathway Abdominal pain is a common reason for presentation to the Emergency Department, pediatric and surgical offices, and appendicitis is a common surgical etiology for this type of pain. Over the years, the American Pediatric Surgical Association has altered their guidelines for the
High Flow Nasal Cannula Use in Patients Outside of the Intensive Care Unit Clinical Pathway High flow systems are designed to heat and humidify gas mixtures for safe delivery at flow rates that meet or exceed a patient’s inspiratory flow demands, thereby decreasing work of breathing in the setting of respiratory illness. In addition to the benefits of avoiding more
Craniosynostosis – Minimally Invasive Clinical Pathway To date, all craniosynostosis patients have been admitted post operatively to the Pediatric Intensive Care Unit (PICU). Currently the majority of these children have minimally invasive craniosynostosis repair. With the minimally invasive surgery blood loss is minimal and there
Status Epilepticus Clinical Pathway Status epilepticus is a relatively common medical presentation, with 18-41 per 100,000 children presenting to emergency rooms each year. The American Epilepsy Society made recommendations in 2016 for treatment of prolonged seizures, which includes level A evidence of
Suspected Neurosurgical Shunt Infection Clinical Pathway Ventricular-peritoneal shunt placement is a common neurosurgical procedure. Ventricular-peritoneal shunt infection is a known risk in children with this hardware. Early recognition and treatment is essential to prevent further morbidity, and it also leads to decreased medical
Anaphylaxis Clinical Pathway Pathway Background and Objectives Anaphylaxis is a multisystem emergency that can progress to a life threatening condition, and therefore requires prompt recognition and treatment. Leading causes of anaphylaxis are medications, foods, and Hymenoptera species (i.e. bees, wasps
Animal and Human Bite Skin and Soft Tissue Infection Clinical Pathway Animal bites are a common reason for presentation to the Emergency Department and pediatric and surgical offices. The Infectious Diseases Society of America updated their Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections in 2014, and these
Constipation Clinical Pathway Constipation is a common pediatric diagnosis with wide variation in evaluation and treatment in the acute care setting. This pathway seeks to standardize the diagnosis, evaluation, treatment, and disposition of patients diagnosed with constipation. This pathway utilizes the Rome
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Happy Birthday, Medicaid! By Emily Boushee: By: Emily Boushee and Jane Baird Our nation’s Medicaid program has reached an important milestone. It just turned 56 years old! Medicaid continues to need our support to ensure children and families have the best opportunity to thrive.
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Beyond Open Fetal Surgery: A Spina Bifida Success Story By Timothy Crombleholme, MD: Ester and Samuel met in the Emergency Department at a hospital in Oregon. She was an EMT and he was the Patient Registrar. Ester would bring paperwork to Samuel for the patients she transported via ambulance. Eventually the two began dating, then married. In May of 2022, the
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Answers to the Most Common Questions About Breastfeeding By Silvana Michael: There are lots of myths and misconceptions about breastfeeding, so we sat down with Silvana Michael, a lactation nurse at Connecticut Children’s, to get answers to the most common questions. How long should moms breastfeed? When we hear this question from moms, we ask them: What
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“My Stomach Hurts!” Anxiety, or Something Else? By Bradley S. Jerson, PhD: This article was originally published in July 2022 and updated in February 2024. Oh, tummy troubles! Abdominal pain is among the most common reasons kids visit their pediatrician or obtain a referral to a gastroenterologist. What’s a parent to do when they hear, “My tummy hurts—I
Bronchiolitis Clinical Pathway Bronchiolitis, a viral infection of the lower respiratory tract that primarily affects infants ages 0-24 months, is the most frequent cause of hospital admission for children under 1 year of age, accounting for upwards of 18% of all hospitalizations in the United States. At ~150
Delirium Clinical Pathway Delirium is defined as an acute-onset neuropsychiatric syndrome characterized by disturbances of cognition, attention, consciousness or perception that is potentially life threatening. It is important to recognize that delirium is secondary to a medical etiology, not an isolated
Gastroenteritis and Dehydration Clinical Pathway Acute gastroenteritis in children is most commonly caused by viral pathogens, accounting for 1.7 million Emergency Department visits and 200,000 hospitalizations annually. Complications of gastroenteritis, include dehydration and/or electrolyte abnormalities and acid base