Sickle Cell: Management of Acute Pain Crisis Clinical Pathway Sickle Cell Disease (SCD) is the most common genetic disease in the United States. It is caused by a mutation in the hemoglobin beta chain in which glutamic acid is substituted with valine. The Centers for Disease Control and Prevention (2019) estimates that over 100,000
Skin and Soft Tissue Infection Clinical Pathway Over the years, the increase in resistance to typical antibiotics has changed the approach to the management of skin and soft tissue infections (SSTIs) in children. In 2014, the Infectious Disease Society of America (IDSA) updated their SSTIs guidelines. Based on these changes
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Portion Sizes for Kids: How Much Food Is Healthy for My Child’s Age? By Jennifer Zarrilli, MS, RD: Some days, figuring out what to feed your child is hard enough. Figuring out how much can seem downright impossible. The recommended portions for a child depend on their age and even gender – and unfortunately, the serving size listed on grocery store labels doesn’t have much to Somatic Symptom and Related Disorders (SSRD) Clinical Pathway Somatic Symptom and Related Disorders (SSRD) is a clinical presentation where symptoms or impairment cannot be fully explained by an identifiable disease process given the current medical evidence. This pathway seeks to evaluate and ultimately explain to patients and their
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
Suspected Neurosurgical Shunt Malfunction Clinical Pathway Ventriculoperitoneal (VP) shunt insertion remains the mainstay of treatment for hydrocephalus despite a high rate of complications. In the United States alone, more than 30,000 procedures to relieve hydrocephalus are performed every year. The 1-year failure rate for VP shunts had
Suspected Physical Abuse (SPA) Clinical Pathway In 2013 there were close to 70,000 substantiated cases of child abuse and neglect in the United States. Child maltreatment is a significant medical problem. Cases of suspected physical abuse frequently present to the emergency department. It has been noted that there is variation
Suspected Sexual Abuse Clinical Pathway According to the U.S. Department of Health and Human Services, in 2017, there were 674,000 substantiated cases of child maltreatment in the U.S., 8.6% of which were sexual abuse. In Connecticut, there were 8,442 victims of child maltreatment, and 401 of those cases involved
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Carpal Tunnel Syndrome in Kids: Symptoms, Causes, and When to See a Specialist By Sonia Chaudhry, MD, FAAOS: Sonia Chaudhry, MD, orthopedic surgeon, dives into what carpal tunnel syndrome (CTS) is, how it can affect kids, and when it’s time to see a pediatric orthopedic specialist.
Tethered Cord: Post-Operative Care Clinical Pathway Tethered cord occurs when the spinal cord is attached to tissues around the spine, most commonly at the base of the spine. The attached tissue limits the movement of the spinal cord within the spinal column and causes an abnormal stretching of the spinal cord and impairment of