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
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
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Is Your Baby on Track for Motor Milestones? If They’re Under 6 Months Old, Here’s How to Help By Kim Hrapchak, PT, MSPT: Babies are changing by the day, and every new “motor milestone” is a thrill – like the first time they hold a toy, roll, sit up alone, and crawl. These milestones depend on lots of factors, including some that aren’t under anyone’s control. But there are a few ways to help your
HIV Non-Occupational Post-Exposure Prophylaxis (nPEP) Following Sexual or High-Risk Encounter Clinical Pathway It is essential that patients who are exposed to Human Immunodeficiency Virus (HIV) receive prompt and appropriate antiretroviral therapy to decrease the risk of becoming infected with the virus and developing Acquired Immunodeficiency Syndrome (AIDS). In 2016, the Centers for
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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