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
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Epignathus & Epulis Congenital Epignathus Congenital epignathus (from the Greek “epi” for “above” and “gnathos” for “jaw”) is an extremely rare form of teratoma (germ cell tumor) that arises from the oropharynx, the middle part of the throat, specifically from the hard palate. It is estimated that Condition
Fetal Arrhythmia The Fetal Arrhythmia Program at Connecticut Children’s is a collaboration between the Fetal Surgery, Pediatric Cardiology, Electrophysiology, Fetal Echocardiography, Maternal Fetal Medicine, and Cardiac Surgery. The program provides comprehensive prenatal evaluation for the full Condition
Agenesis of the Corpus Callosum Agenesis of the corpus callosum occurs when the corpus callosum doesn’t develop or only partially develops. The corpus callosum is a central structure within the brain that serves as a bridge of connecting nerves between the two halves of the brain. It facilitates communication Connecticut Children’s Care Alliance With Hartford HealthCare Connecticut Children’s and Hartford HealthCare have a history of collaboration, including care for high-risk pregnancies, newborns, chronic illnesses and adult congenital heart disease. Our Care Alliance takes this commitment even further: We partner to provide patients and their
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Beyond Extreme Prematurity: Mikayla’s Story By Nicole Murray, MD: Delivered barely halfway through a typical pregnancy — at just 25 weeks and 6 days — she weighed less than a pound. Her lungs were severely underdeveloped. At the hospital where she was born, the doctors weren’t sure she’d survive the night. But Mikayla had other plans. Today
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Discussing Racial Inequality and Social Justice With Children By Robert D. Keder, MD: Parents are constantly deciding how to talk to their children about racial inequality and social justice. To help families navigate these important conversations, developmental pediatrician Robert D. Keder, MD, shares tips.