Migraine and Migraine-like Headache Clinical Pathway Migraine headaches are a common reason patient’s present to the children’s emergency department. Such headaches have a considerable adverse impact on quality of life, and afflicted children may be seek emergent relief. Currently, there is a range of practices used by emergency
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
Newborn Management of Prenatally Diagnosed Tetralogy of Fallot and Risk of Ductal Dependency Clinical Pathway The diagnosis of Tetralogy of Fallot carries a wide range of treatment possibilities based on the detailed cardiac anatomy. Neonates that are ductal dependent for adequate pulmonary blood flow can be at high risk for severe hypoxemia after delivery if not immediately recognized
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
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
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
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
Preseptal and Orbital Cellulitis Clinical Pathway Orbital cellulitis is a relatively uncommon condition but carries significant morbidity, including orbital abscess, vision loss, cavernous sinus thrombophlebitis, and intracranial abscess. Orbital abscess is a surgical emergency. Though they have distinctly different pathogenesis
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
Rhabdomyolysis Clinical Pathway Rhabdomyolysis is a syndrome characterized by the breakdown of skeletal muscle leading to the release of intracellular muscle constituents. The most common etiologies in children are viral illnesses, exercise, and trauma. Muscle pain and muscle weakness are the most common
Sickle Cell Patient with Fever Clinical Pathway Patients with sickle cell disease (SCD) are at increased risk of severe bacterial infections, in large part due to reduced or absent splenic function. Repeated episodes of sickling and infarction lead to ‘autosplenectomy,’ often by age three years. Functionally asplenic patients
DIAMOND Award The Division of Clinical Services includes the following services: Audiology, Cardiopulmonary Lab, Care Coordination, Child Life, Clinical Nutrition, Neurodiagnostic Lab, Occupational Therapy, Pharmacy, Physical Therapy, Radiology, Respiratory, Sleep Lab, Social Work, Speech &
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
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