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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 Post-Exposure Prophylaxis (PEP) 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
Intestinal Failure and Central Venous Catheter (CVC) Patient with Fever Clinical Pathway Patients with Intestinal Failure (IF) often require central venous catheter (CVCs) for extended periods of time used for administration of parenteral nutrition (PN), which is required to maintain adequate growth and hydration. This puts them at a risk of recurrent central-line
Kawasaki Disease Clinical Pathway Kawasaki Disease is one of the most common vasculitides of childhood, and is the most common cause of acquired heart disease in children in developed countries. There is an estimated annual incidence of 20 per 100,000 children younger than five years in the United States, and
Ketogenic Diet and Modified Ketogenic Diet Clinical Pathway Ketogenic and modified ketogenic diets are high fat, low carbohydrate diets used as evidence-based treatment for intractable seizures. These pathways were developed to aid with initiation of these diets for established neurology patients at Connecticut Children’s. Initiation of
Lead Toxicity Clinical Pathway Pathway Background and Objectives Lead poisoning in children leads to negative neurocognitive and developmental outcomes. While severe lead poisoning requiring chelation is increasingly rare, elevated blood lead levels in children remain prevalent in Connecticut due to the State
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