Search Results for: children

ASH-ASPHO – Avoid thrombophilia testing in children without positive family history

…thromboembolism. 2014 Oct; Retrieved from www.sign.ac.uk/sign-122-prevention-and-management-of-venous-thromboembolism.html. field_54b3fb640c91b field_54beabaeb4a28 field_5bc7896c42ca4 field_5bc789c4e5309 52 48 field_54b803304ba6a 88 field_54b803574ba6b 26 field_54b8037f4ba6c 28 field_54bd1b1564140 13974 ASH-ASPHO advise against thrombophilia testing on children with venous access associated thrombosis in the absence of a positive family history. ASH-ASPHO Avoid thrombophilia testing in children without positive family history…

AAP SOEn – Testing for children with pubic hair but no other signs of puberty

…48 field_54b803304ba6a 59 field_54b803574ba6b 26 field_54b8037f4ba6c 28 field_54bd1b1564140 9172 The American Academy of Pediatrics advises against ordering LH and FSH and either estradiol or testosterone for children with pubic hair and/or body odor but no other signs of puberty. Testing for children with pubic hair and/or body odor with no…

Nursing – LP opening pressure as measure of intracranial pressure in children

1496156593:3 3 March 21, 2017 field_54ad9e6ce06ff Don’t use lumbar puncture (LP) opening pressure as a reliable measure of intracranial pressure in children with severe chronic headache. field_54b3ece95c4b3 There are many limitations with LP pressure measurement as it varies with patient position and level of the manometer. As a “snapshot in…

Nursing – EEG after simple febrile seizure in healthy children

…EEG can be ordered for children that present with afebrile seizures, complex febrile seizures and in children with neurological insult. field_54b40ef6c2784 American Academy of Pediatrics Subcommittee on Febrile Seizures. (2011). Febrile seizures: guidelines for the neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics, 127 (2), 389-394. El-Radhi,…

Dentists – Non-fluoride toothpaste for infants and children

…Fluoride toothpaste use for young children. J Am Dent Assoc. 2014 Feb;145(2):190-1. Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Fluoride toothpaste efficacy and safety in children younger than 6 years: a systematic review. J Am Dent Assoc. 2014 Feb;145(2):182-9 field_54b3fb640c91b field_54beabaeb4a28 85 field_54b803304ba6a 69 field_54b803574ba6b…

AANS and CNS – Routine CT scans for mild head injury in children

…head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160–70. field_54b3fb640c91b field_54beabaeb4a28 50 54 48 46 field_54b803304ba6a 58 field_54b803574ba6b 25 26 field_54b8037f4ba6c 28 field_54bd1b1564140 3566 AANS advises against routine CT scanning for mild head injuries in children without reviewing other predictors if brain trauma. AANS – CT scans for children

SHM (Pediatric) – Bronchodilators for bronchiolitis in children

1425328802:3 3 Released February 21, 2013 field_54ad9e6ce06ff Don’t routinely use bronchodilators in children with bronchiolitis. field_54b3ece95c4b3 Published guidelines do not advocate the routine use of bronchodilators in patients with bronchiolitis. Comprehensive reviews of the literature have demonstrated that the use of bronchodilators in children admitted to the hospital with bronchiolitis…

Brain Scans for Head Injuries

…for symptoms of a concussion: Headache, vomiting, nausea Dizziness, balance problems Blurred vision Ringing in the ears Confusion, memory loss, poor concentration Sensitivity to light or noise Brief loss of consciousness Scans have risks. CT scans use radiation, which can increase your risk of cancer. Children, and especially infants, have…

SHM (Pediatric) – Chest radiographs for uncomplicated asthma bronchiolitis in children

…wheezing episodes: review of current clinical efficacy. Pediatr Emerg Care. 1998 Jun;14(3):181-4. field_54b3fb640c91b field_54beabaeb4a28 48 53 46 field_54b803304ba6a 58 field_54b803574ba6b 25 field_54b8037f4ba6c 28 field_54bd1b1564140 3673 Society of Hospital Medicine – Pediatric Hospital Medicine advises against chest radiographs in children with uncomplicated asthma or bronchiolitis. SHM – Chest radiographs in children

ACRheum (Pediatric) – Methotrexate toxicity labs in children

…toxicity in juvenile idiopathic arthritis. J Rheumatol. 2004;31:2501–6. field_54b3fb640c91b field_54beabaeb4a28 48 43 field_54b803304ba6a 59 field_54b803574ba6b 26 field_54b8037f4ba6c 28 field_54bd1b1564140 3593 American Coll Rheum – Pediatric Rheumatology suggests not performing methotrexate toxicity labs on children more often than every 12 weeks on stable doses. ACRheum – Methotrexate toxicity labs in children

AAP-POSNA – Custom orthotics or shoe inserts for children with flat feet

…shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am. 1989 Jul;71(6):800-810. Staheli LT, Chew DE, Corbett M. The longitudinal arch: A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987 Mar;69(3):426-428. field_54b3fb640c91b field_54beabaeb4a28…

May 2020 Learning Network Resources

…of the pandemic subsides.” Bonafide CP. Prevalence of Continuous Pulse Oximetry Monitoring in Hospitalized Children With Bronchiolitis Not Requiring Supplemental Oxygen. JAMA. April 2020“In a convenience sample of children hospitalized with bronchiolitis who were not receiving active supplemental oxygen administration, monitoring with continuous pulse oximetry was frequent and varied widely…

AAP-POSNA – MRI or CT for musculoskeletal conditions in children

…Current Radiology Reports. 2014;2:45. field_54b3fb640c91b field_54beabaeb4a28 45 48 field_54b803304ba6a 58 field_54b803574ba6b 26 field_54b8037f4ba6c 28 field_54bd1b1564140 9765 The American Academy of Pediatrics – Section on Orthopaedics and the Pediatric Orthopaedic Society of North America advise against MRI or CT scans for most musculoskeletal conditions in children. Musculoskeletal conditions in children 2018-02-07…

October 2019 Learning Network Resources

…complexity. Patients at risk for hypoglycemia may benefit from treatment deintensification to reduce hypoglycemia risk and treatment burden.”  Johnson DP, Lee V, Gourishankar A, Rajbhandari P, Schefft M, Genies M. Things We Do For No Reason™: Routine Blood Culture Acquisition for Children Hospitalized with Community-Acquired Pneumonia. Journal of Hospital Medicine. September…

Leading Medical Specialty Societies Identify 90 Tests and Treatments to Question

children’s minor head injuries. Approximately 50 percent of children who visit hospital emergency departments with head injuries are given a CT scan. CT scanning is associated with radiation exposure that may escalate future cancer risk. The recommendation calls for clinical observation prior to making a decision about needing a CT….