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class="interior-page"> <div class="top-content-wrapper"> <div class="content-wrapper"> <div class="document-header"> <h1 data-epi-type="title">Clinical Pathways</h1> </div> <div class="content-area" data-epi-type="content"> <div class="right-content"> <div class="score-accordion section-menu-wrapper"> <div class="score-accordion-panel"> <div class="panel-heading"> <div class="panel-title"> <button type="button" class="accordion-button" data-target="#sectionMenu" aria-expanded="false" aria-controls="accordion1"> In This Section </button> </div> </div><div id="sectionMenu" class="panel-collapse collapse"> <div class="panel-body"> <div class="bg-lightgrey"> <ul class="main"> <li class=""> <a href="/healthcare-professionals/" aria-label="Professionals" class="GTMMENU" target="_self"> Professionals </a> </li> </ul> <ul class="level-1"> <li class=""> <a href="/healthcare-professionals/referrals/" aria-label="Refer/Admit a Patient" class="GTMMENU" target="_self"> Refer/Admit a Patient </a> </li> <li class=""> <a href="/services/transport/" aria-label="Transport Services" class="GTMMENU" target="_self"> Transport Services </a> </li> <li class=""> <a href="/healthcare-professionals/calendar/" aria-label="Specialty Calendars" class="GTMMENU" target="_self"> Specialty Calendars </a> </li> <li class=""> <a href="/healthcare-professionals/professional-education/" aria-label="Education and Development" class="GTMMENU" target="_self"> Education and Development </a> </li> <li class=""> <a href="/healthcare-professionals/nursing/" aria-label="Nursing Department" class="GTMMENU" target="_self"> Nursing Department </a> </li> <li class="active"> <a href="/healthcare-professionals/clinical-pathways/" aria-label="Clinical Pathways" class="GTMMENU" target="_self"> Clinical Pathways </a> </li> <li class=""> <a href="/healthcare-professionals/clinical-research/" aria-label="Clinical Research" class="GTMMENU" target="_self"> Clinical Research </a> </li> <li class=""> <a href="/healthcare-professionals/resource-library/" aria-label="Resource Library" class="GTMMENU" target="_self"> Resource Library </a> </li> <li class=""> <a href="/healthcare-professionals/liaison/" aria-label="Physician Liaisons" class="GTMMENU" target="_self"> Physician Liaisons </a> </li> <li class=""> <a href="/healthcare-professionals/physician-network/" aria-label="Physician Network" class="GTMMENU" target="_self"> Physician Network </a> </li> <li class=""> <a href="/healthcare-professionals/telemedicine/" aria-label="Telehealth and Virtual Medicine" class="GTMMENU" target="_self"> Telehealth and Virtual Medicine </a> </li> <li class=""> <a href="/healthcare-professionals/system-credentialing/" aria-label="System Credentialing and Medical Staff Services" class="GTMMENU" target="_self"> System Credentialing and Medical Staff Services </a> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="top-content"> <div class="rte-content"> <div class="rich-text"><p>Clinical pathways are resources for healthcare providers, offering recommendations on the care of patients with a particular clinical condition. Clinical pathways are meant to complement clinical judgment. They are not meant to be applied rigidly in all cases. Our goal in sharing these pathways is to standardize best practice and provide resources to practitioners. These pathways are developed through review of current literature and best available evidence by individual clinical champions and other content experts working in collaboration with the Cook Children's Clinical Excellence Committee (CEC).</p> <p class="bg-shade p-2">To add this collection of resources to your iOS or Android home screen, <a href="#accessmobile">follow these steps</a>.</p></div> </div> <div class="score-accordion mt-6" id="723883b8-7e6b-47fc-a076-04d38b016ba6"> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f5d19dfe-09e8-4ab1-b1f4-c193655ba26a-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f5d19dfe-09e8-4ab1-b1f4-c193655ba26a-panel" aria-expanded="false" aria-controls="f5d19dfe-09e8-4ab1-b1f4-c193655ba26a-panel"> Aberrant EBV </button> </h3> </div> <div id="f5d19dfe-09e8-4ab1-b1f4-c193655ba26a-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2024</em></p> <ul> <li><a title="Aberrant EBV (Interactive)" href="https://lucid.app/lucidchart/24886b20-3ec0-4a45-bc00-074bc7be6e6f/view" target="_blank" rel="noopener">Aberrant EBV (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="3fdc6b17-500d-4dfd-95cf-021177558989-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#3fdc6b17-500d-4dfd-95cf-021177558989-panel" aria-expanded="false" aria-controls="3fdc6b17-500d-4dfd-95cf-021177558989-panel"> Anxiety </button> </h3> </div> <div id="3fdc6b17-500d-4dfd-95cf-021177558989-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: January 2022</em></p> <ul> <li><a title="Anxiety, Diagnosis and Management in Primary Care" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-anxiety.pdf" target="_blank" rel="noopener">Anxiety, diagnosis and management in primary care (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0a64d39d-c684-487b-937c-7715a0639778-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0a64d39d-c684-487b-937c-7715a0639778-panel" aria-expanded="false" aria-controls="0a64d39d-c684-487b-937c-7715a0639778-panel"> Asthma </button> </h3> </div> <div id="0a64d39d-c684-487b-937c-7715a0639778-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: February 2023</em></p> <ul> <li><a title="PICU Asthma Clinical Pathway" href="https://lucid.app/documents/view/98a2cef8-5eb6-422a-8a7b-5f9d79deebd0" target="_blank" rel="noopener">PICU asthma (Interactive)</a></li> <li><a title="ED management of asthma - provider pathway" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-asthma-ed.pdf" target="_blank" rel="noopener">ED management of asthma - provider pathway (PDF)</a></li> <li><a title="ED management of asthma - nurse triage pathway" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-asthma-ed-nurse-triage.pdf" target="_blank" rel="noopener">ED management of asthma - nurse triage pathway (PDF)</a></li> <li><a title="ED management of asthma- supporting evidence for clinical recommendations" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-asthma-ed-exacerbation-treatment.pdf" target="_blank" rel="noopener">ED management of asthma - supporting evidence for clinical recommendations (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="ded3eae6-afd4-45b2-8282-0714d24fc789-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#ded3eae6-afd4-45b2-8282-0714d24fc789-panel" aria-expanded="false" aria-controls="ded3eae6-afd4-45b2-8282-0714d24fc789-panel"> Bronchiolitis </button> </h3> </div> <div id="ded3eae6-afd4-45b2-8282-0714d24fc789-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: February 2022</em></p> <ul> <li><a title="Evidence based pathway for management of bronchiolitis in outpatient/UCC/ED/inpatient" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-bronchiolitis-guideline.pdf" target="_blank" rel="noopener">Evidence based pathway for management of bronchiolitis in outpatient/UCC/ED/inpatient (PDF)</a></li> <li><a title="Inpatient bronchiolitis treatment algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-inpatient-bronchiolitis-algorithm.pdf" target="_blank" rel="noopener">Inpatient bronchiolitis treatment algorithm (PDF)</a></li> <li><a title="Outpatient/UCC/ED bronchiolitis treatment algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-outpatient-ed-bronchiolitis-algorithm.pdf" target="_blank" rel="noopener">Outpatient/UCC/ED bronchiolitis treatment algorithm (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="c0df4310-0f41-4d5e-adcd-270f6415a821-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#c0df4310-0f41-4d5e-adcd-270f6415a821-panel" aria-expanded="false" aria-controls="c0df4310-0f41-4d5e-adcd-270f6415a821-panel"> Bruising, non-accidental trauma </button> </h3> </div> <div id="c0df4310-0f41-4d5e-adcd-270f6415a821-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: April 2023</em></p> <ul> <li><a title="Evidence-based pathway for the management of suspected non-accidental trauma (NAT) or bruising in children ≤ 4 years old" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-nat-bruising-pathway.pdf" target="_blank" rel="noopener">Evidence-based pathway for the management of suspected non-accidental trauma (NAT) or bruising in children ≤ 4 years old (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0ea7f5b2-3a1b-4c90-a88d-164e7e3049d4-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0ea7f5b2-3a1b-4c90-a88d-164e7e3049d4-panel" aria-expanded="false" aria-controls="0ea7f5b2-3a1b-4c90-a88d-164e7e3049d4-panel"> Button battery ingestion </button> </h3> </div> <div id="0ea7f5b2-3a1b-4c90-a88d-164e7e3049d4-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: April 2023</em></p> <ul> <li><a title="ED/Urgent care button battery ingestion" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-button-battery.pdf" target="_blank" rel="noopener">ED/Urgent care button battery ingestion (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="1cae2465-3670-493e-8f44-9009589f709c-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#1cae2465-3670-493e-8f44-9009589f709c-panel" aria-expanded="false" aria-controls="1cae2465-3670-493e-8f44-9009589f709c-panel"> Calcium channel blocker/ beta blocker ingestion </button> </h3> </div> <div id="1cae2465-3670-493e-8f44-9009589f709c-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2024</em></p> <ul> <li><a title="Calcium channel blocker/ beta blocker ingestion (Interactive)" href="https://lucid.app/lucidchart/4a3666f1-e310-46a4-9066-aa55a2771fd7/view" target="_blank" rel="noopener">Calcium channel blocker/ beta blocker ingestion (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="acb5dbe9-4162-464b-9418-062706a31720-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#acb5dbe9-4162-464b-9418-062706a31720-panel" aria-expanded="false" aria-controls="acb5dbe9-4162-464b-9418-062706a31720-panel"> Chronic pain </button> </h3> </div> <div id="acb5dbe9-4162-464b-9418-062706a31720-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: February 2024</em></p> <ul> <li><a title="Chronic pain clinical pathway" href="https://lucid.app/documents/view/548a61b4-9903-4d1e-a5f3-35bc946b40ee" target="_blank" rel="noopener">Chronic pain clinical pathway (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="5c16d6e4-a5f8-416a-afcd-fae91b6d99b7-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#5c16d6e4-a5f8-416a-afcd-fae91b6d99b7-panel" aria-expanded="false" aria-controls="5c16d6e4-a5f8-416a-afcd-fae91b6d99b7-panel"> Community-acquired pneumonia </button> </h3> </div> <div id="5c16d6e4-a5f8-416a-afcd-fae91b6d99b7-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2023</em></p> <ul> <li><a style="margin-right: 10px;" title="Community-acquired pneumonia (ambulatory)" href="https://lucid.app/documents/embedded/7948076f-682c-4cd7-80cc-ab95a46ab4b3" target="_blank" rel="noopener">Clinical pathway: Community-acquired pneumonia, ambulatory (Interactive)</a></li> <li><a style="margin-right: 10px;" title="Community-acquired pneumonia (ED/UC)" href="https://lucid.app/documents/embedded/d68a9268-9749-4d40-a028-788039e9d263" target="_blank" rel="noopener">Clinical pathway: Community-acquired pneumonia, ED/UC (Interactive)</a></li> <li><a style="margin-right: 10px;" title="Evidence-based pathway for management of community-acquired pneumonia" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-pneumonia-cap.pdf" target="_blank" rel="noopener">Evidence-based pathway for management of community-acquired pneumonia (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0eeffe86-5533-424f-8e12-62ea41eaa8d5-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0eeffe86-5533-424f-8e12-62ea41eaa8d5-panel" aria-expanded="false" aria-controls="0eeffe86-5533-424f-8e12-62ea41eaa8d5-panel"> Congenital CMV </button> </h3> </div> <div id="0eeffe86-5533-424f-8e12-62ea41eaa8d5-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="bg-aluminum p-2"><em>Last approved: May 2024</em></p> <ul> <li><a title="Congenital CMV (Interactive)" href="https://lucid.app/documents/view/5a762843-6ca8-4f50-94b5-c3ed4561cc08" target="_blank" rel="noopener">Congenital CMV (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f852ce62-4129-472e-a882-81b815e90d30-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f852ce62-4129-472e-a882-81b815e90d30-panel" aria-expanded="false" aria-controls="f852ce62-4129-472e-a882-81b815e90d30-panel"> Croup primary care/UC/ED </button> </h3> </div> <div id="f852ce62-4129-472e-a882-81b815e90d30-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a style="margin-right: 10px;" title="Croup primary care/UC/ED" href="https://lucid.app/documents/view/d39d7c12-47e3-4a4a-903c-7427cfbe5b60" target="_blank" rel="noopener">Croup primary care/UC/ED (Interactive)</a></li> <li><a style="margin-right: 10px;" title="Croup primary care/UC/ED" href="https://lucid.app/publicSegments/view/0fb2ec51-9617-4d4c-9078-3273a2223fa3" target="_blank" rel="noopener">Croup primary care/UC/ED (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p> <p> </p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0a924847-ecdc-4546-b3f6-a3b7ea826e69-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0a924847-ecdc-4546-b3f6-a3b7ea826e69-panel" aria-expanded="false" aria-controls="0a924847-ecdc-4546-b3f6-a3b7ea826e69-panel"> Depression </button> </h3> </div> <div id="0a924847-ecdc-4546-b3f6-a3b7ea826e69-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2022</em></p> <ul> <li><a title="Depression, diagnosis and management in primary care" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-depression.pdf" target="_blank" rel="noopener">Depression, diagnosis and management in primary care (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="afdf13d3-9c57-4aeb-a2f3-bcdf0419e928-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#afdf13d3-9c57-4aeb-a2f3-bcdf0419e928-panel" aria-expanded="false" aria-controls="afdf13d3-9c57-4aeb-a2f3-bcdf0419e928-panel"> DKA </button> </h3> </div> <div id="afdf13d3-9c57-4aeb-a2f3-bcdf0419e928-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: February 2023</em></p> <ul> <li><a title="ED DKA clinical pathway" href="https://lucid.app/documents/view/e58bbc64-6df0-40b8-9bca-dfa5220c4a44" target="_blank" rel="noopener">ED DKA clinical pathway (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="731462a5-c3e9-4197-b72e-2af3d1107aea-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#731462a5-c3e9-4197-b72e-2af3d1107aea-panel" aria-expanded="false" aria-controls="731462a5-c3e9-4197-b72e-2af3d1107aea-panel"> Duration of Antibiotic Therapy </button> </h3> </div> <div id="731462a5-c3e9-4197-b72e-2af3d1107aea-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: June 2024</em></p> <ul> <li><a title="Duration of antibiotic therapy - clinical pathway" href="https://lucid.app/lucidchart/90485383-5c49-485d-9406-221a1276b269/view" target="_blank" rel="noopener">Duration of antibiotic therapy - clinical pathway (interactive)</a></li> <li><a title="Duration of antibiotic therapy - guidelines (PDF)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-dot-guidelines.pdf" target="_blank" rel="noopener">Duration of antibiotic therapy - guidelines (PDF)</a></li> <li><a title="Antibiogram (PDF)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-antibiogram.pdf" target="_blank" rel="noopener">Antibiogram (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="4e1fafb1-4ecc-4278-8d0c-f6faf5a3f4cc-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#4e1fafb1-4ecc-4278-8d0c-f6faf5a3f4cc-panel" aria-expanded="false" aria-controls="4e1fafb1-4ecc-4278-8d0c-f6faf5a3f4cc-panel"> Eating disorder (ED/inpatient) </button> </h3> </div> <div id="4e1fafb1-4ecc-4278-8d0c-f6faf5a3f4cc-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: April 2024</em></p> <ul> <li><a title="Inpatient Eating Disorder Clinical Pathway" href="https://lucid.app/lucidchart/df30583b-720e-4c63-af9e-2e74fb3d7cac/view" target="_blank" rel="noopener">Eating Disorder - ED/inpatient (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="d4be49e0-d304-4ae6-8657-43fe184a1f82-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#d4be49e0-d304-4ae6-8657-43fe184a1f82-panel" aria-expanded="false" aria-controls="d4be49e0-d304-4ae6-8657-43fe184a1f82-panel"> Empyema </button> </h3> </div> <div id="d4be49e0-d304-4ae6-8657-43fe184a1f82-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2022</em></p> <ul> <li><a title="Evidence based pathway for the management of empyema" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-empyema-guideline.pdf" target="_blank" rel="noopener">Evidence based pathway for the management of empyema (PDF)</a></li> <li><a title="ED empyema workflow algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-empyema-ed-algorithm.pdf" target="_blank" rel="noopener">ED empyema workflow algorithm (PDF)</a></li> <li><a title="Empyema treatment algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-empyema-algorithm.pdf" target="_blank" rel="noopener">Empyema treatment algorithm (PDF)</a></li> <li><a title="Executive summary of evidence-based pathway for the management of empyema" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-empyema-executive-summary.pdf" target="_blank" rel="noopener">Executive summary of evidence-based pathway for the management of empyema (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="d8abab53-bf3c-411b-8089-45cf4410b785-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#d8abab53-bf3c-411b-8089-45cf4410b785-panel" aria-expanded="false" aria-controls="d8abab53-bf3c-411b-8089-45cf4410b785-panel"> Endotracheal Aspirate Cultures (EAC) </button> </h3> </div> <div id="d8abab53-bf3c-411b-8089-45cf4410b785-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: November 2023</em></p> <ul> <li><a title="Endotracheal Aspirate Cultures (EAC)" href="https://lucid.app/documents/view/855567b9-750f-4c9e-828a-3b0cafef445d" target="_blank" rel="noopener">Endotracheal Aspirate Cultures (Interactive)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0660ebde-f736-48c1-b7ba-ccc01fd544d4-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0660ebde-f736-48c1-b7ba-ccc01fd544d4-panel" aria-expanded="false" aria-controls="0660ebde-f736-48c1-b7ba-ccc01fd544d4-panel"> Fever and neutropenia (oncology patients) </button> </h3> </div> <div id="0660ebde-f736-48c1-b7ba-ccc01fd544d4-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: January 2024</em></p> <ul> <li><a title="Fever and Neutropenia in Oncology Patients" href="https://lucid.app/lucidchart/8ae8d9b6-3171-475b-9c1a-94c681ee5b15/view" target="_blank" rel="noopener">Fever and neutropenia in oncology patients (Interactive)</a></li> <li><a title="Fever and Neutropenia in Oncology Patients (CME)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-fever-neutropenia.pdf" target="_blank" rel="noopener">Fever and neutropenia guidelines (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f0b8f496-b655-46a4-91d3-e3f380dfc782-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f0b8f496-b655-46a4-91d3-e3f380dfc782-panel" aria-expanded="false" aria-controls="f0b8f496-b655-46a4-91d3-e3f380dfc782-panel"> Genetic testing stewardship </button> </h3> </div> <div id="f0b8f496-b655-46a4-91d3-e3f380dfc782-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="bg-aluminum p-2"><em>Last approved: May 2024</em></p> <ul> <li><a title="Genetic testing stewardship" href="https://lucid.app/documents/view/7de874b6-16f7-4524-885e-6da306586410" target="_blank" rel="noopener">Genetic testing stewardship (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="a9bb813f-4219-434c-87c6-97228cca1206-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#a9bb813f-4219-434c-87c6-97228cca1206-panel" aria-expanded="false" aria-controls="a9bb813f-4219-434c-87c6-97228cca1206-panel"> Hemophagocytic lymphohistiocytosis and macrophage activation syndrome </button> </h3> </div> <div id="a9bb813f-4219-434c-87c6-97228cca1206-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: November 2023</em></p> <ul> <li><a title="Hemophagocytic Lymphohistiocytosis and Macrophage Activation Syndrome" href="https://lucid.app/documents/view/1d758864-c527-4846-9bcf-bc9e2e848e4d">Hemophagocytic Lymphohistiocytosis and Macrophage Activation Syndrome (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="e6f5ead0-b279-4778-a925-874ec8813821-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#e6f5ead0-b279-4778-a925-874ec8813821-panel" aria-expanded="false" aria-controls="e6f5ead0-b279-4778-a925-874ec8813821-panel"> Hypertension (primary care) </button> </h3> </div> <div id="e6f5ead0-b279-4778-a925-874ec8813821-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a title="Hypertension Diagnosis and Management Primary Care 1-12 years old" href="https://lucid.app/documents/view/1ab4b3db-6d8a-4fe6-b517-3309a41e8f16" target="_blank" rel="noopener">Hypertension diagnosis and management primary care 1-12 years old (Interactive)</a></li> <li><a title="Hypertension Diagnosis and Management Primary Care 13 years and older " href="https://lucid.app/documents/view/9cf21036-3d35-49e3-8e75-1aada66e4b3e" target="_blank" rel="noopener">Hypertension diagnosis and management primary care 13 years and older (Interactive) </a></li> <li><a title="Evidence based pathway for the diagnosis and management of pediatric hypertension in primary care" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-hypertension-guideline.pdf" target="_blank" rel="noopener">Evidence based pathway for the diagnosis and management of pediatric hypertension in primary care (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f1965191-2894-49de-aadc-241c01d1c8a2-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f1965191-2894-49de-aadc-241c01d1c8a2-panel" aria-expanded="false" aria-controls="f1965191-2894-49de-aadc-241c01d1c8a2-panel"> Hypertonic saline in TBI and stroke </button> </h3> </div> <div id="f1965191-2894-49de-aadc-241c01d1c8a2-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a title="Hypertonic Saline in TBI and Stroke " href="https://lucid.app/documents/view/2050fe5e-ad6f-4b17-9318-53b7a4e33fe7" target="_blank" rel="noopener">Hypertonic saline in TBI and stroke (Interactive)</a></li> <li><a title="Neuro ICU hypertonic saline administration pathway for TBI" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-traumatic-brain-neuro-picu-hypertonic-saline-solution.pdf" target="_blank" rel="noopener">Hypertonic saline in TBI and stroke (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="1c2da19a-c30c-4b5b-8c37-7a173b49001e-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#1c2da19a-c30c-4b5b-8c37-7a173b49001e-panel" aria-expanded="false" aria-controls="1c2da19a-c30c-4b5b-8c37-7a173b49001e-panel"> Hypoglycemia </button> </h3> </div> <div id="1c2da19a-c30c-4b5b-8c37-7a173b49001e-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2024</em></p> <ul> <li><a title="ED/Inpatient hypoglycemia (Interactive)" href="https://lucid.app/lucidchart/e4c25762-c3b4-4776-aac3-97f6e4fe196a/view" target="_blank" rel="noopener">ED/Inpatient hypoglycemia (Interactive)</a></li> <li><a title="UCC hypoglycemia (Interactive)" href="https://lucid.app/lucidchart/0a1b8818-63c1-4b16-965c-e4c5f37c8b9c/view" target="_blank" rel="noopener">UCC hypoglycemia (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="bf6a78bf-dc05-4172-90fc-8e20bf8ecc95-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#bf6a78bf-dc05-4172-90fc-8e20bf8ecc95-panel" aria-expanded="false" aria-controls="bf6a78bf-dc05-4172-90fc-8e20bf8ecc95-panel"> Intralipid emulsion therapy for drug intoxication </button> </h3> </div> <div id="bf6a78bf-dc05-4172-90fc-8e20bf8ecc95-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2024</em></p> <ul> <li><a title="Intralipid emulsion therapy for drug intoxication (Interactive)" href="https://lucid.app/lucidchart/76e46c79-c6f9-477c-b6e9-8dbbae5d2286/view" target="_blank" rel="noopener">Intralipid emulsion therapy for drug intoxication (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="a3cc1c93-62f2-4be0-92bf-bf69550bd88b-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#a3cc1c93-62f2-4be0-92bf-bf69550bd88b-panel" aria-expanded="false" aria-controls="a3cc1c93-62f2-4be0-92bf-bf69550bd88b-panel"> Kawasaki clinical pathways </button> </h3> </div> <div id="a3cc1c93-62f2-4be0-92bf-bf69550bd88b-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a title="Kawasaki disease launch page" href="https://lucid.app/documents/view/6c8781ff-bfbd-439b-8622-43f680b1d470" target="_blank" rel="noopener"><span style="font-size: 14.6667px;">Kawasaki Disease: Launch page (Interactive)</span></a> <ul> <li><a title="Kawasaki: Complete standard" href="https://lucid.app/documents/view/ec490e15-816c-44df-9751-aadb03a292a2" target="_blank" rel="noopener">Kawasaki Disease: Complete standard (Interactive)</a></li> <li><a title="Kawasaki: Incomplete" href="https://lucid.app/documents/view/a703f347-26af-4c22-a683-87bf7a80e2f8" target="_blank" rel="noopener">Kawasaki Disease: Incomplete (Interactive)</a></li> <li><a title="Kawasaki: High risk" href="https://lucid.app/documents/view/c683cec1-4ec9-4112-9bd0-55367e9293de" target="_blank" rel="noopener">Kawasaki Disease: High risk (Interactive)</a></li> </ul> </li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f42b89ce-1126-4aeb-8db2-e98d6199e9e5-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f42b89ce-1126-4aeb-8db2-e98d6199e9e5-panel" aria-expanded="false" aria-controls="f42b89ce-1126-4aeb-8db2-e98d6199e9e5-panel"> Measles identification and testing, ambulatory </button> </h3> </div> <div id="f42b89ce-1126-4aeb-8db2-e98d6199e9e5-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: June 2024</em></p> <ul> <li><a title="Measles identification and testing, ambulatory" href="https://lucid.app/lucidchart/fca904de-00e3-41c0-b3b6-1d3cc1e2a965/view" target="_blank" rel="noopener">Measles identification and testing, ambulatory - clinical pathway (interactive)</a></li> <li><a title="Measles identification and testing, ambulatory - guidelines" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-measles-guidelines.pdf" target="_blank" rel="noopener">Measles identification and testing, ambulatory - guidelines (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="2253e0b8-44dd-46c4-b6fa-0f93e26c3377-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#2253e0b8-44dd-46c4-b6fa-0f93e26c3377-panel" aria-expanded="false" aria-controls="2253e0b8-44dd-46c4-b6fa-0f93e26c3377-panel"> Migraine management ED/Inpatient </button> </h3> </div> <div id="2253e0b8-44dd-46c4-b6fa-0f93e26c3377-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: August 2024</em></p> <ul> <li><a title="Emergency department (Interactive)" href="https://lucid.app/lucidchart/032bbdd5-c6bd-435e-8a02-c5a2900b7c3c/view" target="_blank" rel="noopener">Emergency department (Interactive)</a></li> <li><a title="Inpatient (Interactive)" href="https://lucid.app/lucidchart/b9ec9e8a-8821-46c2-acdc-cbb1344e3b16/view" target="_blank" rel="noopener">Inpatient (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="b46c77a3-8d8c-4f37-bddc-cf95796919ce-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#b46c77a3-8d8c-4f37-bddc-cf95796919ce-panel" aria-expanded="false" aria-controls="b46c77a3-8d8c-4f37-bddc-cf95796919ce-panel"> Neonatal fever </button> </h3> </div> <div id="b46c77a3-8d8c-4f37-bddc-cf95796919ce-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: September 2022</em></p> <ul> <li><a title="ED management of well-appearing neonatal fever 0 – 21 days old" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-neonatal-fever-0to21.pdf" target="_blank" rel="noopener">ED management of well-appearing neonatal fever 0 – 21 days old (PDF)</a></li> <li><a title="ED management of well-appearing neonatal fever 22 – 28 days old" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-neonatal-fever-22to28.pdf" target="_blank" rel="noopener">ED management of well-appearing neonatal fever 22 – 28 days old (PDF</a></li> <li><a title="ED management of well-appearing neonatal fever 29 – 60 days old" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-neonatal-fever-29to60.pdf" target="_blank" rel="noopener">ED management of well-appearing neonatal fever 29 – 60 days old (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="88abe142-6564-4a0a-b392-19dbbbd58f85-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#88abe142-6564-4a0a-b392-19dbbbd58f85-panel" aria-expanded="false" aria-controls="88abe142-6564-4a0a-b392-19dbbbd58f85-panel"> Obstetric hypertensive emergency </button> </h3> </div> <div id="88abe142-6564-4a0a-b392-19dbbbd58f85-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: September 2024</em></p> <ul> <li><a title="Obstetric hypertensive emergency pathway (Interactive)" href="https://lucid.app/lucidchart/dc6cfba9-0816-47db-abbd-f84a5d7a600f/view" target="_blank" rel="noopener">Obstetric hypertensive emergency pathway (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f433eb06-c270-486d-b304-2047a38a9741-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f433eb06-c270-486d-b304-2047a38a9741-panel" aria-expanded="false" aria-controls="f433eb06-c270-486d-b304-2047a38a9741-panel"> Opioid Ingestion </button> </h3> </div> <div id="f433eb06-c270-486d-b304-2047a38a9741-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: January 2024</em></p> <ul> <li><a title="Opioid Ingestion" href="https://lucid.app/documents/embedded/9a07b680-7d9b-4b0b-9295-438c69dd328a">Opioid ingestion (Interactive)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="cf58e22f-5a69-41a0-9195-99664a725dcb-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#cf58e22f-5a69-41a0-9195-99664a725dcb-panel" aria-expanded="false" aria-controls="cf58e22f-5a69-41a0-9195-99664a725dcb-panel"> Pancreatitis </button> </h3> </div> <div id="cf58e22f-5a69-41a0-9195-99664a725dcb-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2022</em></p> <ul> <li><a title="ED pancreatitis management algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-pancreatitis-treatment-algorithm-ed.pdf" target="_blank" rel="noopener">ED pancreatitis management algorithm (PDF)</a></li> <li><a title="Evidence-based pathway for the management of acute pancreatitis in ED/Inpatient" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-pancreatitis-evidence-based-treatment-protocol.pdf" target="_blank" rel="noopener">Evidence-based pathway for the management of acute pancreatitis in ED/Inpatient (PDF)</a></li> <li><a title="Inpatient pancreatitis management algorithm" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-pancreatitis-treatment-algorithm-hospital.pdf" target="_blank" rel="noopener">Inpatient pancreatitis management algorithm (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="51f1c39f-97d3-46d7-813e-bf2491687695-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#51f1c39f-97d3-46d7-813e-bf2491687695-panel" aria-expanded="false" aria-controls="51f1c39f-97d3-46d7-813e-bf2491687695-panel"> PICU delirium prevention and treatment </button> </h3> </div> <div id="51f1c39f-97d3-46d7-813e-bf2491687695-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2024</em></p> <ul> <li><a title="PICU delirium prevention and treatment (Interactive)" href="https://lucid.app/lucidchart/329ab466-1001-4e57-91be-c88b4ef4328e/view" target="_blank" rel="noopener">PICU delirium prevention and treatment (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="93cc55db-186c-435b-a661-6ae519c76164-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#93cc55db-186c-435b-a661-6ae519c76164-panel" aria-expanded="false" aria-controls="93cc55db-186c-435b-a661-6ae519c76164-panel"> PICU sedation and pain management for mechanically ventilated patients </button> </h3> </div> <div id="93cc55db-186c-435b-a661-6ae519c76164-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2024</em></p> <ul> <li><a title="PICU sedation and pain management for mechanically ventilated patients (Interactive)" href="https://lucid.app/lucidchart/4c4ba974-ff93-4d7b-9fc9-bcccfcab515a/view" target="_blank" rel="noopener">PICU sedation and pain management for mechanically ventilated patients (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="76a293e8-48f0-4097-bc9e-52024cacb028-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#76a293e8-48f0-4097-bc9e-52024cacb028-panel" aria-expanded="false" aria-controls="76a293e8-48f0-4097-bc9e-52024cacb028-panel"> Postpartum hemorrhage prevention and treatment </button> </h3> </div> <div id="76a293e8-48f0-4097-bc9e-52024cacb028-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: September 2024</em></p> <ul> <li><a title="Postpartum hemorrhage prevention and treatment pathway (Interactive)" href="https://lucid.app/lucidchart/d06a049b-d9b9-4851-984a-4d6715d42ecb/view" target="_blank" rel="noopener">Postpartum hemorrhage prevention and treatment pathway (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="37840806-d0c8-494c-804b-135918c925d3-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#37840806-d0c8-494c-804b-135918c925d3-panel" aria-expanded="false" aria-controls="37840806-d0c8-494c-804b-135918c925d3-panel"> Primary amebic meningoencephalitis </button> </h3> </div> <div id="37840806-d0c8-494c-804b-135918c925d3-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="bg-aluminum p-2"><em>Last approved: May 2024</em></p> <ul> <li><a title="Primary amebic meningoencephalitis (Interactive)" href="https://lucid.app/documents/view/985b44b6-a7e9-434c-a16d-6e01000f1079" target="_blank" rel="noopener">Primary amebic meningoencephalitis (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="43b00cd3-8c4f-4fb8-874b-b457d1199c00-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#43b00cd3-8c4f-4fb8-874b-b457d1199c00-panel" aria-expanded="false" aria-controls="43b00cd3-8c4f-4fb8-874b-b457d1199c00-panel"> Rapid sequence intubation, trauma protocol </button> </h3> </div> <div id="43b00cd3-8c4f-4fb8-874b-b457d1199c00-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a title="Rapid sequence intubation, trauma protocol" href="https://lucid.app/documents/view/cf83d168-9b04-43c8-8be1-5817e94b4bdb" target="_blank" rel="noopener">Rapid sequence intubation, trauma protocol (Interactive)</a> <ul> <li><a title="Rapid sequence intubation, trauma protocol" href="https://lucid.app/publicSegments/view/3dc63998-ba10-48e5-a258-066742de9458" target="_blank" rel="noopener">Rapid sequence intubation, trauma protocol (PDF)</a></li> </ul> </li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0b2ba3d3-7dc2-4972-8672-240d61cda1d4-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0b2ba3d3-7dc2-4972-8672-240d61cda1d4-panel" aria-expanded="false" aria-controls="0b2ba3d3-7dc2-4972-8672-240d61cda1d4-panel"> Seizure </button> </h3> </div> <div id="0b2ba3d3-7dc2-4972-8672-240d61cda1d4-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2021</em></p> <ul> <li><a title="ED seizure management (Interactive)" href="https://lucid.app/lucidchart/c49873e4-150d-4e92-9c34-1196aabcfefe/view" target="_blank" rel="noopener">ED seizure management (Interactive)</a></li> <li><a title="UCC seizure management (Interactive)" href="https://lucid.app/lucidchart/cccfd1b3-660d-4cef-a06f-14897da797fd/view" target="_blank" rel="noopener">UCC seizure management (Interactive)</a></li> <li><a title="Management of seizures in the Emergency Department" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-seizure-ed.pdf" target="_blank" rel="noopener">Management of seizures in the Emergency Department (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="0dc3d7a5-e8b5-42e0-be51-073f5e22f33c-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#0dc3d7a5-e8b5-42e0-be51-073f5e22f33c-panel" aria-expanded="false" aria-controls="0dc3d7a5-e8b5-42e0-be51-073f5e22f33c-panel"> Severe traumatic brain injury (TBI) </button> </h3> </div> <div id="0dc3d7a5-e8b5-42e0-be51-073f5e22f33c-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2023</em></p> <ul> <li><a title="Severe traumatic brain injury pathway" href="https://lucid.app/documents/view/d2f0d73d-4ca2-4402-9464-14c182de9eac" target="_blank" rel="noopener">Severe traumatic brain injury pathway (Interactive)</a></li> <li><a title="Severe traumatic brain injury pathway" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-traumatic-brain-tbi-guideline.pdf" target="_blank" rel="noopener">Severe traumatic brain injury pathway (PDF)</a></li> <li><a title="TBI tiered checklist" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-traumatic-brain-tbi-tier-checklist.pdf" target="_blank" rel="noopener">TBI tiered checklist (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f7c14164-597a-4058-8909-06e395dd4dd9-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f7c14164-597a-4058-8909-06e395dd4dd9-panel" aria-expanded="false" aria-controls="f7c14164-597a-4058-8909-06e395dd4dd9-panel"> Sickle cell disease </button> </h3> </div> <div id="f7c14164-597a-4058-8909-06e395dd4dd9-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: March 2024</em></p> <ul> <li><a title="Sickle cell disease: Acute pain crisis treatment in the ED" href="https://lucid.app/documents/view/99ff2b79-71c8-4d7a-840a-7c8afcd3f8a4" target="_blank" rel="noopener">Sickle cell disease: Acute pain crisis treatment in the ED (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="6a5a4ff0-a38e-44f4-8f44-440fa464f015-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#6a5a4ff0-a38e-44f4-8f44-440fa464f015-panel" aria-expanded="false" aria-controls="6a5a4ff0-a38e-44f4-8f44-440fa464f015-panel"> Skin and soft tissue infection </button> </h3> </div> <div id="6a5a4ff0-a38e-44f4-8f44-440fa464f015-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2024</em></p> <ul> <li><a title="Skin and soft tissue infections (Interactive)" href="https://lucid.app/lucidchart/c6324252-bac1-4087-b2c3-20e4effe6677/view" target="_blank" rel="noopener">Skin and soft tissue infections (Interactive)</a></li> <li><a title="Evidence based pathway for the management of pediatric skin and soft tissue infections (SSTI)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-infection-ssti.pdf" target="_blank" rel="noopener">Evidence based pathway for the management of pediatric skin and soft tissue infections (PDF)</a></li> <li><a title="MRSA decolonization instructions" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-infection-mrsa-decolonization.pdf" target="_blank" rel="noopener">MRSA decolonization (PDF)</a></li> <li><a title="Water exposure SSTI treatment table (PDF)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-infection-ssti-waterexposure.pdf" target="_blank" rel="noopener">Water exposure SSTI treatment table (PDF)</a></li> <li><a title="Inpatient SSTI treatment recommendations" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-infection-therapy-inpatient-ssti.pdf" target="_blank" rel="noopener">Inpatient SSTI treatment recommendations (PDF)</a></li> <li><a title="Outpatient SSTI treatment recommendations" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-infection-therapy-outpatient-ssti.pdf" target="_blank" rel="noopener">Outpatient SSTI treatment recommendations (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="a4a621b4-ef0d-47a9-9e9f-be70b07ea981-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#a4a621b4-ef0d-47a9-9e9f-be70b07ea981-panel" aria-expanded="false" aria-controls="a4a621b4-ef0d-47a9-9e9f-be70b07ea981-panel"> Snakebite </button> </h3> </div> <div id="a4a621b4-ef0d-47a9-9e9f-be70b07ea981-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2023</em></p> <ul> <li><a style="margin-right: 10px;" title="Clinical pathway: Pit viper snakebite" href="https://lucid.app/documents/embedded/ea5e0975-a3c2-482b-9087-42e5b0c9f5cd" target="_blank" rel="noopener">Clinical pathway: Pit viper snakebite (Interactive)</a></li> <li><a title="Clinical Pathway: Snakebite" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-snakebite-clinical-guideline.pdf" target="_blank" rel="noopener">Clinical pathway: Pit viper snakebite (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="814e906e-cd23-4d10-a3c5-a79c327b7b97-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#814e906e-cd23-4d10-a3c5-a79c327b7b97-panel" aria-expanded="false" aria-controls="814e906e-cd23-4d10-a3c5-a79c327b7b97-panel"> Staphylococcus aureus bacteremia </button> </h3> </div> <div id="814e906e-cd23-4d10-a3c5-a79c327b7b97-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: September 2022</em></p> <ul> <li><a title="Diagnosis and management of staphylococcus aureus bacteremia" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-staphylococcus-aureus-bacteremia.pdf" target="_blank" rel="noopener">Diagnosis and management of staphylococcus aureus bacteremia (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="24fa2eb0-c61d-4ef3-83fe-46b9135ff4d5-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#24fa2eb0-c61d-4ef3-83fe-46b9135ff4d5-panel" aria-expanded="false" aria-controls="24fa2eb0-c61d-4ef3-83fe-46b9135ff4d5-panel"> Stress ulcer prophylaxis PICU </button> </h3> </div> <div id="24fa2eb0-c61d-4ef3-83fe-46b9135ff4d5-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: August 2024</em></p> <ul> <li><a title="Stress ulcer prophylaxis PICU (Interactive)" href="https://lucid.app/lucidchart/356f2b39-1046-4ec8-a22d-f9be8ee40d87/view" target="_blank" rel="noopener">Stress ulcer prophylaxis PICU (Interactive)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="da341a12-3729-45d3-895a-be7ed76bc566-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#da341a12-3729-45d3-895a-be7ed76bc566-panel" aria-expanded="false" aria-controls="da341a12-3729-45d3-895a-be7ed76bc566-panel"> Suicide screening and care </button> </h3> </div> <div id="da341a12-3729-45d3-895a-be7ed76bc566-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2023</em></p> <ul> <li><a style="margin-right: 10px;" title="Clinical pathway: Suicide screening (primary care)" href="https://lucid.app/documents/embedded/cb4273cc-51a5-4cbb-a921-592278cc7d58" target="_blank" rel="noopener">Clinical pathway: Suicide screening, primary care (Interactive)</a></li> <li><a style="margin-right: 10px;" title="Clinical pathway: Suicide screening, primary care (PDF)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-suicide.pdf" target="_blank" rel="noopener">Clinical pathway: Suicide screening, primary care (PDF)</a></li> </ul> <p><em>NOTE: CME link for staff can be found on CookNet.</em></p></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="19dbf658-535c-42a9-ac76-81b3a025bea1-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#19dbf658-535c-42a9-ac76-81b3a025bea1-panel" aria-expanded="false" aria-controls="19dbf658-535c-42a9-ac76-81b3a025bea1-panel"> Tympanostomy tube placement </button> </h3> </div> <div id="19dbf658-535c-42a9-ac76-81b3a025bea1-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: July 2023</em></p> <ul> <li><a style="margin-right: 10px;" title="ENT referral for tympanostomy tube placement" href="https://lucid.app/documents/embedded/d5e3c5dc-9017-416f-a8c0-1a0ab6c3c040" target="_blank" rel="noopener">Clinical pathway: ENT referral for tympanostomy tube placement (Interactive)</a></li> <li><a title="Evidence-based pathway for referral to ENT for tympanostomy tube placement" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-tympanostomy-tube-placement-guideline.pdf" target="_blank" rel="noopener">Evidence-based pathway for referral to ENT for tympanostomy tube placement (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="74c6b6f1-0a97-40b3-8985-80ad3aba40fb-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#74c6b6f1-0a97-40b3-8985-80ad3aba40fb-panel" aria-expanded="false" aria-controls="74c6b6f1-0a97-40b3-8985-80ad3aba40fb-panel"> Urinary tract infection (UTI) </button> </h3> </div> <div id="74c6b6f1-0a97-40b3-8985-80ad3aba40fb-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: June 2024</em></p> <ul> <li><a title="Ambulatory UTI 2 months – 18 years - Clinical pathway" href="https://lucid.app/lucidchart/158013d8-7db5-4705-b2d0-f07bdfbb811f/view" target="_blank" rel="noopener">Ambulatory UTI 2 months – 18 years - clinical pathway (interactive)</a></li> <li><a title="Ambulatory UTI 2 months- 24 months - Clinical pathway" href="https://lucid.app/lucidchart/d9542dbc-b384-4a7b-8b77-0a47abc41555/view" target="_blank" rel="noopener">Inpatient UTI 2 months – 24 months - clinical pathway (interactive)</a></li> <li><a title="Ambulatory UTI 2 years- 18 years - Clinical pathway" href="https://lucid.app/lucidchart/070831c6-8a60-418c-93ed-9c6533c9676e/view" target="_blank" rel="noopener">Inpatient UTI 2 years – 18 years - clinical pathway (interactive)</a></li> <li><a title="Urinary tract infections - guidelines (PDF)" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-uti-guideline.pdf" target="_blank" rel="noopener">Urinary tract infections - guidelines (PDF)</a></li> </ul></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="526a124f-0c83-43d1-a977-e3e7be965765-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#526a124f-0c83-43d1-a977-e3e7be965765-panel" aria-expanded="false" aria-controls="526a124f-0c83-43d1-a977-e3e7be965765-panel"> Vancomycin dosing </button> </h3> </div> <div id="526a124f-0c83-43d1-a977-e3e7be965765-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><p class="p-2 bg-aluminum"><em>Last approved: October 2022</em></p> <ul> <li><a title="Vancomycin dosing and therapeutic monitoring pathway" href="/siteassets/documents/professionals/clinical-pathways/cook-childrens-pathway-vancomycin-dosing-guidelines.pdf" target="_blank" rel="noopener">Vancomycin dosing and therapeutic monitoring pathway (PDF)</a></li> </ul></div> </div> </div> </div> </div> </div> <div class="rte-content"> <div class="rich-text"><h2>About Cook Children's clinical pathways</h2> <ul> <li>Our clinical pathways are built upon the latest medical evidence and are intended as a reference for practitioners. Clinical pathways may need to be adapted to each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of the patient and their family, and the resources available where the patient is receiving care.</li> <li>Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among Cook Children’s, its physicians, and the individual patients in question.</li> <li>While every effort is made to ensure the accuracy and comprehensiveness of the published clinical pathways, it is acknowledged that they may not encompass every possible scenario or medical situation.</li> </ul> <h2 id="accessmobile">Access clinical pathways on your mobile devices</h2> <p><strong>For iOS:</strong></p> <ol> <li style="list-style-type: none;"> <ol> <li>Open Safari and navigate to the webpage you want to add.</li> <li>Tap the Share icon (square with an upward arrow).</li> <li>Select "Add to Home Screen".</li> <li>Optionally edit the name, then tap "Add".</li> </ol> </li> </ol> <p><strong>For Android:</strong></p> <ol> <li style="list-style-type: none;"> <ol> <li>Open Chrome or your default browser and navigate to the webpage.</li> <li>Tap the three-dot menu icon and select "Add to Home screen".</li> <li>Optionally edit the name, then tap "Add".</li> </ol> </li> </ol> <p>The webpage will now appear as an app icon on your home screen. Tapping the icon will open Cook Children's clinical pathways in your default browser.</p> <h2>Evidence-based care for every child</h2> <p>Clinical pathways can serve as the foundation for quality improvement initiatives, offering process maps that, when coupled with metrics, enable the monitoring of patient care effectiveness and efficiency. Cook Children's clinical pathways are periodically adapted to incorporate new evidence and insights, making them pivotal in bridging the gap between evidence and real-time clinical decision-making.</p> <p>The following clinical pathways help us provide evidence-based care for every child. As information and research regarding equitable care and health disparities evolve in pediatrics, Cook Children’s clinical pathways will also continue to evolve.</p> <h2>Accuracy and comprehensiveness</h2> <p>These clinical pathways are not meant to replace medical advice or treatment, nor do they establish a doctor-patient relationship between Cook Children's and the patients they pertain to. While every effort is made to ensure the accuracy and comprehensiveness of the published clinical pathways, it's acknowledged that they may not encompass every possible scenario or medical situation. As such, Cook Children's assumes no responsibility for any errors or omissions in the pathways or for any outcomes resulting from their use by healthcare providers.</p></div> </div> <div class="rich-text "> <div class="rich-text"><h2>Questions and comments</h2> <p>Please feel free to bring forward any questions to our Clinical Pathways team at <a href="mailto:Pathways@cookchildrens.org">pathways@cookchildrens.org</a>.</p></div> </div> </div> </div> </div> </div> </div> </main> <script defer="defer" src="/Util/Find/epi-util/find.js"></script> <script> document.addEventListener('DOMContentLoaded',function(){if(typeof FindApi === 'function'){var api = new FindApi();api.setApplicationUrl('/');api.setServiceApiBaseUrl('/find_v2/');api.processEventFromCurrentUri();api.bindWindowEvents();api.bindAClickEvent();api.sendBufferedEvents();}}) </script> </main> <footer class="footer" > <div class="footer-wrapper bg-lightgrey"> <div data-react-component="FooterNavigation" 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