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Pediatric Emergency Medicine (PEM) Portal
PEM Clinical Pathways
PEM Clinical Pathways (Searchable List with CTRL + F)
PED Resources
PED Rotation Orientation Materials
PED Debriefs
Children's Urgent Care Documents
Advance Practice Practitioner (APP) Materials
PEM Educational Materials
PEM Attendings Face Sheet
PED & CUC Hall of Fame
POCUS Narrated Lectures
Emergency Ultrasound Admin
Pediatric Emergency Medicine (PEM) Portal
PEM Clinical Pathways
PEM Clinical Pathways (Searchable List with CTRL + F)
PED Resources
PED Rotation Orientation Materials
PED Debriefs
Children's Urgent Care Documents
Advance Practice Practitioner (APP) Materials
PEM Educational Materials
PEM Attendings Face Sheet
PED & CUC Hall of Fame
POCUS Narrated Lectures
Emergency Ultrasound Admin
PEM Clinical Pathways
PEM Clinical Pathways (Searchable List with CTRL + F)
PED Resources
PED Rotation Orientation Materials
PED Debriefs
Children's Urgent Care Documents
Advance Practice Practitioner (APP) Materials
PEM Educational Materials
PEM Attendings Face Sheet
PED & CUC Hall of Fame
POCUS Narrated Lectures
Emergency Ultrasound Admin

Pathways listed by ABCs then alphabetical. You can CTRL/COMMAND F to search this page

Airway

Pediatric Airway and Resuscitation Equipment Quick Reference

Pediatric Difficult Airway Response Team Pathway

Post Rapid Sequence Intubation (RSI) Sedation

RSI Checklist

RSI Drugs

RSI Infographic

 

Breathing

Asthma

PED Asthma Pathway

Inpatient Asthma Pathway

Continuous Albuterol Pathway

Bronchiolitis

Initiation of High Flow Nasal Cannula for Bronchiolitis

Weaning High Flow Nasal Cannula for Bronchiolitis

Initiation of High Flow Nasal Cannula for Non-Bronchiolitis

 

Circulation, Sepsis, & Resuscitation

Pediatric Cardiac Arrest Algorithm (PALS)

Pediatric Post Cardiac Arrest Pathway

Pediatric Code Cart Contents

Pediatric Intubation Kit Contents

Pediatric Code Drugs Sheet (Printed version on Code Cart)

Standard Concentrations of PICU Drug Infusions

Anaphylaxis

BRUE (Brief Resolved Unexplained Event)

Massive Transfusion Protocol (How to Initiate)

Neonatal Resuscitation Program (NRP) Algorithm 8th Ed

Oral Rehydration Pathway

Sepsis (Pediatric ED Sepsis Pathway)

Subcutaneous Fluid Rehydration (Hylenex)

Submersion Injury (Drowning) Pathway

 

Behavioral Health

Acute Agitation

Acute Agitation Infographic

BSA Completion (New Process Nov 2024)

COWS Score for Opiate Withdrawal

Eating Disorder Protocol

How to Add ASQ and BSA Columns to the Track Board

How to Create a Procedure Panel for Behavioral Health Orders

IVC in Epic Tip Sheet

Involuntary Commitment (IVC) Paperwork

Involuntary Commitment (IVC) Tutorial

Medication Assisted Treatment (MAT) Clinics in the Area

Opioid Use Disorder Algorithm

Orders for all Pediatric Behavioral Health Patients

Outpatient Behavioral Health Resources for Patients and Families

Patient Flow for Pediatric & Adult Behavioral Health Patients

Restraint Order, Face-to-Face Assessment, & Documentation for PEM Attendings

Violent Restraint Provider Checklist

 

Cardiology

How to Order a Zio patch

Child Maltreatment

Physical Abuse/Neglect Guide (April 2024; REDUCED COVERAGE)

Nutritional Neglect/FTT & Medical Neglect Guide

Non-accidental Trauma (NAT; Archived April 2024 until fully staffed)

Dental

Pediatric Dental Pathway

Endocrine/Electolytes

Diabetic Ketoacidosis (DKA) Guidelines

DKA Transition to Subcutaneous Insulin

DKA: Two Bag System Explained

Diabetes and Hyperglycemia

Hypoglycemia

Hyperkalemia

 

GI

Constipation Action Plan (English & Spanish)

Constipation Protocol (Inpatient)

Foreign Body Ingestions (Button Batteries, Magnets, Coins)

Liver Transplant Candidate Pathway

Oral Rehydration Pathway (Pediatric ED)

 

Hem/Onc

Heparin Nomogram Guideline (UNC Medical Center Guideline—Password Protected)

Heparin Nomogram Order Entry Tips

Ordering Heparin Flushes for Pediatric Central Lines

Sickle Cell Disease Fever

Sickle Cell Disease Vaso-occlusive Crisis

 

Imaging

Arranging Sedated/General Anesthesia Imaging from the PED

Contrast Challenge for Adhesive SBO

Oral Contrast Ordering Guide

Oral Contrast Ordering Guide for Adhesive Small Bowel Obstruction

Powershare Guide

Import of Outside Imaging Studies (Policy)

Epic@UNC Orders for Outside Imaging

Ultrasound First for Malrotation/Midgut Volvulus Evals

 

Infectious Disease

Animal Bites

Antibiogram

Adolescent Female Genitourinary Swab Tip Sheet

Bird Flu (H5N1) Pathway (Pediatric ED)

Best Practices for Duration of Antimicrobial Therapy for Common Infections

Community Acquired Pneumonia & Influenza Guideline

COVID-19: Multisystem Inflammatory Syndrome in Children (MISC)

COVID-19: Children’s COVID-19 Guidelines

COVID-19: Pediatric Acute COVID-19 Quick Management Guide

Empiric Acyclovir in Febrile/Hypothermic Infants

Tip Sheet for Using the ED Pediatric Febrile Neonate Order Set

Tip Sheet for Using the Febrile Infant Smart Tool (.febrileinfantool)

Febrile Neonate/Infant Shared Decision-Making Tool for Lumbar Puncture (English)

Febrile Neonate/Infant Shared Decision-Making Tool for Lumbar Puncture (Spanish)

Empiric Antibiotics for Patients Discharged from the Emergency Department or Urgent Care

Empiric Antibiotics for Pediatric Patients Admitted to UNC Children’s Hospital

Febrile Neonate/Infant Pathway

Febrile Neonate/Infant Shared Decision-Making Tool for Lumbar Puncture

HIV Post-Exposure Prophylaxis (PEP): Pediatric Guideline

Kawasaki Disease Pathway

Measles Pathway (Pediatric ED)

Male Genitourinary Swab Tip Sheet

Musculoskeletal Infection Pathway

Rabies Pre and Post Exposure Prophylaxis Fact Sheet

Urinary Tract Infection (UTI)

 

Legal

Abortion (Policy Stat)

Against Medical Advice (AMA) Paperwork

Risk Resources

CPS Reporting Guide

CPS Cheat Sheets

Physical Abuse

Sexual Abuse

Human Trafficking

Emotional Abuse

Domestic Family Violence

Substance Abuse

Substance Affected Infant

Abandonment

Supervision

Injurious Environment

Improper Discipline

Improper Medical Care

IVC in Epic Tip Sheet

 

Medications

Pediatric Code Drugs Sheet (Printed version on Code Cart)

Standard Concentrations of PICU Drug Infusions

Acute Agitation Infographic

Blinatumomab in the PED Troubleshooting Tipsheet

Comfort Sedation for the Actively Dying Pediatric Patient Outside of the Intensive Care Unit

Heparin Nomogram Guideline (UNC Medical Center Guideline—Password Protected)

Heparin Nomogram Order Entry Tips

Home Medication Ordering in the PED

Hypertonic Saline Infographic

Intramuscular Antibiotic Order Panel Infographic

Ketamine in the PED (infographic)

Ketamine (Low-Dose) for Analgesia Guideline

Sub-dissociative Ketamine in the PED

Medication Reconciliation of Home Medications Workflow

Dosing Guideline for Intravenous Patient Controlled Analgesia (PCA) in Patients with Limited Opioid Exposure (Age 6 or above)

PCA in the ED (infographic)

How to set up a PCA (Nursing Instructions)

Picking the Nose for Sedation In the Pediatric ED (Intranasal medication infographic)

Intranasal Medication Guide

Intranasal Medication Order Panel Guide

Propofol in the PED

Take Home Medication Guide

Epipen Ordering & Dispensing

Tips for Ordering Medications in the PED

Nebulized TXA for Post-Tonsillectomy Hemorrhage

 

Neuro

Migraine

Neonatal Seizure Pathway

Status Epilepticus

Stroke

How to call a Pediatric Stroke Code

OB/GYN

Abortion-related Care

Slide Deck Summary of UNC interpretation of laws and clinical guidance

Triage Flowsheet for Referrals

Tip Sheet for consenting young people for abortion care

Ovarian Torsion

Ortho

Splinting Guide

Suspected Both Bone Forearm Fracture Pathway

OrthoNow Referral Form

 

Procedural Guides

CMAC Video Laryngoscope

CMAC Components

Foreign Body Removal Narrated Lecture

Nasal Foreign Body Removal with Positive Pressure

Needle Cricothyrotomy/Percutaneous Jet Ventilation

 

Pulmonary/Respiratory

Guidelines for Pediatric Chronic Ventilator Patients on the Floor

Pediatric Airway Foreign Body Pathway

 

Sedation

Arranging Sedated/General Anesthesia Imaging from the PED

Intranasal Medication Guide

Picking the Nose for Sedation In the Pediatric ED (Intranasal medication infographic)

Ketamine (Low-Dose) for Analgesia Guideline

Sub-dissociative Ketamine in the PED

Nitrous Oxide in the PED Pathway

Nitrous Oxide in the PED Powerpoint

PED Procedural Sedation Selection Criteria

Pediatric Sedation Policy

Precedex (Dexmedetomidine)

Propofol Sedation in the Emergency Department

Pediatric Sedation Pocket Card

 

Sexual Assault

Child Sexual Abuse (<18 yo) Pathway

HIV Post-Exposure Prophylaxis (PEP): Pediatric Guideline

SANE PEP Checklist

Prepubescent SANE FAQs

Prepubescent STD Testing

STI Testing Guide (Specimen Collection)

 

Surgical/Trauma

Appendicitis

Aspen Cervical Collar Sizing Guide

C- Spine Clearance

Child Maltreatment

Physical Abuse/Neglect Guide (April 2024; REDUCED COVERAGE)

Nutritional Neglect/FTT & Medical Neglect Guide

Non-accidental Trauma (NAT; Archived April 2024 until fully staffed)

Contrast Challenge for Adhesive SBO

Mild Head Injury Imaging Guidelines (includes trauma rapid MRI)

Ovarian Torsion

PECARN Pediatric Head Trauma CT Decision Guide (<2 yo)

PECARN Pediatric Head Trauma CT Decision Guide (>2 yo)

Submersion Injury (Drowning) Pathway

Trauma Activation Criteria (Version April 2024)

Trauma Huddle and Time Out Diagram

Trauma Narrator RN Documentation Requirements

Trauma Resuscitation: Primary and Secondary Survey Refresher/101

 

Toxicology

Snake Bite Management Guidelines (NC Poison Control)