But opting out of some of these cookies may have an effect on your browsing experience. 2019 Sep;144(3):e20182201. Mountain Pathways School. Select from 17 infant babysitters near Lenoir, NC. Application of the information in or to a particular situation remains the professional responsibility of the practitioner who is directly treating the patient. The Terms of Use and Privacy Policy set forth on the website of The Childrens Hospital of Philadelphia apply to any and all uses of and access to this site and the content found here. Given a baseline prevalence of 0.25 percent for bacterial meningitis in well-appearing febrile infants 29 to 60 days of age and use of a prediction rule with a sensitivity >90 percent, the risk of missed meningitis decreases to 0.025 percent among infants identified as low risk. The incidence of invasive pneumococcal disease in children younger than five years dropped by more than 90% after the initiation of pneumococcal conjugate vaccines. 3401 Civic Center Blvd. Which memorial do you think is a duplicate of Infant Pickett (57298709)? $325,000. 3401 Civic Center Blvd. Care.com" and "There for you" are service marks or registered service marks of Care.com, Inc. 2007-2023 Care.com, Inc. All rights reserved. PMID: 31434688. Mt Pathways Montessori School. The Presentations are not intended to constitute medical advice or treatment, nor should they be relied upon as such. Were here to deliver safe, thoughtful, high-quality care for kids who need it. Care.com does not employ any caregiver and is not responsible for the conduct of any user of our site. Emergency Medicine Cases. CSF pleocytosis was defined using age-specific CSF WBC reference values (ie, 19 for infants 0-28 days of age and 9 for infants 29-60 days of age). Ive divided the above CHOP lecture into four posts: Here are links to the three clinical pathways from CHOP that are relevant to the lecture: Here is the link toThe Clinical Pathways Library[a comprehensive list of the clinical pathways at Childrens Hospital of Philadelphia (CHOP)]. August 2021; 148 (2): e2021052228. CHOP makes no warranty, expressed or implied, with respect to the currency, completeness, applicability or accuracy of the Presentations. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Fever in Well-Appearing Infants and Children Younger Than 2 Years (ACEP Clinical Policy 2016) It is the responsibility of the practitioner to ascertain the FDA status of each drug or device planned for use in their clinical practice. My name's Madison and I'm currently a sophomore at UNCC. 2018 Mar;67(3):166-169. The above article has been cited by 7 PubMed Central articles. I am a senior in high school, 18 years, I have tons of child care experience since my teenage years. 2011 Sep;128(3):595-610. doi: 10.1542/peds.2011-1330. 1.1 You shall not make Materials available on Yours or third parties websites; 1.2 You shall not use Materials in any commercial product; 1.3 You shall not rent, lease, sell, or sublicense Materials; 1.4 You shall not allow a third party to do any of the above. A Pediatric Emergency Medicine Podcast to educate, enlighten and inform. Nationwide Children's Hospital's Clinical Pathways are peer-reviewed, evidence-based best practice recommendations for the management and treatment of medical conditions. This website uses cookies to improve your experience while you navigate through the website. Evaluation and Management of the Febrile Infant, Fever in Well-Appearing Infants and Children Younger Than 2 Years. Rapid identification and treatment of infants 29-60 days with presenting complaint of documented fever 38 C 2. Use of this site is subject to theTerms of Use. Help me decide. padding:40px; 3401 Civic Center Blvd. All criteria met = low risk = 0.7% risk of IBI full septic workup likely not required; consider observation in ED and ensure close outpatient follow up. 2018 Jan 11;2(1):55-57. doi: 10.5811/cpcem.2017.11.36438. Once you have decided to receive such communications, you may later decide to stop receiving these communications. While most fevers do not lead to severe illness, it can be challenging to immediately identify the cause of a baby's fever while avoiding unnecessary tests or hospitalizations. **By selecting Yes, you consent to receive information from CHOP. 2021 Jan;28(1):46-59. Febrile Infant Clinical Pathway Emergency Department and Inpatient | Children's Hospital of Philadelphia Emergency Department and Inpatient Clinical Pathway for Evaluation/Treatment of Febrile Infants 56 Days Old with Community Onset Fever Goals and Metrics Provider Resources Related Pathway Urinary Tract Infection (UTI), All Settings Any delay in care or ineffective management could lead to increased patient morbidity and mortality. If you have questions about any of the clinical pathways or about the process of creating a clinical pathway pleasecontact us. Public accommodations protections include being unfairly refused services or entry to or from places accessible to the public (retail stores, restaurants, parks, hotels, etc). We have 10 infant babysitters in Lenoir,NC! This post is Evaluation Of The Well Appearing Febrile Infant From CHOP Part 1 Of 4 Less Than 60 Days Of Age from the outstanding Approach To Febrile Infants In The Emergency Department lecture and accompanying slides from The Childrens Hospital of Philadelphia(CHOP). You also have the option to opt-out of these cookies. By starting this module, you agree to our Content Disclaimer and Terms of Service. This clinical pathway discusses the evaluation and mangement of a well appearing febrile infant (0-21 days old) in an Emergency Department setting. They were created by a multidisciplinary team of content experts (including primary care, emergency medicine, hospital medicine, neonatology, infectious disease, nursing, and pharmacy) and process improvement professionals. (2)Validation of the Step-by-Step Approach in the Management of Young Febrile Infants [PubMed Abstract] [Full Text HTML] [Download Full Text PDF]. Emergency Department Clinical Pathway for Evaluation/Treatment of Febrile Infants <56 Days Old. Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Childrens Hospital of Philadelphia (CHOP), its physicians and the individual patients in question. These Presentations are intended only to provide general information and need to be adapted for each specific patient based on the practitioners professional judgment, consideration of any unique circumstances, the needs of each patient and their family, the availability of various resources at the health care institution where the patient is located, and other factors. If this is your first time attempting to login to the new website with an existing account, you will first need to reset your password before logging in. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. Acad Emerg Med. Do additional legal protections exist for the LGBTQ community at the state level in North Carolina? Philadelphia, PA 19104, Physical Exam with Concern for Focal Bacterial Infection, Inflammatory Markers (IMs): Procalcitonin, CRP, ANC, Know My Rights About Surprise Medical Bills, Febrile Young Infant 56 Days Old with Community Onset Fever, Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old, Use of Procalcitonin Assays to Predict Serious Bacterial Infection in Young Febrile Infants, Time to Pathogen Detection for Non-ill Versus Ill-Appearing Infants 60 Days Old With Bacteremia and Meningitis, Prevalence of Bacterial Meningitis Among Febrile Infants Aged 29-60 Days With Positive Urinalysis Results: A Systematic Review and Meta-analysis, Validation of the Step-by-Step Approach in the Management of Young Febrile Infants, Approach to the Febrile Young Infant (FYI), Episode 8: The Febrile Infant - Join host Dr. Bob Belfer as he talks to PEM Experts Dr. Rich Scarfone and Dr. Prashant Majahan About how to Approach the Infant with a Fever, Rectal temp 38.0 C (100.4 F) in past 24 hrs, Admit w/o antimicrobials as indicated for etiologies other than serious bacterial infections, 2022 The Childrens Hospital of Philadelphia. This property is not currently for sale or for rent on Trulia. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. Berkshire Hathaway HomeServices Blue Ridge REALTORS, MLS#3880099. @media (max-width : 1000px) { 2023 by Children's Hospital of Philadelphia, all rights reserved. This category only includes cookies that ensures basic functionalities and security features of the website. I am 21 years old and absolutely love working with children. We see more, treat more and heal more children than any hospital in our seven-state region. 1.5 If you breach the restrictions set forth above, you may be subject to prosecution and damages. Memorial has already been merged. Pediatrics. Evaluation and Management of the Febrile Infant (Ped EM Practice 2019) (Free resident access) Pediatric Fever (EM:RAP 2018) Pediatric Fever (CDEM 2015) Clinical Guidelines. Validation of the Step-by-Step Approach in the Management of Young Febrile Infants. Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society, Episode 69: Recognizing and Treating Febrile Seizures, Duration > 5 min + Under federal law, housing and employment discrimination based on sexual orientation and gender identity is unlawful. Learn about visitation policies and all the ways were keeping patients safe, includingface covering requirements at all locations. J. Antoon, D. Peritz, Michael Parsons, A. Skinner, J. Lohr Medicine Hospital pediatrics 2018 TLDR 2018 February. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. Explain when to utilize certain diagnostic tests for febrile infants, including: Urinalysis and culture (including appropriate method of collection), Peripheral blood diagnostic studies (e.g., CBC, procalcitonin), Describe the indications for, appropriate timing of (relative to diagnostic studies), and choice of agent in empiric antibiotic therapy for febrile infants, Name the appropriate disposition for infants age 28 days or younger with fever, Describe which febrile children age 60 days or younger may be eligible for discharge, Evaluation and Management of the Febrile Infant (Ped EM Practice 2019) (Free resident access), Fever in Well-Appearing Infants and Children Younger Than 2 Years(ACEP Clinical Policy 2016) (pdf). CLOSED NOW. This PEM Podcast episode was originally released on April 15, 2021. Pediatrics. But opting out of some of these cookies may have an effect on your browsing experience. OBJECTIVE: Young infants are often treated in emergency departments (EDs) for febrile illnesses. The choice of which decision tool one uses depends on local availability of procalcitonin. In accessing, installing, and/or using the Materials, you agree to be bound by the terms of this Agreement. The Presentations are not intended to create a doctor-patient relationship between/among The Childrens Hospital of Philadelphia, its physicians and the individual patients in question. Website (828) 262-5787. CHOP is making available OPEN, (Materials) to you at no charge under the terms of this License. Caring pediatric nurses are available 24/7 to help answer your questions. The mean time to urine collection and time to the first antibiotic administration were reduced after pathway implementation (23-minute reduction to urine collection vs 36-minute reduction to the first antibiotic administration). (3)Thermometry in paediatric practice [PubMed Abstract] [Full Text] [Full Text PDF]. Employment protections include being fired, denied employment, or otherwise discriminated against by an employer. A standardized ED clinical pathway may improve care for these patients. If you want to stop receiving these communications, you may send an email message to chopopensupport@chop.edu. This property has a lot size of 2.74 acres. I do have experience with Special needs and administering medications. Childrens Hospital of Philadelphia is a charitable 501(c)(3) nonprofit organization. .start-quiz-before-box-text{ The pathways include: Stratify patients based on by age and presenting symptoms Facilitate the avoidance of unnecessary interventions A 13-year-old female child who presented to the Pediatric outpatient department of KISTMCTH with a history of fever and arthralgia for three months is presented. These Presentations are intended only to provide general information and need to be adapted for each specific patient based on the practitioners professional judgment, consideration of any unique circumstances, the needs of each patient and their family, the availability of various resources at the health care institution where the patient is located, and other factors. and U.S. News & World Report has named us a best children's hospital in the nation. PMID: 30776077; PMCID: PMC6450281. Validated decision tools that include procalcitonin have allowed us to safely avoid lumbar puncture, immediate empiric IV antibiotics , and admissions to hospital in a greater proportion of febrile infants than in the past. These cookies do not store any personal information. Evaluation Of The Well Appearing Febrile Infant From CHOP - Part 4 Of 4 - 2 to 24 Months - Occult Bacteremia; Here are links to the three clinical pathways from CHOP that are relevant to the lecture: ED Pathway for Evaluation/Treatment of Febrile Young Infants (0-56 Days Old) Pathway for Evaluation/Treatment of Child with Fever 453 Howards Creek Rd. When you give to Children's Colorado, you're helping us to reimagine children's health through patient care, education, research and advocacy. . 2016 Aug;138(2). Join host Dr. Bob Belfer as he talks to PEM experts Dr. Rich Scarfone and Dr. Prashant Majahan about how to approach the infant with a fever. Please enter a valid Memorial ID. . About 14 out of every 1,000 healthy infants born full term develop a fever during the ages 8 days to 60 days old. 3,812 sqft (on 1.25 acres) 1697 Highway 268, Lenoir, NC 28645. Online Resources For Primary Care Physicians, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 2 Of 4 2 to 24 Months Occult Bacterial Infections UTI, Approach To Febrile Infants In The Emergency Department lecture and accompanying slides, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 1 Of 4 Less Than 60 Days Of Age, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 3 Of 4 2 to 24 Months Pneumonia, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 4 Of 4 2 to 24 Months Occult Bacteremia, ED Pathway for Evaluation/Treatment of Febrile Young Infants (0-56 Days Old), Pathway for Evaluation/Treatment of Child with Fever, Pathway for Evaluation And Treatment Of Child With Community-Acquired Pneumonia, Fever in under 5s: assessment and initial management, NW Newborn Clinical Guideline Urinary Catheterisation, Catheterization of the Urethra in Male Children, Congenital Adrenal Hyperplasia (CAH) From PedsCases, Reviewing Episode 13 Part 2: Killer Coma Cases The Intoxicated Patient From Emergency MedicineCases, Reviewing Episode 13 Part 1: Killer Coma Cases The Found Down Patient From Emergency Medicine Cases, The Best Way to Start a Podcast PCI 333 From Blubrrys Pod, Sturge Weber Syndrome Podcast From PedsCases With A Link To An Additional Resource, Neurofibromatosis Type 1 (NF1) From PedsCases With Links To Additional Resources, Approach To Childhood Glaucoma Podcast From PedsCases, Reviewing Episode 33: Oncologic Emergencies From Emergency Medicine Cases, Linking To The Referring Physician Imaging Ordering Guide: What to Order When From Radia, Oncologic Emergencies (Part2) From EMC Rapid Review Videos, Oncologic Emergencies (Part 1) From EMC Rapid Review Videos, Postmenopausal Bleeding From StatPearls, Anaphylaxis and Anaphylactic Shock From Emergency Medicine Cases, #382 Abnormal Uterine Bleeding From The Curbsiders With Links To Additional Resources, False negative point-of-care urine pregnancy tests in an urban academic emergency department: a retrospective cohort study-Links And-Excerpts, Links To A Minicourse On Subarachnoid Hemorrhage By Dr. Chris Nickson From Life In The Fast Lane, Coma-like Syndromes By Dr. Chris Nickson From Life In The Fast Lane, Best Case Ever 22: Nonconvulsive Status Epilepticus (NCSE) From Emergency Medicine Cases, Non-Convulsive Status Epilepticus From EM Quick Hits, Link And Excerpts From Long QT From StatPearls With An Additional Resource And A Caveat, Genetic Diseases 3: Genetic testing technologies From Pedscases, Genetic Diseases 2: X-linked inheritance From PedsCases, Link To And Excerpts From Syncope From StatPearls, Genetic Diseases 1: Autosomal dominant inheritance From PedsCases With A Link To A Resource On Long QT Syndrome, Two Lists From The New York Times: 50 Best Netflix Films Now And 50 Best Netflix TV Series Now, Links To Stanford Medicine 25s 10 Video Introduction To Ultrasound Series (Point of Care, POCUS), Common Mistakes in Point of Care Cardiac Ultrasound (Echocardiography, POCUS) From Stanford Medicine 25, Point of Care Cardiac Ultrasound (Echocardiography, POCUS) From Stanford Medicine 25, Basic cardiac POCUS: image acquisition-A Teaching Video From UBC IM POCUS, Link To Complete List Of ACOG Guidelines With Links To Some Examples. Febrile infant low risk decision tools for infants: PECARN, Step-by-Step and Aronson, https://media.blubrry.com/emc/content.blubrry.com/emc/EMC-173-Aug2022-Febrile-Infant-.mp3, https://apps.apple.com/ca/app/pedsguide/id1094742963, https://www.mdcalc.com/calc/10204/pecarn-rule-low-risk-febrile-infants-29-60-days-old#evidence, https://trekk.ca/resources?tag_id=C001234, https://www.mdcalc.com/calc/1801/step-step-approach-febrile-infants, https://www.chop.edu/clinical-pathway/febrile-infant-emergent-evaluation-clinical-pathway, ECG Cases 40 Approach to Spontaneous Coronary Artery Dissection (SCAD), Ep 179 Hand Injuries Finger Tip Injuries, Jersey Finger, PIP Dislocations, Metacarpal Fractures, Thumb Injuries, Tendon Lacerations, EM Quick Hits 46 Wilderness Medicine, Bowel Prep Hyponatremia, Non-Convulsive Status Epilepticus, Morel Lavallee Lesions, Pacemaker ECGs, Loans vs Investing, Urinalysis negative for leukocyte esterase, nitrites and pyuria (WBC 5/hpf), Urinalysis positive (leucocyte esterase, nitrites or pyuria (>5WBC/hpf 3 points), Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, OLeary ST, Okechukwu K, Woods CR, Byington CL, Lavelle JM, Lye PS, Macy ML, Munoz FM, Nelson CE, Pearson SJ, Powell KR, Teichman JS; Subcommittee on Febrile Infants, Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. This website uses cookies to improve your experience while you navigate through the website. I have watched children from the age of newborn to teens. pii: e20154381. Not sure if you need urgent or emergency care? CHOP makes no warranty, expressed or implied, with respect to the currency, completeness, applicability or accuracy of the Presentations. The AAP released a new clinical practice guideline in 2021 for febrile infants aged 8-60 days old that . Childrens Hospital of Philadelphia is a charitable 501(c)(3) nonprofit organization. It is mandatory to procure user consent prior to running these cookies on your website. READ CAREFULLY. Compare and hire the best infant babysitter to fit your needs. Use of this site is subject to theTerms of Use. I have been babysitting from 13 years old for family, friends, neighbors, anyone really. Necessary cookies are absolutely essential for the website to function properly. Subjects were infants aged 56 days or younger presenting with a rectal temperature of 38.0[degrees]C or higher. Fever in Infants Less than 60 Days. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioners professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located. JAMA Pediatr. CHOP, The Childrens Hospital of Philadelphia Foundation and its or their affiliates, the authors, presenters, practitioners, editors, and others associated with the creation of the Presentations (CHOP) are not responsible for errors or omissions in the Presentations; for any outcomes a patient might experience where a clinician reviewed one or more such Presentations in connection with providing care for that patient; and/or for any and all third party content on the site or in the Presentations. The goal of the febrile young infant clinical practice guideline committee was to develop an evidence-based pathway that highlights the most appropriate use of laboratory testing, antibiotics, and antivirals, allowing us to provide the highest quality, most cost-effective care. Clinical guideline [CG160] Published date: May 2013 Last updated: August 2017. } Learn how we're addressing community health needs, We're a nonprofit that is supported by donors. A standardized ED clinical pathway may improve care for these patients. Affiliated with the University of Colorado School of Medicine. In infants above 3 months of age, the clinical assessment can direct regarding laboratory testing . 2016 Dec;138(6). The Presentations are protected by copyright laws and in some cases patent laws, and all rights are reserved under such laws. } It is mandatory to procure user consent prior to running these cookies on your website. This End User License is a legal agreement between you, the End User, and the Childrens Hospital of Philadelphia (CHOP). Children's Hospital Colorado partners with NRC Health to gather star ratings and reviews from patients, residents and family survey data. If you have questions about any of the clinical pathways or about the process of creating a clinical pathway pleasecontact us. 3401 Civic Center Blvd. For a complete list of the outstanding pediatric FOAM courses from the Childrens Hospital of Philadelphia, please seeCHOP Open-access Medical Education. (6)Urinary Catheterization in Infants: When Its Knot so Simple [PubMed Abstract] [Full Text]. Necessary cookies are absolutely essential for the website to function properly. Application of the information in or to a particular situation remains the professional responsibility of the practitioner who is directly treating the patient. This End User License is a legal agreement between you, the End User, and the Childrens Hospital of Philadelphia (CHOP). MD Calc. Coronavirus (COVID-19) Resources and Updates, Addressing the Youth Mental Health Crisis, Physician Relations Networking Night Colorado Springs, Laboratory and Microbiology Test Directory, Stratify patients based on by age and presenting symptoms, Facilitate the avoidance of unnecessary interventions, Encourage shared decision-making between health providers and caregivers, Added revisions to align with the current American Academy of Pediatrics clinical practice guideline for febrile infants, Stratification of patients into three age-based risk categories (0 to 21 days, 22 to 28 days and 29 to 60 days), Prompts to promote shared decision-making between providers and caregivers, Suggested evaluation for febrile infants ages 0 to 60 days presenting with bronchiolitis, Suggested evaluation for ill-appearing infants ages 0 to 60 days. How do the PECARN, Step-by-Step and Aronson decision tools for identifying febrile infants at low risk for IBI and SBI? Child with Febrile Seizure Actively seizing Status Epilepticus Pathway Concerning Features Focality or Todd's paralysis lasting > 15 min 3 seizures in 24 hours Duration > 15 minutes Duration > 5 min + benzodiazepine Failure to return to baseline mental status Significant developmental delay Triage Criteria History and Physical If you wish to report an issue or seek an accommodation, please, 442-H New York Standard Operating Procedures. Enjoy an evening of drinks and hors doeurvres and an opportunity to meet Childrens Hospital Colorados Fever in Infants 0 to 60 Days pathways provide guidance on the evaluation and management of infants ages 0 to 60 days old with a fever. Identification and treatment of infants 28 days with temperature 38 C 2. At the end of this session, learners will be able to recall the evolution of management for The Febrile Young Infant (FYI) with emphasis on lumbar punctures in the 2 nd month of life, presumed urinary tract infection (UTI), and the 2021 American Academy of Pediatrics (AAP) guidelines. The Terms of Use and Privacy Policy set forth on the website of The Childrens Hospital of Philadelphia apply to any and all uses of and access to this site and the content found here. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient. The PECARN rule low risk febrile infants 26-60 days of age has a 99.8% sensitivity for SBI. Take Quiz. } J Fam Pract. I am currently in the Elementary Education program and would love to help children with homework or tutoring if needed. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. READ CAREFULLY. Important definitions for the febrile infant Fever: single temperature >38.0 rectal Fever without a source in pediatrics: child <3 years old, who after initial history and physical, do not have an identifiable cause of their fever SBI: Serious Bacterial Infection - includes urinary tract infection, bacterial meningitis and bacteremia benzodiazepine, Failure to return to baseline mental status. You also have the option to opt-out of these cookies. A score <2 can be used to identify infants with a history of fever only, who have a low probability of having an IBI, and who may not require CSF testing., #accordion-25764-1 .fusion-panel:hover{ border-color: #e0dede } #accordion-25764-1 .fusion-panel { border-color:#e0dede; }.fusion-accordian #accordion-25764-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian #accordion-25764-1 .panel-title a .fa-fusion-box:before{ font-size: 13px; width: 13px;}.fusion-accordian #accordion-25764-1 .panel-title a{font-size:14px;color:#333333;font-family:"Open Sans";font-weight:600;}.fusion-accordian #accordion-25764-1 .toggle-content{font-size:14px;color:#000000;font-family:"Open Sans";font-weight:regular;}.fusion-accordian #accordion-25764-1 .fa-fusion-box { background-color: #333333;border-color: #333333;}.fusion-accordian #accordion-25764-1 .panel-title a:not(.active):hover, #accordion-25764-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #9c1b1e;}.fusion-accordian #accordion-25764-1 .panel-title .active .fa-fusion-box,.fusion-accordian #accordion-25764-1 .panel-title a:not(.active):hover .fa-fusion-box { background-color: #9c1b1e!important;border-color: #9c1b1e!important;}, Drs.