The Royal Children's Hospital Melbourne

Clinical Practice Guidelines

Clinical Practice Guidelines

Clinical Practice Guidelines

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D
E
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All

A

B

Balanitis (see >> The penis and foreskin) (Victorian)
Basic Paediatric ECG interpretation (PIC)
BC algorithm (see >> Childrens cancer centre - blood culture)
Bedwetting (see >> Enuresis - Bed wetting and Monosymptomatic Enuresis) (PIC)
Bell's palsy (see >> Facial weakness and Bell's palsy) (PIC)
Benzodiazepine poisoning (Victorian)
Bier block (Victorian)
Bites (see >> Animal and human bites) (PIC)
Bleeding dental socket (see >> Dental conditions - non traumatic) (PIC)
Bleeding Disorders (see >> Haemophilia) (PIC)
Blood Culture Guidelines (see >> Childrens cancer centre - blood culture)
Blood Pressure Charts (see >> Hypertension in children and adolescents) (PIC)
Blood product prescription (PIC)
Bone and joint infection (PIC)
Bradycardia during sleep (PIC)
Brief Resolved Unexplained Event BRUE (PIC)
Bronchiolitis (PIC)
Burns - Acute Management (PIC)
Burns - Post Acute Care and Dressings (PIC)
Button battery ingestion (see >> Foreign body ingestion) (PIC)

C

Camphor poisoning (Victorian)
Can’t intubate can’t oxygenate (CICO) airway emergency management (PIC)
Cannabis withdrawal syndrome (PIC)
Capsicum spray
Carbamazepine poisoning (PIC)
Care of the seriously unwell child (see >> Resuscitation: Care of the seriously unwell child) (PIC)
Cellulitis and other bacterial skin infections (PIC)
Cerebral palsy
Cerebral Palsy - chest infection (PIC)
Cerebral Palsy - Increased Seizures (PIC)
Cerebral palsy - pain and irritability (PIC)
Cervical lymphadenopathy (PIC)
Cervical spine assessment (PIC)
Charcoal in Poisonings (see >> Use of Activated Charcoal in Poisonings) (Victorian)
Chest drain insertion (see >> Thoracocentesis and chest drain insertion) (PIC)
Chest pain (PIC)
Chickenpox (varicella)
Child abuse (PIC)
Childrens cancer centre - blood culture
Chloral Hydrate Poisoning (Victorian)
Chroming (see >> InhalantsVolatile Substance Use - Chroming) (Victorian)
Circumcision (see >> The penis and foreskin) (Victorian)
Colic (see >> Unsettled or crying babies) (PIC)
Coma (see >> Altered conscious state) (PIC)
Common Causes of Ataxia
Communicating procedures to children (PIC)
Community acquired needle stick injury (PIC)
Community acquired pneumonia (PIC)
Congenital Torticollis (PIC)
Constipation (PIC)
Contact prophylaxis for invasive meningococcal or Hib disease (PIC)
Contraception (PIC)
Convulsions (see >> Seizures acute management) (PIC)
Convulsions (see >> Febrile seizure) (PIC)
Coronavirus (see >> COVID-19) (PIC)
Coroner (see >> Death of a child) (PIC)
Corrosives - Caustic Poisoning (Victorian)
Cough
COVID clinical management guidelines package (RCH)
COVID-19 (PIC)
COVID-19 emergency airway management (see >> Emergency airway management in COVID-19 context) (PIC)
COVID-19 swabbing (PIC)
Cow's milk allergy (see >> Non-IgE mediated food allergy) (PIC)
CPG Committee Calendar
CPG information
CPR (see >> Resuscitation: Hospital Management of Cardiopulmonary Arrest) (PIC)
CPR (COVID) (see >> Resuscitation: Hospital Management of Cardiopulmonary Arrest COVID-19) (PIC)
Croup (Laryngotracheobronchitis) (PIC)
CSF interpretation (PIC)
Cyanotic Episodes in Congenital Heart Disease (PIC)

D

Daytime wetting (see >> Urinary Incontinence - Daytime wetting) (Victorian)
Death Certificate (see >> Death of a child) (PIC)
Death of a child (PIC)
Death of a child: New South Wales resources (PIC)
Death of a child: Queensland resources (PIC)
Death of a child: Resources (PIC)
Death of a child: Sudden unexpected death in infancy SUDI (PIC)
Death of a child: Victorian resources (PIC)
Dehydration (PIC)
Dental abscess (see >> Dental conditions - non traumatic) (PIC)
Dental conditions - non traumatic (PIC)
Dental trauma (PIC)
Depressed Consious State (see >> Altered conscious state) (PIC)
Developmental disability (see >> Autism and developmental disability: Management of distress/agitation) (PIC)
Diabetes insipidus (PIC)
Diabetes mellitus and endoscopy
Diabetes mellitus and surgery
Diabetes mellitus: management of unwell children with established diabetes at home
Diabetes mellitus: management of unwell children with established diabetes in hospital
Diabetes Mellitus: new presentation (Victorian)
Diabetic ketoacidosis (Victorian)
Distraction techniques for COVID-19 swabbing
DKA (see >> Diabetic ketoacidosis) (Victorian)
Drowning (PIC)
Dysmenorrhoea

E

Eating disorders (see >> Management of Eating Disorders in the Emergency Department) (Victorian)
Ebola (see >> Empiric treatment of infectious diseases in Ebola suspect)
ECG interpretation (see >> Basic Paediatric ECG interpretation) (PIC)
Eczema (PIC)
Elbow Dislocations
Elbow Dislocations - Emergency Department
Electrolyte abnormalities (PIC)
Emergency airway management (PIC)
Emergency airway management in COVID-19 context (PIC)
Emergency medication and resuscitation resources (PIC)
Empiric treatment of infectious diseases in Ebola suspect
Empyema (see >> Parapneumonic effusion) (PIC)
Encephalitis (see >> Meningitis and encephalitis) (PIC)
Engaging with and assessing the adolescent patient (PIC)
Enuresis - Bed wetting and Monosymptomatic Enuresis (PIC)
Envenomation and Bites (see >> Snakebite) (Victorian)
Epididymoorchitis (see >> Acute scrotal pain or swelling) (PIC)
Epiglottitis (see >> Acute upper airway obstruction) (PIC)
Epistaxis
Essential Oil Poisoning (PIC)
Ethanol poisoning (Victorian)
Eucalyptus Oil Poisoning (PIC)
Extravasation (see >> Peripheral extravasation injuries: Initial management and washout procedure) (PIC)
Eye (see >> Penetrating eye injury) (PIC)
Eye (see >> Acute eye injury) (PIC)
Eye Examination (PIC)

F

Facial weakness and Bell's palsy (PIC)
Failure to thrive (see >> Slow weight gain) (PIC)
Family Violence (Victorian)
Fascia iliaca block of the femoral nerve (Victorian)
Fasting for general anaesthesia
Febrile child (PIC)
Febrile neutropenia (see >> Fever and suspected or confirmed neutropenia) (Victorian)
Febrile seizure (PIC)
Fever and petechiae – purpura (see >> Petechiae and purpura) (PIC)
Fever and sickle cell disease (see >> Sickle cell disease)
Fever and suspected or confirmed neutropenia (Victorian)
Fever in the recently returned traveller (PIC)
Fingertip and nail injuries – Emergency Department
Fluids (see >> Nasogastric Fluids) (PIC)
Fluids (see >> Intravenous fluids) (PIC)
Food allergy - IgE mediated food allergy
Food allergy - Non-IgE mediated food allergy (see >> Non-IgE mediated food allergy) (PIC)
Foreign bodies inhaled (PIC)
Foreign body ingestion (PIC)
Foreskin (see >> The penis and foreskin) (Victorian)
Fracture casting videos
Fractures

G

H

Haematuria (PIC)
Haemophilia (PIC)
Head injury (PIC)
Headache (PIC)
Heart Rate - Normal (see >> Acceptable ranges for physiological variables) (PIC)
Heavy Menstrual Bleeding (see >> Adolescent gynaecology - Heavy menstrual bleeding) (PIC)
Henoch-Schönlein purpura (PIC)
Heparin infusion (see >> Anticoagulation therapy)
Hereditary Angioedema (see >> Hereditary angioedema (C1-esterase inhibitor deficiency))
Hereditary angioedema (C1-esterase inhibitor deficiency)
High risk - low dose paediatric ingestions (Victorian)
Hirschsprung associated enterocolitis HAEC (PIC)
HSP (see >> Henoch-Schönlein purpura) (PIC)
HSV Gingivostomatitis
Hydrocarbon poisoning (Victorian)
Hydrocoele (see >> Acute scrotal pain or swelling) (PIC)
Hydrofluoric acid exposure (Victorian)
Hydronephrosis (see >> Antenatal urinary tract dilation) (PIC)
Hyperkalaemia
Hypermagnesaemia (PIC)
Hypernatraemia (PIC)
Hyperosmolar hyperglycaemic state
Hyperphosphataemia (PIC)
Hypertension in children and adolescents (PIC)
Hypertrophic Pyloric Stenosis (see >> Pyloric stenosis) (PIC)
Hypoglycaemia
Hypoglycaemic poisoning (see >> Oral Hypoglycaemic Poisoning) (Victorian)
Hypokalaemia (PIC)
Hypomagnesaemia (PIC)
Hyponatraemia (PIC)
Hypophosphataemia (PIC)

I

Idiopathic Nephrotic Syndrome (see >> Nephrotic syndrome) (PIC)
Immigrant health - acute presentations (PIC)
Immigrant health resources
Immune thrombocytopenic purpura (PIC)
Incontinence (see >> Urinary Incontinence - Daytime wetting) (Victorian)
Infant Distress (see >> Unsettled or crying babies) (PIC)
Infantile Spasms (PIC)
Influenza (PIC)
Inguinal hernia (see >> Acute scrotal pain or swelling) (PIC)
InhalantsVolatile Substance Use - Chroming (Victorian)
Intranasal fentanyl
Intraosseous access (PIC)
Intraosseous needle insertion (see >> Intraosseous access) (PIC)
Intravenous access - Peripheral
Intravenous fluids (PIC)
Intravenous fluids – neonatal (see >> Neonatal intravenous fluids) (PIC)
Intussusception (PIC)
Invasive group A streptococcal infections: management of household contacts (PIC)
Iron deficiency (PIC)
Iron poisoning (Victorian)
IV Immunoglobulin
IV insertion (see >> Intravenous access - Peripheral)

J

Jaundice in early infancy (PIC)
Joint infections (see >> Bone and joint infection) (PIC)
Joint Pain (see >> The acutely swollen joint) (PIC)

K

Kawasaki disease (PIC)
Ketamine use for procedural sedation (PIC)

L

Lacerations (PIC)
Laryngotracheobronchitis (see >> Croup (Laryngotracheobronchitis)) (PIC)
Lichen Sclerosus (et Atrophicus) (see >> Vulval and Vaginal Conditions) (PIC)
Limping or non-weight bearing Child (see >> The limping or non-weight bearing child) (PIC)
Local anaesthetic poisoning (Victorian)
Lumbar puncture (PIC)
Lymphadenitis (see >> Cervical lymphadenopathy) (PIC)

M

N

Nappy rash
Nasal Discharge (see >> Persistent nasal discharge rhinosinusitis)
Nasal fracture
Nasogastric Fluids (PIC)
Needlestick injury (community acquired) (see >> Community acquired needle stick injury) (PIC)
Neonatal antimicrobial guidelines
Neonatal intravenous fluids (PIC)
Neonates (see >> Recognition of the seriously unwell neonate and young infant) (PIC)
Nephrotic syndrome (PIC)
Neutropenia (see >> Fever and suspected or confirmed neutropenia) (Victorian)
Nicotine Poisoning (Victorian)
Nitrous Oxide - oxygen mix (PIC)
Nitrous Oxide (N2O) Misuse (see >> Nitrous Oxide Misuse) (Victorian)
Nitrous Oxide Misuse (Victorian)
Non Accidental Injury (see >> Child abuse) (PIC)
Non-IgE mediated food allergy (PIC)
Nonsteroidal Anti-inflammatory Drug NSAID poisoning (Victorian)
Normal Ranges for Physiological Variables (see >> Acceptable ranges for physiological variables) (PIC)
NPA
NPA in oncology patients (see >> NPA)

O

P

Paediatric Improvement Collaborative
Pain - acute pain management link
Pain management (see >> Acute pain management) (PIC)
Pain management - Intranasal fentanyl (see >> Intranasal fentanyl)
Paracetamol poisoning (Victorian)
Paraphimosis (see >> The penis and foreskin) (Victorian)
Parapneumonic effusion (PIC)
Parent resources
Patient Blood Management in the Surgical Setting (PIC)
Pelvic injury (see >> Trauma - Pelvic injury) (PIC)
Pelvic Pain (see >> Adolescent gynaecology - lower abdominal pain) (PIC)
Penetrating eye injury (PIC)
Penis (see >> The penis and foreskin) (Victorian)
Periorbital and orbital cellulitis (PIC)
Peripheral extravasation injuries: Initial management and washout procedure (PIC)
Peripheral Intravenous Cannulation (see >> Intravenous access - Peripheral)
Persistent nasal discharge rhinosinusitis
Pertussis (see >> Whooping cough (pertussis)) (Victorian)
Petechiae and purpura (PIC)
Petrol Poisoning (see >> Hydrocarbon poisoning) (Victorian)
Pharyngitis (see >> Sore throat) (PIC)
Phenobarbitone poisoning (Victorian)
Phenytoin poisoning (Victorian)
Plagiocephaly (see >> Positional plagiocephaly) (PIC)
Pleural effusion (see >> Parapneumonic effusion) (PIC)
Pneumonia (see >> Community acquired pneumonia) (PIC)
Pneumothorax (see >> Primary spontaneous pneumothorax) (PIC)
Poisoning - Acute Guidelines For Initial Management (Victorian)
Poisoning - Alkaline (see >> Alkalis poisoning)
Poisoning – Anticholinergic Syndrome (see >> Anticholinergic Syndrome) (Victorian)
Poisoning - Anticonvulsant (see >> Anticonvulsant poisoning)
Poisoning - Antihistamine (see >> Antihistamine poisoning) (Victorian)
Poisoning - Benzodiazepine (see >> Benzodiazepine poisoning) (Victorian)
Poisoning - Camphor (see >> Camphor poisoning) (Victorian)
Poisoning – Carbamazepine (see >> Carbamazepine poisoning) (PIC)
Poisoning – Chloral Hydrate Poisoning (see >> Chloral Hydrate Poisoning) (Victorian)
Poisoning – Corrosives / Caustic (see >> Corrosives - Caustic Poisoning) (Victorian)
Poisoning - Essential Oil (see >> Essential Oil Poisoning) (PIC)
Poisoning – Ethanol (see >> Ethanol poisoning) (Victorian)
Poisoning - Eucalyptus Oil (see >> Eucalyptus Oil Poisoning) (PIC)
Poisoning – High risk – low dose ingestions (see >> High risk - low dose paediatric ingestions) (Victorian)
Poisoning - Hydrocarbon (see >> Hydrocarbon poisoning) (Victorian)
Poisoning – Hydrofluoric acid (see >> Hydrofluoric acid exposure) (Victorian)
Poisoning – Inhalants/volatile substance use (see >> InhalantsVolatile Substance Use - Chroming) (Victorian)
Poisoning - Iron (see >> Iron poisoning) (Victorian)
Poisoning – Local anaesthetic (see >> Local anaesthetic poisoning) (Victorian)
Poisoning – Nicotine (see >> Nicotine Poisoning) (Victorian)
Poisoning – Nitrous Oxide (see >> Nitrous Oxide Misuse) (Victorian)
Poisoning - Nonsteroidal anti-inflammatory drug (NSAID) (see >> Nonsteroidal Anti-inflammatory Drug NSAID poisoning) (Victorian)
Poisoning - Oral Hypoglycaemic (see >> Oral Hypoglycaemic Poisoning) (Victorian)
Poisoning - Paracetamol (see >> Paracetamol poisoning) (Victorian)
Poisoning - Petrol (see >> Hydrocarbon poisoning) (Victorian)
Poisoning – Phenobarbitone (see >> Phenobarbitone poisoning) (Victorian)
Poisoning – Phenytoin (see >> Phenytoin poisoning) (Victorian)
Poisoning – Quetiapine (see >> Quetiapine Poisoning) (Victorian)
Poisoning - Recreational drug use and overdose (see >> Recreational drug use and overdose) (Victorian)
Poisoning – Risperidone (see >> Risperidone Poisoning) (Victorian)
Poisoning - Salicylates (see >> Salicylates poisoning) (Victorian)
Poisoning - Selective Serotonin Re-uptake Inhibitors (SSRIs) (see >> Selective serotonin re-uptake inhibitors SSRIs poisoning) (Victorian)
Poisoning - Serotonin and Noradrenaline Re-uptake Inhibitors (SNRIs) (see >> Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning) (Victorian)
Poisoning - Serotonin Syndrome (see >> Serotonin toxicity) (PIC)
Poisoning – Snakebite (see >> Snakebite) (Victorian)
Poisoning – Sodium Valproate (see >> Sodium valproate poisoning) (PIC)
Poisoning - Spider Bite - Big Black Spider (see >> Spider Bite - Big Black Spider) (Victorian)
Poisoning - Spider Bite - Redback Spider (see >> Spider Bite – Redback Spider) (Victorian)
Poisoning - Theophylline (see >> Theophylline poisoning)
Poisoning - Toxidromes (see >> Toxidromes poisoning) (Victorian)
Poisoning - Tricyclic Overdose (see >> Tricyclic Antidepressant (TCA) Poisoning) (Victorian)
Poisoning - Use of Activated Charcoal in Poisonings (see >> Use of Activated Charcoal in Poisonings) (Victorian)
Poor growth (see >> Slow weight gain) (PIC)
Positional plagiocephaly (PIC)
Post-streptococcal glomerulonephritis (PSGN)
Preschool asthma (1-5 years) (PIC)
Primary immunodeficiencies (PIC)
Primary spontaneous pneumothorax (PIC)
Procedural sedation (PIC)
Procedures (see >> Communicating procedures to children) (PIC)
Prolonged fever
PSGN (see >> Post-streptococcal glomerulonephritis (PSGN))
Pulled elbow (PIC)
Pyelonephritis (see >> Urinary tract infection) (PIC)
Pyloric stenosis (PIC)

Q

Quetiapine Poisoning (Victorian)

R

S

Salicylates poisoning (Victorian)
Scan meeting resources
Scrotum (see >> Acute scrotal pain or swelling) (PIC)
Sedation (see >> Acute pain management) (PIC)
Seizures (see >> Infantile Spasms) (PIC)
Seizures (see >> Seizures acute management) (PIC)
Seizures (see >> Febrile seizure) (PIC)
Seizures acute management (PIC)
Selective serotonin re-uptake inhibitors SSRIs poisoning (Victorian)
Sepsis – assessment and management (PIC)
Seriously unwell neonate and young infant (see >> Recognition of the seriously unwell neonate and young infant) (PIC)
Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning (Victorian)
Serotonin syndrome (see >> Serotonin toxicity) (PIC)
Serotonin toxicity (PIC)
Serum Sickness and Serum Sickness like reactions (SSLRs) (Victorian)
Sexual health history taking in the adolescent (PIC)
Sexually transmitted infections (STIs) (PIC)
Short Stay Unit Admission Guidelines (see >> Admission criteria for general medicine SSU and IPU)
Sickle cell disease
Sinusitis (see >> Persistent nasal discharge rhinosinusitis)
Sizing a one-piece hard collar
Skin Infections (see >> Cellulitis and other bacterial skin infections) (PIC)
Slipped upper femoral epiphysis SUFE - Emergency Department
Slow weight gain (PIC)
Snakebite (Victorian)
Sodium valproate poisoning (PIC)
Sore throat (PIC)
SPA (see >> Suprapubic aspirate) (Victorian)
Spider Bite - Big Black Spider (Victorian)
Spider Bite – Redback Spider (Victorian)
Standard Heparin (see >> Anticoagulation therapy)
Status epilepticus (see >> Seizures acute management) (PIC)
Straddle injuries (PIC)
Stroke (Victorian)
Substance use (abuse)
Suprapubic aspirate (Victorian)
Supraventricular Tachycardia SVT (PIC)
Swabbing for COVID-19 (see >> COVID-19 swabbing) (PIC)
Swine Flu (see >> Influenza) (PIC)
Syncope (PIC)

T

TB guidelines for children and adolescents (Victorian Tuberculosis Program)
Testis (see >> Acute scrotal pain or swelling) (PIC)
Tetanus-prone wounds (see >> Management of tetanus-prone wounds)
The acutely swollen joint (PIC)
The limping or non-weight bearing child (PIC)
The penis and foreskin (Victorian)
Theophylline poisoning
Thoracic elevation device - Airway pad
Thoracocentesis and chest drain insertion (PIC)
Tonsillitis (see >> Sore throat) (PIC)
Torticollis (see >> Acquired Torticollis) (PIC)
Torticollis (see >> Congenital Torticollis) (PIC)
Toxicology (see >> Poisoning - Acute Guidelines For Initial Management) (Victorian)
Toxidromes poisoning (Victorian)
Transfusion (see >> Blood product prescription) (PIC)
Trauma (see >> Trauma – secondary survey) (PIC)
Trauma (see >> Trauma - primary survey) (PIC)
Trauma - Pelvic injury (PIC)
Trauma - primary survey (PIC)
Trauma – secondary survey (PIC)
Trauma: Tertiary Survey (PIC)
Tricyclic Antidepressant (TCA) Poisoning (Victorian)

U

Unfractionated heparin (see >> Anticoagulation therapy)
Unsettled or crying babies (PIC)
Upper Airway Obstruction (see >> Acute upper airway obstruction) (PIC)
Upper limb non-use (PIC)
Urinary Incontinence - Daytime wetting (Victorian)
Urinary tract infection (PIC)
Urticaria (PIC)
Use of Activated Charcoal in Poisonings (Victorian)

V

Vaginal Bleeding (see >> Vulval and Vaginal Conditions) (PIC)
Valproate poisoning (see >> Sodium valproate poisoning) (PIC)
Vancomycin
Varicella (see >> Chickenpox (varicella))
Violence (see >> Family Violence) (Victorian)
Vitamin D deficiency (PIC)
Volatile substance use (see >> InhalantsVolatile Substance Use - Chroming) (Victorian)
Vomiting (PIC)
Von Willebrand Disease vWD
Vulval and Vaginal Conditions (PIC)
Vulval ulcers (PIC)
Vulvodynia (see >> Vulval and Vaginal Conditions) (PIC)
Vulvovaginitis (see >> Vulval and Vaginal Conditions) (PIC)

W

Weight loss acute
Wheeze (see >> Acute asthma) (PIC)
Whooping cough (pertussis) (Victorian)
work of breathing (see >> Assessment of severity of respiratory conditions) (PIC)
Wound dressings - acute traumatic wounds (PIC)

X

x - Complete an Online Death Certificate

Z

Zipper Injury (see >> The penis and foreskin) (Victorian)

State-wide clinical practice guidelines

Abdominal pain - acute (PIC)
Acute eye injury (PIC)
Acute meningococcal disease (PIC)
Family Violence (Victorian)
Eye (see >> Acute eye injury) (PIC)
Meningococcal infection (see >> Acute meningococcal disease) (PIC)
Violence (see >> Family Violence) (Victorian)

New and updated Clinical Practice Guidelines* January-July 2025
Diabetic ketoacidosis
Diabetes mellitus: new presentation
Diabetes mellitus: management of unwell children with established diabetes at home
Diabetes mellitus: management of unwell children with established diabetes in hospital
Nephrotic syndrome
Post-streptococcal glomerulonephritis (PSGN)

Cough
Engaging with and assessing the adolescent patient
Hereditary angioedema
Seizures: acute management
Suprapubic aspirate
Recognition of the seriously unwell neonate and young infant
Whooping cough (pertussis)
* Endorsement of these new/updated CPGs by the Paediatric Improvement Collaborative is pending