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Clinical Practice Guidelines

  • Head injury
    www.rch.org.au/clinicalguide/guideline_index/Head_injury/
    Head injury …Clinical Practice Guidelines : Head injury The Royal …   >   Clinical Practice Guidelines   >   Head injury In this section About Clinical Practice Guidelines CPG index …
  • Olecranon fracture - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Olecranon_fracture_Emergency_Department_setting/
    an associated injury such as radial head dislocation.   Fracture type ED management Follow-up Isolated …/stable or displaced/unstable) Associated injuries in elbow (e.g. radial head dislocation, lateral condyle … is associated with a radial head dislocation. !   Always look for an associated injury, especially dislocation …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    violence Fractures Head injury Slow weight gain Straddle injuries See Additional Resources Key points … inflicted head injury, recent (<72 hours) sexual assault and poisoning often require time-critical … immersion, injury to genitalia An infant with an unexplained encephalopathy (suspect abusive head injury and …
  • Monteggia fracture-dislocations - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Monteggia_fracturedislocations_Emergency_Department_setting/
    %). The posterior interosseous nerve can also be injured due to its proximity to the radial head. The injury … I give to parents? What are the potential complications associated with this injury? 1. Summary … for a radial head dislocation. All Monteggia fracture-dislocations require an urgent orthopedic assessment …
  • Cervical spine assessment
    www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
    elevation device may be used  Assessment History High risk mechanism of injury Axial load to the head … or significant neck pain Restricted neck movement Significant head, chest, abdominal or pelvic injuries (ie those … specialist teams (eg orthopaedics, neurosurgery) Parent information Head injury – general advice Head injury …
  • Child abuse diagrams
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse_diagrams/
    diagrams Diagrams for recording skin marks / injuries Child diagrams These kindly provided by Dr Terry … body from the right Posterior body from the left Posterior body from the right Head posterior Head … and face from the right Head and face from the left Child skeleton anterior Child skeleton posterior Adult …
  • Radiology - Acute indications
    www.rch.org.au/clinicalguide/guideline_index/Radiology_Guidelines_Acute_indications/
    for xray. Pulled Elbow  If injury mechanism and examination suggest radial head subluxation, xray … of intracranial injury.  Clinical deterioration is usually an indication for repeat CT examination.  See Head … and below if signs and symptoms suggest bone injury.  If in doubt about the site of injury, seek senior help …
  • Metacarpal Fractures – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Metacarpal_Fractures_–_Emergency_Department/
    laceration over the metacarpal heads should be treated as highly suspicious for these injuries. Urgent …? Metacarpal fractures are a common injury in older children and adolescents, particularly the little and ring … the dorsal aspect of the metacarpal head may suggest a “fight bite”.  This occurs when a tooth penetrates …
  • Monteggia fracture-dislocations - Fracture clinics
    www.rch.org.au/clinicalguide/guideline_index/Monteggia_fracturedislocations_Outpatient_fracture_clinics/
    be injured due to its proximity to the radial head. The injury is usually a neuropraxia. Peripheral nerve … injuries, fractures of the radial head, and multiple attempts at manipulation. This can affect elbow ROM. 4 … are the potential complications associated with this injury? When should I refer for an orthopaedic consultant …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    Altered conscious state Altered conscious state PIC Endorsed See also Head injury Hypoglycaemia Trauma - … Blunt, penetrating head injury, falls, concussion Infection Meningitis, encephalitis, sepsis, cerebral … and consult neurosurgery ( Trauma- Primary survey and Head Injury ) The aim is then to identify a cause …