• Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    antibiotics if appropriate and determine if a tetanus booster is required Establish a plan for ongoing care … should remain responsible for a child until completion of advanced imaging and transfer of care Formal … a management plan for each injury identified Refer to the relevant specialty teams and activate relevant …
  • Immune thrombocytopenic purpura
    www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
    Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG … Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval …, or to arrange follow up Significant concern about family's ability to enact management plan or attend follow up …
  • Intravenous access - Peripheral
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
    Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG … Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval … Monitor IV site for signs of infection or extravasation If prolonged IV therapy is anticipated, plan …
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    , as well as depression of the central nervous system, requiring careful monitoring and skilled response …) Prepare equipment and environment Discuss a ‘plan B’ in the event of sedation failure Resuscitation … planned (laceration repair) Length of procedure time Complexity, intensity of the stimulus …
  • Lumbar puncture
    www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
    examination and once contraindications have been considered Careful preparation, adequate analgesia … aiming for umbilicus Advance needle into spinous ligament, where there will be increased resistance Firm … resistance and inability to advance needle is likely due to bony obstruction and requires withdrawal …
  • Hereditary angioedema (C1-esterase inhibitor deficiency)
    www.rch.org.au/clinicalguide/guideline_index/Hereditary_angioedema_(C1-esterase_inhibitor_deficiency)/
    Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee … Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG … occur at any age Children diagnosed with HAE should have a personalised ASCIA HAE management plan …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    as quickly as possible, to guide investigation and treatment. Where this is not immediately obvious careful … There is clear plan for ongoing follow up if required Parent information Head injury Meningitis Seizure Last … updated November 2022 Reference List Advanced life support group. (2019). Advanced paediatric life support …
  • Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG … Guidelines CPG index Paediatric Improvement Collaborative Nursing Guidelines Paediatric palliative care … seizures and anti-seizure medication (management plan if in place), neurological comorbidity (eg VP shunt …
  • Trauma - Pelvic injury
    www.rch.org.au/clinicalguide/guideline_index/Trauma_-_Pelvic_injury/
    , or if already planning imaging of the pelvis with CT or XR. “Springing” or rocking of the pelvis … is indicated, it should generally be applied before intubation A binder should be available in advance … the sheet firmly, aiming to distribute force evenly over greater trochanters, take care to brace the patient …