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Clinical Practice Guidelines

  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    Chest pain …Clinical Practice Guidelines : Chest pain The Royal …   >   Clinical Practice Guidelines   >   Chest pain In this section About Clinical Practice Guidelines CPG index …
  • Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    hospital admission) Past history of chest crises and management  -  ICU admission/ ventilation Bone pain (e … be treated initially as vaso-occlusive disease NB Chest pain may indicate an acute chest syndrome rather than … infiltrate on CXR. Chest pain and hypoxaemia may be the only signs. Chest pain should be treated as an acute …
  • Thoracocentesis and chest drain insertion
    www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
      Potential complications Pain or chest wall numbness Wound infection and bleeding Subcutaneous emphysema …Thoracocentesis and chest drain insertion …Clinical Practice Guidelines : Thoracocentesis and chest …
  • Primary spontaneous pneumothorax
    www.rch.org.au/clinicalguide/guideline_index/Primary_spontaneous_pneumothorax/
    chest pain: severe and/or stabbing pain, radiating to ipsilateral shoulder and increasing … Thoracocentesis and chest drain insertion Key Points The size of the pneumothorax is less important than … needle thoracocentesis (see Thoracocentesis and chest drain insertion ) Management Investigations Chest …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    , Sepsis , Chest pain ) Children should be investigated and treated based on clinical appearance, presence … of complications (eg myocarditis/chest pain, respiratory, neurological) and disease progression A positive … Febrile child Chest pain see Chest pain Treatment Treatment should be provided for the child …
  • Cerebral palsy - chest infection
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_chest_infection/
    Cerebral palsy - chest infection …Clinical Practice Guidelines : Cerebral palsy - chest …   >   Cerebral palsy - chest infection Print Share Facebook LinkedIn Email In this section About Clinical …
  • Parapneumonic effusion
    www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
    Increased work of breathing/respiratory distress Pleuritic chest pain or abdominal pain Examination Appears … lethargic/unwell Hypoxaemia Tachypnoea Chest wall in-drawing, splinting, retractions, grunting, nasal …, consider sending pleural fluid for Gram stain, MC&S Pneumococcal PCR Chest imaging Anteroposterior CXR …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    , bruising, wounds) Crepitus indicating Surgical emphysema Chest wall tenderness The life threats to identify … Flail chest Tracheo-bronchial injury If life threat has been identified, assessment doctor communicates … pneumothorax : chest decompression with a finger or instrument, thoracostomy or intercostal catheter insertion …
  • Foreign body ingestion
    www.rch.org.au/clinicalguide/guideline_index/Foreign_body_ingestion/
    gastroenterology team Acutely symptomatic children (drooling, neck or chest pain) require urgent endoscopy Children … or chest pain) require urgent endoscopy Asymptomatic children with an oesophageal object require endoscopic … GIT symptoms: Coughing, drooling, pain on swallowing, reduced oral intake, abdominal pain or vomiting …
  • Cough
    www.rch.org.au/clinicalguide/guideline_index/Cough/
    of chronic or wet or productive cough Recurrent pneumonia Chest pain Haemoptysis Systemic symptoms (fever … of breathing, hypoxia, stridor, chest signs (wheeze, crackles, crepitations) Faltering growth (or growth … disease/bronchiectasis (clubbing, poor growth, chest wall deformity) ENT examination for signs …