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Wound dressings - acute traumatic wounds
www.rch.org.au/clinicalguide/guideline_index/Wound_dressings_acute_traumatic_wounds/
of wound care are to: reduce pain promote wound healing reduce infection risk optimise cosmetic … chlorhexidine 0.05% or povidine-iodine 1% irrigation Provide adequate pain management , anaesthesia (see … for debridement stage Low adherent moisture maintaining for granulation stage Low adherent for epithelialisation …
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Sickle cell disease
www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
.g. arm or leg pain) but maybe back or abdominal pain. (Most patients will be able to tell you … and duration of pain, dyspnoea, fever, pallor and lethargy Provoking factors (fever, travel, procedures, recent … hospital admission) Past history of chest crises and management - ICU admission/ ventilation Bone pain (e …
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Autism and developmental disability: management of distress/agitation
www.rch.org.au/clinicalguide/guideline_index/Autism_and_developmental_disability__management_of_distress/agitation/
techniques have previously worked well to minimise distress Maintain a low stimulus environment wherever …. This may indicate an underlying physical illness causing pain, emotional dysregulation, anxiety … know if your child is in pain? How can we best comfort your child? How does your child express …
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Oncological emergencies: Mediastinal mass
www.rch.org.au/clinicalguide/guideline_index/Oncological_emergencies__Mediastinal_mass/
with stridor or wheeze Orthopnoea (difficulty lying flat on back to sleep at night) Bone pain Collapse … of jugular veins, muffled heart sounds, and low blood pressure Check for SVC obstruction and Pemberton's sign …
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Post-streptococcal glomerulonephritis (PSGN)
www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
when child is no longer oedematous and/or back to pre-illness weight Low or no-added salt diet Fluid … vision, vomiting Oedema: shortness of breath, swelling Cardiac: chest pain, palpitations Previous … flank or abdominal pain, atypical history or poor response to diuretics eg congenital malformations …
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Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
including pain, paraesthesia and/or weakness should prompt further assessment and consideration of imaging … height) Forced neck hyperflexion (includes low velocity mechanism with high force eg rugby scrum collapse … from a horse Substantial head or torso injury (including the abdomen, flanks, back, spine, pelvis …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
responses, decerebrate or decorticate posture, low HR + elevated BP + irregular respirations, papilloedema … Complications Failure to obtain CSF, or traumatic bloody tap (common) Pain/discomfort during procedure (consider … (kg) + 7, children (mm) = 0.4 x weight (kg) + 20 Analgesia Ensure acute pain management including …
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Adrenal crisis and acute adrenal insufficiency
www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
dehydration or shock The classic biochemical triad for primary adrenal crisis is low serum sodium, high serum … potassium, and low serum glucose The key elements of treatment include fluid resuscitation, steroid … GI: anorexia, nausea/vomiting, abdominal pain, weight loss Neurological: dizziness/syncope, headache …
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Burns - acute management
www.rch.org.au/clinicalguide/guideline_index/Burns/
of burn, location of burn, eg back or genitalia Tetanus immunisation status Analgesia Ensure adequate pain …) and full thickness Early first aid with a total of 20 minutes of cool running water provides pain relief … pain management Procedural sedation is recommended for debridement and dressings. See Procedural …
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Eczema
www.rch.org.au/clinicalguide/guideline_index/eczema/
Painful clustered blisters, punched-out erosions Eczema coxsackium Vesiculobullous rash with brownish … wiping A thick, plain moisturising cream, with high oil and low water content should be used Avoid … baths luke-warm Keep the home and car cool Avoid air blowing heaters & low humidity environments Use …