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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
should be observed for up to 4 hours post injury, with: 30-minutely neurological observations (conscious … state, PR, RR, BP, pupils and limb power) for the first 2 hours one-hourly neurological observations … be immediately discharged home Head injury who need observation and/or neuroimaging Other significant injuries …
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Diabetic Ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_Ketoacidosis/
signs Neurological observations BGL and bedside ketones Start insulin infusion 2 hours Fluid balance … Vital signs Neurological observations, VBG, VBG and bedside ketones UEC (must check serum potassium … based on glucose and electrolytes 3 hours Fluid balance Vital signs Neurological observations BGL …
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Tricyclic Antidepressant (TCA) Poisoning
www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
cardiac contractility and neurological instability including CNS depression and seizures Management … self-poisoning Any symptomatic patient Asymptomatic patients with underlying cardiac or neurological disease …, observe for 6 hours and discharge if ECG remains normal When to admit/consult local paediatric team …
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Seizures acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
medication (management plan if in place), neurological comorbidity (eg VP shunt, structural brain abnormality … neurological examination looking for any abnormal neurological findings, signs of meningitis or raised … and nausea) Non-epileptic paroxysmal disorder Management Initial support In most situations, observation …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
be required for observation and/or further investigations Background Unexpected changes to children’s physical … cause pain or is often secondary to pain) Back pain/scoliosis Neurological Increased seizure activity … be required for observation, further investigation and management Consider consultation with local paediatric …
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Phenytoin poisoning
www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
neurological and gastrointestinal symptoms. Onset of symptoms is usually within 1 to 2 hours of ingestion … Mild symptoms Observe 6 hours post-exposure, discharge once symptom-free Moderate-to-severe … or persistent symptoms after 6 hours of observation (eg Depressed conscious state or cardiac arrhythmias) Admit …
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Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
is adequately assessed, and a targeted neurological examination performed For an adequate examination a child … of an atlanto-occipital dislocation) Concerning neurology : objective anatomical motor or sensory deficit. Subjective … neurology assess the active range of movement of the neck by asking the patient to slowly rotate their head …
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Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
or progressive worsening Focal neurological symptoms New onset seizures Developmental regression Features …, caffeine, chocolate Skipped meals Missed medications or medication overuse Examination Observations … including BP and conscious state Neurological examination – cranial nerve and peripheral nerve examination …
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Mental state examination
www.rch.org.au/clinicalguide/guideline_index/Mental_state_examination/
with or observes others Assessment Ask the young person what name and pronouns they prefer Closely observe body … language and communication Consider the emotional state and thought processes observed, as well … Explore sleep, appetite, interests, energy level, motivation Affect Current observed emotional state …
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Adolescent gynaecology - Heavy menstrual bleeding
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
, non-hormonal treatments and observation Pregnancy related bleeding and bleeding disorders are important … and observation Consider non-hormonal management such as regular NSAIDs and tranexamic acid during menses Moderate … despite fluid resuscitation Specialist review (Gynaecology) and consider inpatient observation …