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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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Brief Resolved Unexplained Event BRUE
www.rch.org.au/clinicalguide/guideline_index/Brief_Resolved_Unexplained_Event_BRUE/
investigation and consultation as indicated. Hospital admission for observation may provide parental reassurance … is defined as an event occurring in an infant less than 12 months old where the following is observed Sudden … observed the event Consider inflicted injury when multiple or changing versions of the history are provided …
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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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Tricyclic Antidepressant (TCA) Poisoning
www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
arrhythmias and reduced cardiac contractility and neurological instability including CNS depression … or neurological disease Doses >5 mg/kg in children should be referred to hospital Patients with Doses >10-15 mg …: Investigations as above, observe for 6 hours and discharge if ECG remains normal When to admit/consult local …
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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
and neurological observations BGL and point of care ketones Start insulin infusion 2 hours Fluid balance Vital … signs and neurological observations VBG and point of care ketones UEC (must check serum potassium within … if required based on glucose and electrolytes 3 hours Fluid balance Vital signs and neurological observations …
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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/
include neurological and gastrointestinal symptoms. Onset of symptoms is usually within 1 to 2 hours … 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/
change in an established headache pattern or progressive worsening Focal neurological symptoms New onset … Missed medications or medication overuse Examination Observations including BP and conscious state … Neurological examination – cranial nerve and peripheral nerve examination, gait, fundoscopy Stigmata …
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Oncological emergencies: Hyperleukocytosis
www.rch.org.au/clinicalguide/guideline_index/Oncological_emergencies__Hyperleukocytosis/
monitoring 4 hourly neurological observations 6 hourly FBE, UEC, CMP, uric acid +/- coagulation studies … with the laboratory prior to taking blood Uric acid G6PD assay Imaging CXR Consider neuroimaging, if neurological …