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Clinical Practice Guidelines

  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    and is often recurrent. The two most important factors in childhood epistaxis are:   minor trauma - from nose …) of the nose with thumb and forefinger for 10 minutes (see diagram below) child should breathe through … minutes for the spray, may require initial spray in to nose followed by spray on to cotton ball applied …
  • COVID-19 swabbing
    www.rch.org.au/clinicalguide/guideline_index/COVID-19_swabbing/
    Bleeding - there may be slight bleeding from the nose in some children Inadequate sample for testing …
  • Foreign bodies inhaled
    www.rch.org.au/clinicalguide/guideline_index/Foreign_bodies_inhaled/
    wheeze or decreased breath sounds Check for other FB in ears, nose and throat (if child is stable …
  • InhalantsVolatile Substance Use - Chroming
    www.rch.org.au/clinicalguide/guideline_index/InhalantsVolatile_Substance_Use_-_Chroming/
    a chemically soaked cloth held over the nose and mouth Bagging – the substance is placed in a plastic bag …
  • Writing a good medical report
    www.rch.org.au/clinicalguide/guideline_index/Writing_a_good_medical_report/
    explained. For example nose bleed is preferable to epistaxis and pin point bruising preferable to petechiae …
  • Cervical lymphadenopathy
    www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
    , face, ear, nose, throat or teeth Further examination should be guided by history and differential …
  • Trauma: Tertiary Survey
    www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
    (in blast injuries). Assess hearing Nose Bleeding, septal haematoma,  CSF leak , palpate for bony …
  • Fever in the recently returned traveller
    www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
    likely pathogens: measles serology +/- throat or nose swabs for PCR urine microscopy and culture CSF …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    (suggestive of base of skull fracture), tympanic membrane perforation (in blast injuries). Assess hearing Nose …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    Facial burns Hoarseness of voice Harsh cough Head or neck swelling Soot in mouth, nose or saliva Anterior …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.