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Intraosseous access
www.rch.org.au/clinicalguide/guideline_index/Intraosseous_access/
infection A burn on overlying skin is not a contraindication to intraosseous access. If possible, choose …) Physeal plate injury Local infection, skin necrosis, pain, compartment syndrome, fat and bone micro-emboli …
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Facial weakness and Bell palsy
www.rch.org.au/clinicalguide/guideline_index/Facial_weakness_and_Bells_palsy/
distress Background Facial nerve palsy in children may be idiopathic or caused by infection, inflammation …) and altered taste (both uncommon in Bell palsy) Preceding viral infections or trauma to the head or face …
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Infantile spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
dose prednisolone treatment is associated with increased risk of serious infections and adrenal crises … trimethoprim-sulfamethoxazole for infection prevention Vaccines should be delayed until one month after ceasing prednisolone …
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Urinary Incontinence - Daytime wetting
www.rch.org.au/clinicalguide/guideline_index/Urinary_Incontinence_-_Daytime_wetting/
wetting See also Constipation Nocturnal Enuresis Urinary Tract Infection Key points Daytime urinary … Initial Management): Constipation Urinary tract infection (UTI) Night-time wetting (enuresis) Excessive …
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Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
compromise: acute respiratory infection, history of difficult airway or airway obstruction Expansion of gas … severe illness, severe infection or extensive tissue damage Age <12 months. NB some paediatric centres …
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Dental trauma
www.rch.org.au/clinicalguide/guideline_index/Dental_trauma/
required where there is associated infection of the dental pulp or abscess formation Appropriate use … for 10-14 days reduces the infection risk. A soft diet will also allow loose teeth to become firmer Loose …
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Nasogastric fluids
www.rch.org.au/clinicalguide/guideline_index/Nasogastric_fluids/
illness interferes with usual intake eg bronchiolitis , gingivostomatitis, viral infection Replacement … and CNS infections Full maintenance fluids may be appropriate for well children who are not drinking … infections, meningitis or significant electrolyte abnormalities age <6 months significant comorbidities …
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Contraception
www.rch.org.au/clinicalguide/guideline_index/Contraception/
Sexually transmitted infections Key Points Adolescents are at increased risk of unintended pregnancy … of contraception to reduce the risk of sexually transmitted infections Background In Australia, almost 75 …, usually transient. 1 in 500 risk of uterine perforation, 1 in 300 risk of infection, small risk …
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Rhinitis and rhinosinusitis
www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
guidelines Periorbital and orbital cellulitis Asthma Key points Infective rhinosinusitis rarely leads … weeks Chronic : >12 weeks Acute rhinosinusitis is most commonly caused by viral infections … mucosa is seen more commonly in infective or medication induced rhinitis Assessment by cause Acute …
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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 … than a formal purse string suture If there are concerns of bleeding from the site, infection …