• Acute otitis media
    www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/
    episode by school age Peak age prevalence is 6-18 months Causes of AOM are often multifactorial. Exposure … to cigarette smoke from household contacts is a known modifiable risk factor Assessment History Recent onset … assessment and ENT involvement/referral Consider consultation with local paediatric team when Children who …
  • Diabetes mellitus: management of unwell children with established diabetes at home
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus__management_of_unwell_children_with_established_diabetes_at_home/
    mmol/L (check ketones) >1 mmol/L (insulin required) Assessment History over the phone Child's age … Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval … Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    to be the cause of new-onset chest pain in a previously-well child The goal of assessment is to rule out serious … such as echocardiogram or CT pulmonary angiogram should be discussed with a senior clinician Assessment History … and Ibuprofen) while you are assessing your patient Treatment will be cause specific The flowchart below …
  • Primary spontaneous pneumothorax
    www.rch.org.au/clinicalguide/guideline_index/Primary_spontaneous_pneumothorax/
    is 30-40%, typically on the same side and within 1 year (median 2 months) Assessment History Acute onset … Hyperlucency of the affected side Consider point of care US if available CT scan is not routinely recommended …, pain or hypoxia) Age <12 years: may have less reliable reporting of symptoms and size calculations may …
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    , as well as depression of the central nervous system, requiring careful monitoring and skilled response …: Child factors (see ‘Medical assessment of the child’ below) Clinician factors (see ‘Choice of sedative … be readily available prior to commencing procedural sedation Medical Assessment of the child The following …
  • Henoch-Schönlein purpura
    www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
    commonly affects children 2-8 years of age  Assessment HSP is a clinical diagnosis The features include … Examination Assess for Features General observations Hypertension Blood pressure must be measured at initial … Consider transfer when The care required for the child is beyond the comfort level of the health care …
  • Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
    www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
    Paediatric Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent … Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar … antifungal prophylaxis is an important component of cancer care Antifungal prophylaxis has been shown …
  • Foreign body ingestion
    www.rch.org.au/clinicalguide/guideline_index/Foreign_body_ingestion/
    consulting Poisons Information Centre, phone 13 11 26 Background Children of all ages may ingest a FB …, however the highest incidence is between the ages of 6 months and 3 years Children with developmental … intervention if the child is otherwise well Assessment History Clarify type of object and timing of ingestion …
  • Sore throat
    www.rch.org.au/clinicalguide/guideline_index/Sore_throat/
    Guidelines CPG index Paediatric Improvement Collaborative Nursing Guidelines Paediatric palliative care … Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar … of age GAS can cause non-suppurative complications (acute rheumatic fever, post-streptococcal …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG … Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG … Endorsed See also Intravenous immunoglobulin Febrile child Sepsis: assessment and management COVID-19 …