• COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    Cyanosis Hydration status Assessment of severity Use standardised, age-specific vital sign charts … be severe without derangement of vital signs. Consider also the stage and progression of the current illness … Signs of severe illness include: severe respiratory distress severe hypoxaemia or cyanosis marked …
  • Essential Oil Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Essential_Oil_Poisoning/
     Ongoing care and monitoring Asymptomatic children with significant exposure (>5 mL) and normal vital signs …) is usually within one hour. Signs of aspiration usually appear immediately, but can be delayed up to 6 hours … Smaller Ingestions of 2-3 mL of some essential oils have been associated with toxicity in children Signs
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    they have: Abnormal vital signs: tachycardia, tachypnoea and/or desaturation in air Cold shock: narrow pulse … treatment with antibiotics may mask signs of a bacterial infection High risk groups: immunosuppression …
  • Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    or Hydroxyurea Management at home Examination Vital signs Pallor or jaundice Hydration Signs of infection … infiltrate on CXR. Chest pain and hypoxaemia may be the only signs. Chest pain should be treated as an acute …
  • Acceptable ranges for physiological variables
    www.rch.org.au/clinicalguide/guideline_index/Acceptable_ranges_for_physiological_variables/
    of hypertension . J Hypertens.  2009;27(9):1719–42. Sepanski RJ et al. Pediatric Vital Sign Distribution Derived …
  • Nonsteroidal Anti-inflammatory Drug NSAID poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nonsteroidal_Anti-inflammatory_Drug_NSAID_poisoning/
    : Asymptomatic children with normal vital signs 4 hours post-ingestion may be discharged. Assessing risk …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    under 2 years vital signs including HR and BP electrolytes, urea, creatinine and blood glucose Isolation … Hyper or hypotonia Neck stiffness  (may be absent in infants) Focal neurological signs  Purpuric rash … and Brudzinski signs (see Additional notes below) Altered conscious state Confusion Fever Bradycardia  and …
  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    over a maximum of 10 minutes (not through an infusion pump) Monitor for improvement in vital signs … or confirmed neutropenia (FN) is a medical emergency. Children with FN and signs of sepsis require urgent … arrival (Triage Category 3). Antibiotics must be administered within 30 minutes if there are signs
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    (AKI) Examination Confirm hypertension (See measuring blood pressure section below) Vitals: tachycardia …, four limb BP for upper and lower limb discrepancy Height and weight: obesity, growth retardation Signs …, oedema Chronic renal failure: palpable kidneys Focal neurology eg facial nerve palsies Signs
  • Sepsis – assessment and management
    www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
    dysfunction; hypotension is a late sign Rapid vascular access, early initiation of empiric antibiotics … and carefully titrated fluid resuscitation is vital Inotropes and vasopressors may be safely administered via … to intensive care unit when Child requiring escalation of care beyond local centre Signs of shock persisting …