• Risperidone Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Risperidone_Poisoning/
    of underlying medical condition (fingerprick marks etc) Investigations Screening:  12 lead ECG, BSL, paracetamol … level  Specific: ECG at presentation and 4 hours (onset of tachycardia can be delayed up to 20 hours … . Consider discharge when Normal GCS Normal ECG  Period of observation   Warn that extrapyramidal movements …
  • Bradycardia during sleep
    www.rch.org.au/clinicalguide/guideline_index/Bradycardia_during_sleep/
    during sleep is usually physiological  Clinical escalation and investigation (including ECGs) are only …, particularly trend since admission Previous investigations eg ECG, electrolytes Whether heart rate increases …
  • Wolff-Parkinson-White Syndrome
    www.rch.org.au/clinicalguide/guideline_index/WolffParkinsonWhite_Syndrome/
    Syndrome Wolff-Parkinson-White Syndrome The ECG changes associated with WPW syndrome include Shortened PR …
  • Sodium valproate poisoning
    www.rch.org.au/clinicalguide/guideline_index/Sodium_valproate_poisoning/
    with ingestions less than 400 mg/kg Sodium valproate concentrations and an ECG can be helpful in assessment Early … of underlying medical condition (fingerprick marks etc.) Investigations ECG: initially and repeat at 6 hours …  Retrieval Services Consider discharge when Normal GCS Normal ECG Period of observation as above Assessing …
  • Supraventricular Tachycardia SVT
    www.rch.org.au/clinicalguide/guideline_index/Supraventricular_Tachycardia_SVT/
    may be unreliable at common SVT rates Management Investigations 12 lead ECG (pre and post reversion … is their morphology? Is the rate fixed or variable? (See additional notes below for further details) ECG Rhythm … to a brief pause on the ECG trace as the AV node is being blocked  Rarely atrial fibrillation or prolonged …
  • Quetiapine Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Quetiapine_Poisoning/
    Hypotension Investigations ECG: (initially and repeat at 4 hours till normal).  Long QTc, however is usually … Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. Consider discharge when Normal GCS Normal ECG …
  • Hydrocarbon poisoning
    www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
    investigation. For children with more significant ingestions, or who are symptomatic: 12 lead ECG & cardiac …   Normal ECG No respiratory symptoms (cough, dyspnoea, wheeze) Normal observations including pulse oximetry …
  • Phenobarbitone poisoning
    www.rch.org.au/clinicalguide/guideline_index/Phenobarbitone_poisoning/
    the possibility of co ingestions, either accidental or deliberate Investigations ECG: (initially and repeat at 6 …) Service: 1300 137 650. Discharge Criteria Normal GCS Normal ECG Period of observation as above …
  • Chloral hydrate poisoning
    www.rch.org.au/clinicalguide/guideline_index/Chloral_hydrate_poisoning/
    signs of underlying medical condition (fingerprick marks etc) Investigations: ECG: Multifocal PVC, AF … until asymptomatic Normal GCS Normal ECG Post at least 2 hours of cardiac monitoring For deliberate …
  • Phenytoin poisoning
    www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
    ) Consider the possibility of co ingestions, either accidental or deliberate Investigations ECG … Criteria Normal GCS Normal ECG Period of observation as above For deliberate ingestion a risk assessment …