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Patellar Dislocation - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Patellar_Dislocation_-_Emergency_Department/
pressure on the patella - analgesia may be required. Some patients will present with spontaneous reduction … With appropriate analgesia AP, lateral, and skyline images should be obtained. Each view should be carefully … is dislocated on arrival adequate analgesia should be given (penthrane or N2O) and the knee gently extended …
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Abdominal pain - acute
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
Appropriate analgesia should be used and will not mask potentially serious causes of pain Investigations … resuscitation may be required (see Intravenous fluids ) Provide adequate analgesia. IV morphine or intranasal … fentanyl may be required as initial analgesia in severe pain (see Acute pain management ) Consider fasting …
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Acquired Torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
to establish a cause Most children will have a muscular torticollis and can be managed with simple analgesia … are present severe pain is not alleviated by analgesia or relaxants bone anomaly is suspected clinically … about imaging Treatment For most children, heat pack, massage and basic analgesia is appropriate …
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Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
to children Key points Nitrous oxide provides amnesia, anxiolysis and modest analgesia with minimal … (Entonox) can be used for analgesia on a demand triggered system Indications Nitrous can be considered … fasting state and adverse events in children receiving nitrous oxide for procedural sedation and analgesia …
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Ketamine use for procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
. Detailed description of other uses (analgesia, agitation, pre-sedation, rapid sequence induction … increased muscle tone is maintained Analgesia: effective analgesia Amnesia is usually total Airway reflexes … of Anaesthetists. Guideline on sedation and/or analgesia for diagnostic and interventional medical, dental …
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Straddle injuries
www.rch.org.au/clinicalguide/guideline_index/Straddle_injuries/
are minor Consider analgesia +/- procedural sedation early for examination Although infrequently associated … analgesia +/- procedural sedation Document a detailed description of the injury. A clock face can often … analgesia GP Non-minor Ongoing bleeding, laceration borders not visualised, labia minora tear, unable …
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Fascia iliaca block of the femoral nerve
www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
of the femoral nerve by either method provides good analgesia for femoral fractures and wounds … to the femoral nerve/vessels, provided the needle tip is kept within view on ultrasound Analgesia, sedation …, anaesthesia Supplementary analgesia or sedation (eg topical local anaesthetic creams, fentanyl and/or nitrous …
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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
points The most common cause is trauma eg pulled elbow Give analgesia early Fever or systemic features … management is determined by the working diagnosis Simple analgesia (paracetamol +/- NSAID). Escalation … of analgesia may be required but should prompt reassessment. Seek senior advice Child-led restriction …
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The penis and foreskin
www.rch.org.au/clinicalguide/guideline_index/The_penis_and_foreskin/
) if candida suspected Oral analgesia may be needed Topical antibiotic ointments and creams are not efficacious … the foreskin back over the glans Paraphimosis can usually be corrected without surgery Give oral analgesia … entrapped in the teeth of a zipper Treatment Give oral analgesia +/- sedation Cut median bar of zip slider …
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Intussusception
www.rch.org.au/clinicalguide/guideline_index/Intussusception/
and analgesia should precede investigation . See flowchart below Secure IV access for all children suspected … Start IV fluids to optimise circulatory volume Ensure adequate analgesia, usually intranasal fentanyl … with appropriate resuscitation equipment Appropriate peri-procedural analgesia is necessary, is usually intranasal …