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Clinical Practice Guidelines

  • Croup (Laryngotracheobronchitis)
    www.rch.org.au/clinicalguide/guideline_index/Croup_Laryngotracheobronchitis/
    complete upper airway obstruction Differential diagnosis See Acute upper airway obstruction Anaphylaxis …, manage as severe upper airway obstruction or consider alternative diagnosis eg anaphylaxis, asthma …
  • Spider Bite – Redback Spider
    www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_–_Redback_Spider/
    . There is a risk of acute hypersensitivity reaction of <5% (3.6% - 5.2) (see  anaphylaxis ). Premedication …
  • Serum Sickness and Serum Sickness like reactions (SSLRs)
    www.rch.org.au/clinicalguide/guideline_index/Serum_Sickness_and_Serum_Sickness_like_reactions_(SSLRs)/
    deficiency Anaphylaxis Key points The key features of serum sickness and serum sickness-like reactions (SSLRs …
  • Fascia iliaca block of the femoral nerve
    www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
    to theatre Contraindications Local anaesthetic allergy/anaphylaxis Open wound or signs of infection … complications Block failure Local anaesthetic allergy or anaphylaxis Femoral nerve trauma from needle …
  • Haemophilia Treatments
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia_Treatments/
    , including anaphylaxis, to clotting factor replacement. These reactions can be the first symptom of inhibitor …
  • Management of tetanus-prone wounds
    www.rch.org.au/clinicalguide/guideline_index/Management_of_tetanusprone_wounds/
    behaviour, drowsiness Older children: pain, redness and swelling at injection site Very rare: anaphylaxis …
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    Anaphylaxis Swelling of the face and tongue Wheeze Urticarial rash Allergen exposure Haemodynamic compromise …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    Anaphylaxis Viral illness Pneumonia Abdominal Abdominal distension and tenderness, "tinkling"/absence of bowel …
  • Asthma in adolescents (12 years and over)
    www.rch.org.au/clinicalguide/guideline_index/Asthma_in_adolescents_(12_years_and_over)/
    or if there are difficulties with DPI/Turbuhaler ® technique The risk of fatal anaphylaxis is higher in adolescents with poorly …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    and should be treated in accordance with usual allergy/anaphylaxis management Relative Contraindications …