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Clinical Practice Guidelines

  • Cerebral palsy - pain and irritability
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
    Cerebral palsy - pain and irritability …Clinical Practice Guidelines : Cerebral palsy - pain …   >   Cerebral palsy - pain and irritability Print Share Facebook LinkedIn Email In this section About Clinical …
  • Syncope
    www.rch.org.au/clinicalguide/guideline_index/Syncope/
    no prodrome , however may have chest pain or palpitations Past cardiac history Family history of early cardiac …, Alexander ME. Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease … and the position in which episode occurred Sudden or prolonged standing, painful or emotional stimulus …
  • Acquired torticollis
    www.rch.org.au/clinicalguide/guideline_index/Acquired_torticollis/
    or upper lobe chest Inflammation: juvenile idiopathic arthritis Neoplasm: CNS (posterior fossa) and bone … examination including dentition and lymph nodes  Chest examination  Management Investigations  Consider …: Cervical Spine X-ray: particularly if there is cervical spine tenderness, severe pain, persistent symptoms …
  • Spider Bite – Redback Spider
    www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_–_Redback_Spider/
    pain and adequate analgesia is a priority Redback spiders rarely cause significant envenoming … such as local irritation/ inflammation.  Children requiring assessment Patients with pain which … of the severity of pain and any associated systemic features. History Pain The bite is not immediately painful …
  • Resuscitation: Care of the seriously unwell child
    www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Care_of_the_seriously_unwell_child/
    Assessment Clinical Features Management Links Airway Patency Look, Listen feel Added noises Chest wall … management of cardiopulmonary arrest Appendices : airway manoeuvre Breathing Chest rise and fall SpO2 … noises (wheeze, grunting, crepitations) Reduced chest expansion Reduced air entry Secondary signs …
  • Community acquired pneumonia
    www.rch.org.au/clinicalguide/guideline_index/Community_acquired_pneumonia/
    pneumonia (CAP) can be diagnosed clinically and is most often due to viruses Chest X-Ray, blood tests … at rest Cough Increased work of breathing/respiratory distress Apnoea (neonates) Abdominal pain … Examination Appears lethargic/unwell Hypoxaemia Tachypnoea Chest wall in-drawing, retractions, grunting, nasal …
  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    Endorsed See also Acute pain management Pain assessment and management Procedural sedation Key points … pain Fentanyl should be used in combination with non-pharmacological and other pharmacological pain … in children with moderate/severe pain who do not have IV access. It should be prescribed in consultation …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    , gums, tongue or palate Teeth: subluxed, missing or fractured teeth Jaw: identify pain, trismus …/swelling Assess c-spine (See C-spine assessment) Chest Observe work of breathing and effectiveness … of breathing, assess for  any asymmetrical or paradoxical chest wall movement Inspect for signs of injury …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    to voice P = Responds to pain U = Unresponsive Any impairment on AVPU scale should prompt a formal … Spontaneously 4 Spontaneously 4 To verbal stimuli 3 To verbal stimuli 3 To painful stimuli 2 To pain 2 … No response to pain 1 No response to pain 1 Best verbal response Best verbal response Orientated and converses …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    management, refer to: Cerebral palsy -- chest infection Cerebral palsy -- increased seizures Cerebral palsy … -- pain and irritability Key points CP is a non-progressive motor disorder with many different causes … and sensation, mental health and pain Children with CP are at an increased risk of secondary medical issues …