• Bronchiolitis
    www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
    disease Congenital heart disease Chronic neurological conditions Gestational age <37 weeks … or cardiopulmonary disease are at higher risk of deterioration and are more likely to require admission Use nasal … work of breathing, with resolution over 7-10 days, but disease course may vary It is self-limiting …
  • Anaemia
    www.rch.org.au/clinicalguide/guideline_index/Anaemia/
    for observation. Frequent heart rate monitoring is required to identify tachycardia which may indicate a further … staining (diagnosis of hereditary spherocytosis)  Sickle cell anaemia See  Sickle cell disease Hypoplastic …, consider transient erythroblastopenia of childhood (TEC) or congenital forms (eg Diamond-Blackfan anaemia …
  • Intravenous access - Peripheral
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
    attempts, eg congenital heart disease with single ventricle physiology. In this scenario if >2 attempts … heart disease and single ventricle physiology Background Multiple attempts at intravenous insertion can … Some children are at higher risk of decompensation with multiple IV attempts, eg child with congenital …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    where increased HR and workload are contraindicated, eg ischaemic heart disease, cardiac failure … are maintained Cardiovascular state: blood pressure and heart rate increase slightly Nystagmus and lacrimation … surgery or congenital anomaly Intraoral Procedures or potential intraoral bleeding such as tongue …
  • Patient Blood Management in the Surgical Setting
    www.rch.org.au/clinicalguide/guideline_index/Patient_Blood_Management_in_the_Surgical_Setting/
    pre-term neonates, children with cyanotic congenital heart disease and extracorporeal life support (ECLS …
  • Basic paediatric ECG interpretation
    www.rch.org.au/clinicalguide/guideline_index/Basic_paediatric_ECG_interpretation/
    toxicities, congenital heart disease (Ebstein anomaly, ASD), hyperkalaemia , and ischaemia Short PR interval … of the heart rate can be obtained by dividing 300 by the number of large squares between R waves Tachycardia … as the pacemaker for the heart. To be interpreted as ‘normal sinus rhythm’ the following criteria must be met …
  • Slow weight gain
    www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
    fibrosis Congenital heart disease Diabetes mellitus Hyperthyroidism Other Medical Causes Genetic syndromes … disease Early (<4 months) or delayed (>6 months) introduction of solids Psychosocial factors Parental … involvement Inadequate absorption Cow milk protein allergy Coeliac disease (if having gluten containing diet …
  • Febrile child
    www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
    neutropenia ), central line in situ, chronic lung disease, congenital heart disease, previous invasive … and suspected or confirmed neutropenia Fever in the recently returned traveller Kawasaki disease Petechiae … for Kawasaki disease  or PIMS-TS if there is a history of COVID-19 infection Other uncommon causes of prolonged …
  • Brief resolved unexplained event (BRUE)
    www.rch.org.au/clinicalguide/guideline_index/Brief_resolved_unexplained_event_(BRUE)/
    Infections: pertussis, bacterial infection Cardiac: congenital heart disease, arrhythmias Other: electrolyte …
  • Can’t intubate can’t oxygenate (CICO) airway emergency management
    www.rch.org.au/clinicalguide/guideline_index/Can_t_intubate_can_t_oxygenate_(CICO)_airway_emergency_management/
    technique Oxygen saturation is <80% (<50% with cyanotic heart disease) with bradycardia Reversible causes … are rare, and usually anticipated as they are due to obvious congenital airway abnormalities or acute …