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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
Altered conscious state Altered conscious state PIC Endorsed See also Head injury Hypoglycaemia Trauma - … conscious state and signs of injury Background Altered conscious state is a continuum from disorientation … injury and infection are the most common causes of paediatric coma The Glasgow Coma Scale (GCS …
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The acutely swollen joint
www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
eg refusal to weight bear, or use affected joint Constant severe pain or night pain Trauma/injury … rub, murmur Eye: Red eye, decreased visual acuity, restriction in extraocular movement Common …/soft tissue injury History of injury Child abuse Unexplained injury, bruising Particularly if non …
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Nasal fracture
www.rch.org.au/clinicalguide/guideline_index/Nasal_fracture/
Maxillofacial injury Epistaxis Trauma: inter-hospital transfer Key points Septal haematoma must be excluded … injury Suspected nasal fractures without deformity can be reviewed 3-5 days post injury by a GP. If any … should be reduced within 14 days of injury Background Nasal fractures may involve the nasal bones, nasal …
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Brief resolved unexplained event (BRUE)
www.rch.org.au/clinicalguide/guideline_index/Brief_resolved_unexplained_event_(BRUE)/
History History should be taken from an adult who observed the event Consider inflicted injury when …, or normal Movement (including eyes): purposeful, repetitive Circumstances and environment prior to event …, head circumference crossing centiles, epistaxis, oral injury or irritability/drowsiness should raise …
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Animal and human bites
www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
bone/limb/spinal if child has been dragged Eye injury if face is involved Assess depth of wound … Lyssavirus post exposure prophylaxis Key Points Animal and human bite injuries in which the skin is broken … These wounds require a thorough assessment for depth and injury to associated structures Most bite injuries …
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Acute knee injuries - emergency department
www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_knee_injuries_-_emergency_department/
Acute knee injuries - emergency department …Clinical Practice Guidelines : Acute knee injuries - … Guidelines > Acute knee injuries - emergency department Print Share Facebook LinkedIn Email …
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Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
survey Head injury Thoracic elevation device Key points Cervical spine injury (CSI) is uncommon … to support clinical clearance and guide imaging decisions after blunt trauma Common injury patterns differ … in younger vs older age groups. Under 8 years of age, higher spinal cord injuries (C1-3) are more common …
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Immune thrombocytopenic purpura
www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
bruising in an otherwise often well looking child Excessive bleeding or bruising with injuries Epistaxis …, fever, sweats or infective symptoms Rash, arthritis, myalgias, dry eyes, mouth ulcers, recurrent … Inflicted injury Bone marrow disorders eg aplastic anaemia Systemic lupus erythematosus Drug-induced …
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Burns - post acute care and dressings
www.rch.org.au/clinicalguide/guideline_index/Burns_-_post_acute_care_and_dressings/
after cleaning face gently without soap Consider chloramphenicol ointment to eye and ear burns Mid … dressings near eyes Perineal burns Epidermal or superficial dermal Apply white soft paraffin multiple times … assessment of adequate nutrition Start nasogastric feeding early in children with facial burns, injuries …
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Unsettled or crying babies
www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
Acute eye injury Other causes to consider in assessment Inadequate caloric intake, see Slow weight gain … to exclude medical conditions, inflicted injury or parental mental health concerns Management focuses … and social context Parental/carer mental health Examination Assess for physical signs of illness, injury …