• Corrosives - Caustic Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Corrosives_-_Caustic_Poisoning/
    Guidelines For Initial Management Burns / management of burn wounds Acute pain management Foreign body … analgesia required, please consult local pain management service. Dermal Remove clothing / particulate … is an ophthalmic emergency. Remove contact lenses if present. Use topical anaesthetic (if available), immediate …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    (expose wounds, do not remove penetrating foreign bodies) Intra-thoracic bleeding (assess for massive … significant bleeding should not be removed until the child is stable and IV access is secured Assess … thrust (avoiding head-tilt or chin lift) Gentle suction of airway to remove blood/vomitus/secretions …
  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    of mucosa, intranasal steroids Rarer causes include foreign bodies, nasal polyps, bleeding diatheses … and review in 48 hours. Moisten with saline prior to removal and provide discharge information Consider …
  • Emergency airway management
    www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
    / tumours Tonsillar hypertrophy  Tracheal anomalies (subglottic stenosis)  Sleep apnoea  Foreign body … to pass the ETT.  Remove laryngoscope, reoxygenate, plan and perform subsequent attempts with a different … these measures, it should be removed and reoxygenation commenced Less reliable indicators: Auscultation: equal …
  • 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/
    Foreign body inhalation Key points Can’t Intubate Can’t Oxygenate (CICO) situations are life threatening … have been excluded Cricoid pressure, if applied, has been removed Equipment A prepared CICO pack … rod removed and 15mm Rapi-Fit™ connector attached) 11 Fr 83cm Cook™ Airway Exchange Catheter (with …
  • Trauma: Tertiary Survey
    www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
      Penetrating eye injury ), irregular iris , foreign bodies, subconjunctival haemorrhage, hyphema Ears Bleeding … and distract the child Keep the child warm. Remove clothing as required to complete a full examination …
  • Nitrous Oxide - oxygen mix
    www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
    insertion Peripheral cannula insertion Suturing Foreign body removal Simple fracture manipulation Simple …
  • Acute pain management
    www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
    , Coolsense® or BUZZY® Nasal/pharyngeal foreign body removal, NGT insertion Lignocaine: Phenylephrine … is preferred Dose on ideal body weight Administer commercial syrup carefully as available in several … and erratic Dose on ideal body weight 125 mg, 250 mg, 500 mg suppositories available PR medication should …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    , foreign bodies, subconjunctival haemorrhage, hyphaema Ears: bleeding, blood behind tympanic membrane …. Involve the parent or accompanying adult to comfort and distract the child Keep the child warm. Remove
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    of foreign bodies from eye, ear, nose, skin where nitrous oxide has been or is likely to be inadequate … immobilisation, eg: Lacerations (especially of the face) Fracture reduction Abscess incision & drainage Removal