RCH logo

Clinical Practice Guidelines

  • Haemophilia
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
    or mobility Prompt clotting factor replacement reduces the pain and long-term consequences of bleeding … and muscle bleeds For muscle and joint bleeds P.R.I.C.E will limit bleeding and reduce pain. Initiate …) R = Rest I   = Ice (apply a cold pack to reduce bleeding and pain) C = Compression bandage (gentle …
  • Vulval and Vaginal Conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_Vaginal_Conditions/
    Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … discharge is usually minimal Menarche usually occurs 2-3 years after thelarche Vulval and vaginal pain …
  • Radiology - Acute indications
    www.rch.org.au/clinicalguide/guideline_index/Radiology_Guidelines_Acute_indications/
    Non-accidental injury Acutely painful hip Plain xrays (AP and frog-leg lateral) will demonstrate slipped upper … be helpful - ask consultant or registrar for advice  AXR not indicated for:  Vague central abdominal pain … stenosis See pyloric stenosis Abdominal pain or iliac or pelvic pain in the pubertal female with possible …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    (any of the above and/or): headache neck pain photophobia nausea altered conscious state   Preceding … (see Petechiae and purpura ) Pain and involuntary effort to reduce meningeal “stretch” eg Kernig … Child is supine One hip and knee are flexed to 90 degrees by the examiner The examiner then attempts …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
      Abdominal pain Urinary incontinence Urinary tract infections Key points Constipation is a common condition … the urge to defaecate, causing a build-up of large hard bowel actions. When this leads to painful …) Mucus in the stool Painful or frightening precipitant prior to the onset of constipation …
  • Lumbar puncture
    www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
    Complications Failure to obtain CSF, or traumatic bloody tap (common) Pain/discomfort during procedure (consider … (kg) + 7, children (mm) = 0.4 x weight (kg) + 20 Analgesia Ensure acute pain management  including … and make sure hips and shoulders are in line with each other Draw an imaginary line between the top …