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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 …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
NAI) Pre-existing narrow or floppy upper airway Retropharyngeal abscess Sore throat Fever Neck pain … fever and systemically unwell Muffled voice Hyperextension of neck Dysphagia Pooling of secretions … of the neck Subcutaneous emphysema May progress to pneumothorax / pneumomediastinum Management Investigations …
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Haemophilia
www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
of bleeding Assess the impact on function Major or suspected bleeding in the head, neck, chest … and bruising that does not impact on function or mobility Prompt clotting factor replacement reduces the pain … measures: joint and muscle bleeds For muscle and joint bleeds P.R.I.C.E will limit bleeding and reduce pain …
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Olecranon fracture - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Olecranon_fracture_Emergency_Department_setting/
fracture, radial neck fracture, supracondylar fracture) 3. How common are they and how do they occur … (e.g. radial head dislocation [Monteggia variant], lateral condyle fracture, radial neck fracture … like - clinically? There is usually pain, tenderness and swelling at the fracture site, and decreased …
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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
teeth (see Dental trauma ) Jaw Identify pain, trismus or malocclusion and palpate for bony step Neck … who are unable to communicate pain are at increased risk of missed injuries Head and face Face, scalp … Inspect neck, whilst maintaining manual in-line stabilisation if C-spine has yet to be cleared. Open …
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Slipped upper femoral epiphysis SUFE - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Slipped_upper_femoral_epiphysis_SUFE_-_Emergency_Department/
complain of vague pain in the groin, thigh or knee. A very reliable clinical sign of a chronic SUFE, even … is acute and unstable, these children cannot walk. The child may complain of vague pain in the groin, thigh … or knee. SUFE commonly presents with knee pain as the only presenting complaint. A very reliable sign …
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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 …
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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 … or malocclusion and palpate for bony step Neck Inspect neck whilst maintaining manual in-line stabilisation … of spine. Open collar to do this Examine anterior neck for blunt or penetrating trauma by looking/feeling …
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Burns - acute management
www.rch.org.au/clinicalguide/guideline_index/Burns/
) and full thickness Early first aid with a total of 20 minutes of cool running water provides pain relief … swelling Sign of oropharyngeal burn : soot in mouth, intraoral oedema and erythema Significant neck burn … of burn, location of burn, eg back or genitalia Tetanus immunisation status Analgesia Ensure adequate pain …
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Pelvic Avulsion Injuries – Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Pelvic_Avulsion_Injuries_–_Emergency_Department/
like – clinically? The adolescent patient will present with a history of a sudden pain during forceful … On examination the patient will have local tenderness and pain at the site exacerbated by passive stretching (or … pain in the same area prior to the acute injury suggestive of an apophysitis - this is more common …