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Clinical Practice Guidelines

  • Intraosseous access
    www.rch.org.au/clinicalguide/guideline_index/Intraosseous_access/
    ) Physeal plate injury Local infection, skin necrosis, pain, compartment syndrome, fat and bone micro-emboli …   Humerus : Place child’s hand on abdomen with elbow flexed and shoulder internally rotated.� ~1 cm above …
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    Hypertension Stress, pain, anxiety Secondary Hypertension Renal parenchymal disease GN, polycystic kidneys, CKI … Seizures Chest pain/palpitations Shortness of breath Cardiac failure Past history of Acute Kidney Injury … the shoulder tip to the elbow Abnormal oscillatory BP measurement needs checking with a manual BP from …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    a thoracic elevation device or towel under shoulder blades to achieve this if <8 years old Regardless …: A = Alert V = Responds to voice P = Responds to pain U = Unresponsive Any impairment on AVPU scale should … blood glucose level on arrival Assess pain Provide analgesia Avoid secondary brain injury by …
  • 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 …
  • Death of a child
    www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child/
    a thumb and two fingers, hold and squeeze the trapezius muscles of the shoulder) supraorbital pressure … of the eye) No motor (withdrawal) response or facial grimace in response to painful stimulus eg nailbed …