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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
crepitus or deformity Mouth Wounds to the lips, gums, tongue or palate Teeth Subluxed, missing or fractured … Inspect for signs of injury such as bruising, seatbelt marks, wounds In cases of stabbing or other … assault, look for ‘hidden’ wounds by checking areas such as axillae Palpate for bony tenderness over ribs …
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Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
of exsanguinating external haemorrhage is the first priority Assess and expose all wounds Bandages controlling … for ongoing bleeding – including losses into bandages/gauze Apply direct pressure to the wound with a gauze …, bruising, wounds) Crepitus indicating Surgical emphysema Chest wall tenderness The life threats to identify …
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Snakebite
www.rch.org.au/clinicalguide/guideline_index/Snakebite/
, prolonged bleeding from venepuncture sites or other wounds, including the bite site) Muscle damage (muscle … adrenaline infusion may be considered in discussion with an expert experienced in its use. Wound care …: the wound can be washed after it is clear that a VDK is not required or has been used. Ensure that the child …
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Fingertip and nail injuries – Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Fingertip_and_nail_injuries_–_Emergency_Department/
and uncontaminated injuries. This includes clean open fingertip wounds with an associated undisplaced fracture … of the nail will heal very well and only require a simple non adherent dressing over the wound and review … shield hinges 10. What are the potential complications associated with these injuries? Wound Infection …
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Cellulitis and other bacterial skin infections
www.rch.org.au/clinicalguide/guideline_index/Cellulitis_and_other_bacterial_skin_infections/
OR Trimethoprim/sulfamethoxazole 8/40 mg/kg (max 320/1600 mg) oral bd 5–10 days Clean and debride wound as needed … Presentation delayed by >8 hours Puncture wound unable to be adequately debrided Bite on hands, feet, face … Therapeutic Guidelines. Acute Wound Infections. https://tgldcdp.tg.org.au.acs.hcn.com.au/viewTopic?topicfile …
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Toe Fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Toe_Fractures_-_Emergency_Department/
deformity and no open wound, it may be reasonable to diagnose a fracture clinically (i.e. without X-ray … Irrigate wound Antibiotics To be arranged by orthopaedic service Seymour Fracture: (SH I fracture of distal …
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Medial epicondyle fracture of the humerus - Fracture clinics
www.rch.org.au/clinicalguide/guideline_index/fractures/medial_epicondyle_clinic/
exercises. If concerned about wound, consider review at 1 week post-operative At 9 weeks post-operative …
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Fascia iliaca block of the femoral nerve
www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
of the femoral nerve by either method provides good analgesia for femoral fractures and wounds … fractures Anteromedial thigh wounds requiring exploration and washout or initial cleaning and dressing prior … to theatre Contraindications Local anaesthetic allergy/anaphylaxis Open wound or signs of infection …
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Thoracocentesis and chest drain insertion
www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
Potential complications Pain or chest wall numbness Wound infection and bleeding Subcutaneous emphysema … the patient's chest level Anchor the drain and suture the wound. Tape in place with a waterproof transparent …
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Gastrostomy - common problems
www.rch.org.au/clinicalguide/guideline_index/Gastrostomy_Common_problems/
, the tube may have to be removed to relieve pain. If there is discharge from the site, a skin/wound swab …