• Hypokalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypokalaemia/
    ECG monitoring required Monitoring Ensure regular monitoring of: vital signs clinical and fluid status … to treatment (hypomagnesaemia promotes potassium wasting)  ECG: if signs/symptoms of hypokalaemia, risk … potassium <3.5 mmol/L with symptoms, signs and/or ECG changes In mild hypokalaemia (serum levels 3.0-3.5 …
  • Anaphylaxis
    www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
    as this may cause fluid overload Monitor continuously (all vital signs, 12-lead ECG and conscious state) Other … of anaphylaxis Assessment Signs and symptoms Airway Difficult or noisy breathing Tongue (not lip) swelling Throat … ) Severe/persistent GI symptoms (abdominal pain and/or vomiting) are a sign of anaphylaxis of any cause …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    of comfort Vital signs, hydration Abdomen Inspect for distension, herniae, bruising Palpate for focal vs … examination is useful to identify the persistence or evolution of signs, and evaluate response to treatment … is suspected Consider consultation with local paediatric team when Surgical cause suspected Severe pain Signs
  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    Effective resuscitation is vital if circulation is compromised Seek early ENT opinion if bleeding is severe … screen Treatment If signs of shock refer to  Resuscitation Try simple measures first to stop the bleeding …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    with simple analgesia and no serious cause has been identified Vital signs are normal Appropriate follow up … of ingested foreign body Suspicion button battery ingestion Examination Should aim to identify signs … Management Trauma patients, those who are critically unwell or have clear signs of cardiorespiratory …
  • Writing a good medical report
    www.rch.org.au/clinicalguide/guideline_index/Writing_a_good_medical_report/
    non-medical audience. Clarity of communication and economy of scale are vital to maximise its effectiveness … that need to be addressed. The request should be accompanied by a signed statement of consent completed …
  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    to voice prior to each dose (UMSS 0-1) If sedated or abnormal vital signs, inform treating clinician …
  • Fractures of the Pelvic Ring and Acetabulum - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fractures_of_the_Pelvic_Ring_and_Acetabulum_-_Emergency_Department/
    injury or other associated injuries, and it is vital the patient is approached in a systematic fashion … or abdominal pain lower limb deformity or neurological abnormality, or the patient is obtunded. Specific  signs
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    intracranial collection Any alleged shaking mechanism AND signs or symptoms suggestive of intracranial injury … is suspected, please refer to local guidelines . Early consultation with specialist services is vital An early … AL. Subconjunctival hemorrhages in infants and children: a sign of nonaccidental trauma. Pediatr …
  • Cannabis withdrawal syndrome
    www.rch.org.au/clinicalguide/guideline_index/Cannabis_withdrawal_syndrome/
    Co-occurring mental health disorders or medical conditions (eg T1DM, IBD) Examination Vital signs Physical exam … to identify signs of intoxication/withdrawal Mental state examination  The Cannabis Withdrawal Assessment …