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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 …
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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
first Effective resuscitation is vital if circulation is compromised Seek early ENT opinion if bleeding … / crossmatch, coagulation screen Treatment If signs of shock refer to Resuscitation Guideline Try simple …
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Sepsis – assessment and management
www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
dysfunction; hypotension is a late sign Rapid vascular access, early initiation of empiric antibiotics … and carefully titrated fluid resuscitation is vital Inotropes and vasopressors may be safely administered via … to intensive care unit when Child requiring escalation of care beyond local centre Signs of shock persisting …
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Intranasal fentanyl
www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
& sedation score every 5 minutes after administration. If sedated or abnormal vital signs, inform treating …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …