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Clinical Practice Guidelines

  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    finished your examination Secondary survey Head and face Face, scalp and skull: bleeding, lacerations … of all injuries identified Further imaging, such as CT, should be considered if indicated Determine …
  • Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    , hypomagnesaemia) meningitis drug/toxin overdose or envenomation head trauma stroke and intracranial haemorrhage …, raised temperature, diaphoresis, diarrhoea, tremors, hyperreflexia) Red Flags Head injury with delayed … medication has passed Avoid CT in children with established epilepsy after a typical seizure, unless …
  • Acute eye injury
    www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/
    life-threatening injuries and consideration of head and C-spine injury Penetrating eye injury If a penetrating eye …, tenderness, relative enophthalmos, decreased sensation of cheek, lower eye lid crepitus CT of the orbit …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    and mycobacteria) History of neurosurgery or penetrating head injury VP shunt Cochlear implant Younger age … for complications eg abscess, thrombosis Normal CT brain does not exclude raised ICP and should not influence … of the neurological state should be repeated every 6-12 hours for the first 48 hours Monitor weight head circumference …
  • Rhinitis and rhinosinusitis
    www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
    to examine the nasal mucosa (tilt child's head back, elevate the nasal tip with your thumb, and illuminate … not be taken. Culture is not indicative of sinus pathogens and is therefore not helpful CT is the imaging …