• Nicotine Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
    Investigations For all symptomatic patients: ECG: initially and repeat at 4 hours until normal.   Pathology: nil … GCS  Normal ECG Period of observation as above For deliberate ingestion. A risk assessment should …
  • Hydrofluoric acid exposure
    www.rch.org.au/clinicalguide/guideline_index/Hydrofluoric_acid_exposure/
    and blood gas - hypocalcaemia, hypomagnesaemia, hypo/hyperkalaemia, ECG - prolonged QT is a marker … 650. Consider Discharge when Pain can be controlled with simple analgesia only Normal GCS Normal ECG …
  • Inhalants / volatile substance use - chroming
    www.rch.org.au/clinicalguide/guideline_index/Inhalants_/_volatile_substance_use_-_chroming/
    etc) Investigations ECG to evaluate dysrhythmias or QT prolongation CXR if respiratory symptoms/signs …) Service: 1300 137 650 Consider discharge when Normal GCS Normal ECG Period of observation as above …
  • Anticholinergic syndrome
    www.rch.org.au/clinicalguide/guideline_index/Anticholinergic_syndrome/
    tests - 12 lead ECG, blood glucose and paracetamol concentration - in deliberate self-poisoning.  Some … hours. Prior to discharge, all children require: Normal GCS Normal ECG Ensure provision for safe …
  • Serotonin toxicity
    www.rch.org.au/clinicalguide/guideline_index/Serotonin_toxicity/
    of underlying medical condition (fingerprick marks etc) Management Investigations 12 lead ECG, blood glucose … GCS Normal ECG Period of observation as above Resolution of symptoms with complete recovery can …
  • Management of Eating Disorders in the Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/Management_of_Eating_Disorders_in_the_Emergency_Department/
    if amenorrhoeic 12-lead ECG If secondary amenorrhoea: consider FSH, LH, sensitive oestradiol/serum testosterone … SBP for age and gender and postural SBP drop of <15 mmHg ECG QTc >450 msec or other significant ECG …
  • Carbamazepine poisoning
    www.rch.org.au/clinicalguide/guideline_index/Carbamazepine_poisoning/
    .) Investigations ECG: initially and repeat at 6 hours until normal   Paracetemol concentration in all intentional … GCS Normal ECG Child remains symptom free after 8 hour period of observation Assessing risk …
  • Hypermagnesaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypermagnesaemia/
    of deep tendon reflexes Cardiac: hypotension, ECG changes Respiratory: apnoea CNS: decreased consciousness …
  • Recreational drug use and overdose
    www.rch.org.au/clinicalguide/guideline_index/Recreational_drug_use_and_overdose/
    , rhabdomyolysis, seizures, intracranial haemorrhage, hyponatraemia, cerebral oedema - 12 lead ECG - BSL - …
  • Hyperosmolar hyperglycaemic state
    www.rch.org.au/clinicalguide/guideline_index/Hyperosmolar_hyperglycaemic_state/
    if febrile or suspicion of sepsis Urinary ketones Consider ECG if potassium results will be delayed … replacement may be required ECG and cardiac monitoring are required to recognise early signs of potassium …