• Poisoning - Acute Guidelines For Initial Management
    www.rch.org.au/clinicalguide/guideline_index/Poisoning_-_Acute_Guidelines_For_Initial_Management/
    Theophylline - seizures, Supraventricular Tachycardia, tachycardia, vomiting Risk Assessment The aim … Essential Oil poisoning Ethanol Eucalyptus Oil poisoning High risk – low dose paediatric ingestions … are highly toxic in a dose of 1-2 tablets in this age group (see table below)  Resuscitation and risk …
  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    treatment (Triage Category 2) and those at risk of imminent cardiovascular collapse should be seen … of the treatment of cancer. The risk of serious bacterial infection is related to the degree and duration … with recurrent neutropenia. High risk cancer treatment protocols Acute myeloid leukaemia (AML) treatment; Acute …
  • Hypercholesterolaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypercholesterolaemia/
    cardiovascular outcomes Very high LDL-C (>13 mmol/L) or early xanthomas suggest homozygous FH and requires urgent … is a reasonable addition Assessment History Raised LDL-C on screening or incidental finding on routine testing …) Statin therapy Recommended from age 8 years (or earlier, if high risk) if LDL-C remains above …
  • Emergency airway management
    www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
    , and respiratory or cardiovascular failure as the indication for intubation Preparation Optimisation … in the non-arrested child is NOT the same as the adrenaline dose given in cardiac arrest (see Resuscitation ) Assess … associated with difficult airways There is an increased risk of airway obstruction in the setting of: Head …
  • Anaphylaxis
    www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
    , but when severe, consider the diagnosis to avoid treatment delay Assessment Clinical features … of anaphylaxis Assessment Signs and symptoms Airway Difficult or noisy breathing Tongue (not lip) swelling Throat … is anaphylaxis requiring ongoing treatment (due to persisting respiratory or cardiovascular symptoms) despite 2 …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    Endorsed See also Intravenous immunoglobulin Febrile child Sepsis: assessment and management COVID-19 … clinician is important to reduce the risk of coronary artery aneurysms (CAAs) Consider addition … of corticosteroids for children at high-risk of CAAs Infants <12 months who are at a higher risk of incomplete KD …
  • Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    hypoxic injury trauma Assessment Assessment and management should occur concurrently if the child … is seizing Key considerations in acute assessment Duration of seizure including pre-hospital period Any … pressure Cardiovascular examination including BP Look for any signs that suggest an underlying cause eg …
  • Diabetic ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
    Illness in a child with known T1DM Assessment History and examination are directed towards Assessment … of severity Assessment of level of consciousness Identifying potential precipitants Detecting complications … are often inaccurate, as acidosis may exacerbate peripheral shutdown Assess level of dehydration Degree …
  • Snakebite
    www.rch.org.au/clinicalguide/guideline_index/Snakebite/
    Cardiovascular effects TMA Brown VICC Rare and mild - 50% Collapse (33%) Cardiac arrest (5%) 10% Tiger VICC 30 …, D-dimer high). Assessment Focus on evidence of envenomation.  Once the possibility of snakebite has been … with monitoring.  Gain 2 points of intravenous access, with at least one large bore cannula. There is a risk …