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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
who are unable to communicate pain are at increased risk of missed injuries Head and face Face, scalp … teeth (see Dental trauma ) Jaw Identify pain, trismus or malocclusion and palpate for bony step Neck …/swelling Assess C-spine if not completed in secondary survey. See C-spine assessment Chest Observe work …
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Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
including pain, paraesthesia and/or weakness should prompt further assessment and consideration of imaging … If there is no significant neck pain or tenderness and no abnormal neurology, assess the active range of movement of the neck … by asking the child to slowly rotate their head to each side, place their chin to chest and look up …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
inspiratory time Moderate work of breathing, nasal flaring, grunting, paradoxical chest movement Decreased air …, vomiting episode (may not be witnessed) May have unilateral chest findings, wheeze Reduced pharyngeal tone … NAI) Pre-existing narrow or floppy upper airway Retropharyngeal abscess Sore throat Fever Neck pain …
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Corrosives - Caustic Poisoning
www.rch.org.au/clinicalguide/guideline_index/Corrosives_-_Caustic_Poisoning/
Guidelines For Initial Management Burns / management of burn wounds Acute pain management Foreign body … and painful Coagulative necrosis – depth of burn is limited by scar / eschar formation Children requiring … Examination Symptoms May be minimal and / or delayed Pain, nausea & vomiting, drooling or refusing …
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Haemophilia
www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
of bleeding Assess the impact on function Major or suspected bleeding in the head, neck, chest … and bruising that does not impact on function or mobility Prompt clotting factor replacement reduces the pain … measures: joint and muscle bleeds For muscle and joint bleeds P.R.I.C.E will limit bleeding and reduce pain …
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Vulval and vaginal conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … discharge is usually minimal Menarche usually occurs 2-3 years after thelarche Vulval and vaginal pain …
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Cerebral palsy - increased seizures
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Increased_Seizures/
seizures PIC Endorsed See also Afebrile seizures Cerebral palsy Cerebral palsy: chest infection Cerebral … palsy: pain and irritability Key Points Assessment of conscious state and responsiveness may … illness , chest infection , UTI Changes in medication, specifically AED or missed doses of AED …
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Communicating procedures to children
www.rch.org.au/clinicalguide/guideline_index/Communicating_procedures_to_children/
Procedural pain management Autism and developmental disability: Management of distress/agitation Key Points … when their movement is restricted and not because of pain or bad behaviour Discuss positioning that may … and more severe pain Rest, reassess & recover if the procedure attempt is unsuccessful, unexpectedly …
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Immigrant health - acute presentations
www.rch.org.au/clinicalguide/guideline_index/Immigrant_Health_acute_presentations/
may present with acute chest syndrome Pneumonia Asthma Bronchiolitis Croup Cough Immigrant health -TB … screening Sickle cell disease Abdominal pain Acute infection Constipation Surgical or gynaecological … causes. Parasite infection Helicobacter pylori gastritis - epigastric pain, early satiety, nausea …
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Burns - acute management
www.rch.org.au/clinicalguide/guideline_index/Burns/
) and full thickness Early first aid with a total of 20 minutes of cool running water provides pain relief … with C-spine precautions if there is associated trauma Breathing Assess adequacy of breathing and chest wall … expansion If abnormal with chest wall or abdominal wall full thickness and/or circumferential burns …