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Acute pain management
www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
of injuries, useful strategies include: Immediate immobilisation of potential fractures with a splint … (see Burns ) For limb or finger injuries consider regional local anaesthesia/nerve block … Pharmacological management Local analgesia Context Suggested topical agent Limb or finger injuries: local …
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Ketamine use for procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
: Dissociation: the child passes into a trance like state, eyes may be open Catalepsy: normal or slightly … of foreign bodies from eye, ear, nose, skin where nitrous oxide has been or is likely to be inadequate …, hypertension, Wolff-Parkinson-White syndrome Glaucoma or acute globe injury Porphyria Thyroid disease Bowel …
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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 … recordings Ask about aura, focal features level of awareness recent trauma, consider non-accidental injury … focality of limb or eye movement post-ictal phase/hemiparesis relation to sleep-wake cycle Relevant past …
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Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
Headache PIC Endorsed See also Acute otitis media Meningitis and encephalitis Head injury Key points … injury Known systemic disorder: haematological condition (bleeding tendency, prothrombotic state … Unilateral or bilateral Unilateral, often around the eye Pain quality Pressing/tightening (non-pulsatile …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
/infected VP shunt Musculoskeletal Accidental fractures Consider non-accidental injury (under reported … vitamin A deficiency can lead to eye pain) Assessment Establish a timeline as to when change in behaviour …
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Haematuria
www.rch.org.au/clinicalguide/guideline_index/Haematuria/
, arthralgia, or coryza Recent surgery or trauma including non-accidental injury Family history of haematuria … Weight Physical exam particularly reviewing for eyes, skin, genitalia, joint tenderness or swelling …
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Poisoning - Acute Guidelines For Initial Management
www.rch.org.au/clinicalguide/guideline_index/Poisoning_-_Acute_Guidelines_For_Initial_Management/
Corrosives - strong alkali or acid - Gastroesophageal injury Dextropropoxyphene 100 mg - Ventricular … syndrome Check glucose level: treat if glucose <4 mmol/L (link hypoglycaemia ) D2. Decontamination Eye … Copious irrigation with saline. Instillation of local anaesthetic eye drops and sedation may be required …
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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
be the initial presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key life-threatening … refill time sunken eyes/fontanelle Investigations Bloods - insert IV cannula when taking bloods Serum … and its treatment are Cerebral injury Acute kidney injury Hypoglycaemia Hypo/hyperkalaemia Hypo …
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Death of a child
www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child/
of the eye) No motor (withdrawal) response or facial grimace in response to painful stimulus eg nailbed … name of child), listening with my stethoscope and checking their hands and eyes, so that I can confirm … or unexpected deaths Accidents or injury related deaths Deaths where the person’s identity is unknown The cause …
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Hydrofluoric acid exposure
www.rch.org.au/clinicalguide/guideline_index/Hydrofluoric_acid_exposure/
burns CPG ) Ingestion Assessment of oesophageal injury Oesophageal irritation occurs with concentrations … resistant gloves. Flush eyes with 0.9% Saline, Ingestion - activated charcoal is not indicated …