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  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    Afebrile seizures CSF interpretation Febrile child Lumbar puncture Key points Making a clinical distinction … URTI may be present Seizures Recent antibiotics Immunisation history Travel history Medical condition … of the brain: unusual behaviour confusion personality change emotional lability Seizures (common) Abnormal …
  • Carbamazepine poisoning
    www.rch.org.au/clinicalguide/guideline_index/Carbamazepine_poisoning/
      anticholinergic effects  seizures coma life-threatening arrhythmias  Large carbamazepine ingestions can result …, nystagmus, drowsiness, coma, seizures Cardiovascular system: tachycardia, hypotension, life threatening … depression, seizures, cardiac arrhythmia *Children are at risk of severe features at lower concentrations …
  • Infantile Spasms
    www.rch.org.au/clinicalguide/guideline_index/Infantile_Spasms/
    Endorsed See also Seizures: acute management Sepsis Adrenal crisis/insufficiency Key points Infantile … Spasms (IS), also known as epileptic spasms, is a type of seizure and often relates to one of the most … of seizure disorder or developmental delay (genetic basis) Early handedness (focal structural abnormality …
  • Recognition of the seriously unwell neonate and young infant
    www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
    History of brief resolved unexplained event (BRUE) or seizures Growth history and trajectory Maternal … Reduced tone Abnormal movements Focal neurological signs Focal, complex or prolonged  seizures Exposure … 1 month of life Skin vesicles (not present in 1/3 of neonates and can be afebrile), seizures …
  • Stroke
    www.rch.org.au/clinicalguide/guideline_index/Stroke/
    pressure^  New onset seizures associated with persistent neurological signs or symptoms     *Arterial … or prolonged symptomatic seizures. See Afebrile seizures Avoid hyperthermia – aim to keep temperature ≤37.5 o C …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    primary survey Meningitis and encephalitis Sepsis - assessment and management Afebrile seizures Child …, confusion, seizures Focal neurology Time course of symptoms: abrupt vs gradual deterioration, recurrent …, seizures, developmental delay Family history including consanguinity Drug and toxin exposure: exposure …
  • Nicotine Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
    in seizures, cardiovascular collapse and coma Liquid nicotine solutions used in e-cigarette devices are often … and seizures. At higher doses, a second phase involving bradycardia, hypotension, respiratory failure and coma … Neurologic – agitation, fasciculation, seizures Late clinical signs in larger exposures (1 to 4 hours) CVS …
  • CPG Committee Calendar
    www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
     November 2025  Thursday 6  Gastrostomy   Wednesday 19  Febrile seizures October 2025 Thursday 2 … seizures   Wednesday 16 Urinary tract infection September 2024  Thursday 5 Haematology bundle  Wednesday 18 …
  • Cerebral Palsy - chest infection
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_chest_infection/
    palsy Cerebral palsy: increased seizures Cerebral palsy: pain and irritability Community acquired … for pneumonia Pre-existing respiratory failure Home respiratory non-invasive support Scoliosis Increased seizure … activity if known seizure disorder Examination Lethargic or unwell Signs of upper airway obstruction …
  • Benzodiazepine poisoning
    www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
    poisoning See also: Poisoning – Acute guidelines for initial management  Coma Afebrile Seizures … Neurologic – confusion, dysarthria, nystagmus, lethargy, ataxia, areflexia, hypotonia, seizure Respiratory … Flumazenil is contraindicated in intentional overdose (it can precipitate seizures in withdrawal or mixed …