• Acute red eye
    www.rch.org.au/clinicalguide/guideline_index/Acute_red_eye/
    acuity or a history of possible penetrating eye trauma; these conditions require specialist … closure glaucoma Assessment History Time course of the redness Eye pain Vision impairment Eye trauma … Iritis Scleritis Subconjunctival haemorrhage Trauma Vigorous coughing or vomiting Focal conjunctival …
  • Haemophilia
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
    have bleeding into joints.  Severe bleeds occur with moderate trauma, surgery & invasive procedures … Mild >5–40 Bleeding occurs with major traumas such as surgery & invasive procedures Management … of suspected bleeding is dependent on the mechanism of injury (trauma) Routine coagulation studies …
  • Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    serious consequences.  They are generally a result from higher energy trauma. Prompt orthopedic treatment …. What is the usual ED management for this injury? Patients involved in high energy trauma, should … be assessed by Advanced Trauma Life Support (ATLS) principles.  Assessment should be made to identify …
  • Drowning
    www.rch.org.au/clinicalguide/guideline_index/Drowning/
    but should be considered if there is a history of trauma eg diving The cause of drowning should be fully … intoxication Examination Evidence of hypoxic brain injury  Evidence of respiratory compromise  Signs of trauma … particularly head and cervical spine trauma  Management Investigations Children who are asymptomatic and alert …
  • Ethanol poisoning
    www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
    glycol) Other drug ingestion (eg recreational drugs, medications, other deliberate overdose) Trauma … / injury, especially trauma to head Level of neurological depression, and progression of symptoms which … conscious state (keeping in mind that this may not be due to alcohol ingestion: consider trauma, polydrug …
  • Clavicle fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
    in children.  It is the most common perinatal fracture associated with birth trauma.  Half of all paediatric …, without a witnessed trauma. Fractures of the medial third are usually the result of direct trauma … fractures should be assessed using the Advanced Trauma Life Support (ATLS) principles to ensure associated …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    Altered conscious state Altered conscious state PIC Endorsed See also Head injury Hypoglycaemia Trauma - … defined by a GCS of < 15 Initial assessment of conscious state may be done using AVPU scale Causes Trauma … or MRI (where feasible and only after initial resuscitation and treatment) in suspected trauma, stroke …
  • Common causes of ataxia
    www.rch.org.au/clinicalguide/guideline_index/Common_causes_of_ataxia/
    *   Toxins* Tumours* Immune (eg ADEM)* Metabolic Infections Vascular (eg Stroke) Trauma Conversion disorder … Paediatric Handbook Paediatric Injectable Guidelines Paediatric Trauma Manual Patients and families My RCH …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    Management Trauma patients, those who are critically unwell or have clear signs of cardiorespiratory … of cardiopulmonary arrest , Major paediatric trauma – the primary survey Offer simple analgesia (eg Paracetamol … possible Electrolytes abnormalities Cardiac ischaemia Pain radiating to arm or neck Blunt chest trauma …
  • Humeral shaft fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Humeral_shaft_fractures_Emergency_Department/
    from direct trauma, whereas spiral fractures are caused by indirect twisting, as with a fall …. Pathological fractures through a humeral simple bone cyst are relatively common after minimal trauma …. In Green and Swiontkowski: Skeletal Trauma in Children, 4 th Ed. Saunders Elsevier, Philadelphia 2008. p …