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Clinical Practice Guidelines

  • Cyanotic episodes in congenital heart disease
    www.rch.org.au/clinicalguide/guideline_index/Cyanotic_episodes_in_congenital_heart_disease/
    after episode has resolved to avoid distressing child Guided by possible precipitating factors An ECG …
  • Hyperphosphataemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperphosphataemia/
    , vomiting Renal: acute or chronic kidney failure Cardiac: tachycardia, arrhythmias, ECG changes …
  • Spider Bite – Redback Spider
    www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_–_Redback_Spider/
    required. CK or ECG may be required if features suggestive of rhabdomyolysis or myocarditis. Acute …
  • Stroke
    www.rch.org.au/clinicalguide/guideline_index/Stroke/
    investigations to identify underlying causes of confirmed stroke ECG and echocardiography Prothrombotic markers …
  • Drowning
    www.rch.org.au/clinicalguide/guideline_index/Drowning/
    , traumatic brain injury, co-existing medical condition, hypoglycaemia ECG may be helpful in diagnosing …
  • Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    for non-accidental injury Arrhythmia (seizure may be cause or result of arrhythmia; consider ECG) Differential … medication has passed ECG Perform where arrythmia is considered Imaging Consider in the following …
  • Burns - acute management
    www.rch.org.au/clinicalguide/guideline_index/Burns/
    ECG Treatment Acute fluid management in burns ≥10% TBSA The goal is optimal replacement of fluid … precautions Risk of dysrhythmias, consider 24 hours ECG monitoring Monitor for elevated CK, urine haemoglobin …
  • Camphor poisoning
    www.rch.org.au/clinicalguide/guideline_index/Camphor_poisoning/
    condition (fingerprick marks etc.) Investigations Paracetamol level in all intentional overdoses ECG CXR …
  • Hypomagnesaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
    : arrhythmias and ECG changes (PR/QT prolongation) Metabolic: hypokalaemia, hypocalcaemia Central nervous system …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    replacement Children with potassium >5.5 mmol/L should have an ECG and be on cardiac monitoring If potassium … is >7.0 mmol/L and ECG changes of hyperkalaemia are present (eg peaked T waves ± wide QRS complex …