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Clinical Practice Guidelines

  • Phalangeal Finger Fractures
    www.rch.org.au/clinicalguide/guideline_index/fractures/Phalangeal_Finger_Fractures/
    of the THUMB  are covered separately, as are METACARPAL  FRACTURES. Finger injuries are a very common reason … for children to present to an Emergency Department. In young children this is most often from crush injuries … or ligamentous injuries can occur, with some subtle variations in the early care required for each.  Early …
  • Brief Resolved Unexplained Event BRUE
    www.rch.org.au/clinicalguide/guideline_index/Brief_Resolved_Unexplained_Event_BRUE/
    , subconjunctival haemorrhage, full fontanelle, head circumference crossing centiles, epistaxis, oral injury …) Head injury/other inflicted injuries Infections: pertussis, bacterial infection Cardiac: congenital … observed the event Consider inflicted injury when multiple or changing versions of the history are provided …
  • Acute eye injury
    www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/
    should occur after management of other life-threatening injuries and consideration of head and C-spine …Acute eye injury …Clinical Practice Guidelines : Acute eye injury …
  • Clavicle fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
    , Oakley EA. Fractures and minor head injuries: Minor injuries in children II. Med J Aust 2005; 182: 644-8 … with this injury? Parent information fact sheet  (PDF) 1. Summary Fracture type ED management Follow-up Middle …% Bony injury alone Associated with sternoclavicular dislocation (may be a physeal sleeve separation)   3 …
  • Drowning
    www.rch.org.au/clinicalguide/guideline_index/Drowning/
    and do not require hospital admission beyond a period of observation Cervical spine injury is uncommon … 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 …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    points The secondary survey allows the identification of injuries that were not detected in the primary … a management plan for each injury identified Refer to the relevant specialty teams and activate relevant … retrieval services Background The purpose of the secondary survey is the identification of injuries …
  • Resuscitation: Care of the seriously unwell child
    www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Care_of_the_seriously_unwell_child/
    , caregiver present, distraction techniques)  Optimise head position to achieve patent airway Continue child’s … adopted posture < 1y neutral position >1y sniffing position Consider suction Simple airway manoeuvre Head … or suprasternal recession, abdominal breathing, nasal flare, head bob, tracheal tug, forward posture Respiratory …
  • Slipped upper femoral epiphysis SUFE - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Slipped_upper_femoral_epiphysis_SUFE_-_Emergency_Department/
    to this position may disrupt the vascular supply to the head of femur. Where chronic SUFE is suspected … drawn along the neck of the femur shows a portion of the head of the femur above the line …. On the affected left side, the head of the femur does not appear above the line. 7. Do I need to refer …
  • Elbow Dislocations - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Elbow_Dislocations_-_Emergency_Department/
    with this injury? 1. Summary Elbow dislocations usually refers to ulnohumeral dislocations (see image below … a dislocation as these can represent serious bony and/or ligamentous injuries. These are termed TRASH lesions … relocation Beware ulnar nerve neuropathy Valgus posterolateral rotatory Radial head and/or capitellar shear …
  • Nitrous Oxide - oxygen mix
    www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
    : methionine synthetase deficiency, homocystinuria and methylmalonic academia GCS <15 from head injury Very … filled airspace: chest injury, abdominal distension, head injury with GCS 15 but ongoing symptoms …