• Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    PCA (Patient Controlled Analgesia) Vaso-occlusive Crisis (Pain crisis) All episodes of pain should … – moderate exercise, take a bath or shower Do not use ICE Hydration, oxygen, analgesia and alkanization …
  • Cervical spine assessment
    www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
    by alcohol or recreational drugs not heavily sedated by analgesia or sedatives be developmentally able … appropriate questions Provide reassurance and analgesia Whilst minimising neck movement, gently palpate … below the chin. Provide regular analgesia and reassurance Caution should be exercised during moment …
  • Peripheral extravasation injuries: Initial management and washout procedure
    www.rch.org.au/clinicalguide/guideline_index/Peripheral_extravasation_injuries__Initial_management_and_washout_procedure/
    ) Washout procedure Planning for the procedure is critical to ensure success Consider analgesia and sedation … above) To perform a washout procedure: Ensure adequate analgesia and sedation , eg 1% lignocaine (max 4 … instructions Consider ongoing analgesia requirements Daily review by medical staff If the line was placed …
  • Burns - acute management
    www.rch.org.au/clinicalguide/guideline_index/Burns/
    analgesia to facilitate assessment and ensure patient comfort Appropriately consented photographs … of burn, location of burn, eg back or genitalia Tetanus immunisation status Analgesia Ensure adequate pain … relief on presentation and ongoing analgesia, especially during dressings and mobilisation: see Acute …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    causes and manage appropriately Reassurance with or without simple analgesia is often all … of cardiopulmonary arrest , Major paediatric trauma – the primary survey Offer simple analgesia (eg Paracetamol … with simple analgesia and no serious cause has been identified Vital signs are normal Appropriate follow up …
  • Head injury
    www.rch.org.au/clinicalguide/guideline_index/Head_injury/
    with simple analgesia Ensure discharge advice given to parents Mild head injury with other risk factors Child … thereafter Treat pain with simple analgesia Consider anti-emetics A persistent headache, ongoing vomiting … ventilation: Analgesia and sedation with morphine and midazolam should be administered by careful titration …
  • Fingertip and nail injuries – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fingertip_and_nail_injuries_–_Emergency_Department/
    is the usual ED management of this injury? In young or uncooperative children, consider early analgesia … which is uncontrolled with simple analgesia and distraction should prompt urgent review as it may …
  • Acute otitis media
    www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/
    Treat pain with adequate and regular simple analgesia. See Acute pain management As an adjunct …, short-term use of topical analgesia eg 2% lignocaine (for injection), 1-2 drops or Benzocaine + Phenazone …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    transfusion Flail chest : analgesia, consider positive pressure ventilation Request a portable chest X-Ray … blood glucose level on arrival Assess pain Provide analgesia Avoid secondary brain injury by …
  • Acute eye injury
    www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/
    or blurred vision Adequate analgesia will aid examination and procedural sedation may be required … for full eye examination Adequate analgesia will aid assessment and procedural sedation may be required …