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Inhalants / volatile substance use - chroming
www.rch.org.au/clinicalguide/guideline_index/Inhalants_/_volatile_substance_use_-_chroming/
self-poisoning or significant accidental ingestion Any symptomatic child Acute ingestion of unknown quantity Any … child whose developmental age is inconsistent with accidental poisoning as non-accidental poisoning … leukoencephalopathy: dementia, ataxia Sudden death (Sudden Sniffing Death): typical example is a child who has used …
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Mental state examination
www.rch.org.au/clinicalguide/guideline_index/Mental_state_examination/
abuse Behaviour Manner of relating to clinician and parents Ease of separation from parent, interaction … a legislative act eg Assessment Order or Treatment Order Consider child safety principles and mandatory …. The medical basis of psychiatry. 2008, pg 3-16 American Academy of Child and Adolescent Psychiatry. Practice …
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Burns - post acute care and dressings
www.rch.org.au/clinicalguide/guideline_index/Burns_-_post_acute_care_and_dressings/
to care for burns at home Suspected child abuse or self-inflicted burn Additional or specific dressings … Anxiety and distress increase a child's analgesia requirements and reduce compliance with care Mitigate … child for other causes Prophylactic antibiotics are not recommended in burns Assess wounds for evidence …
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Serotonin toxicity
www.rch.org.au/clinicalguide/guideline_index/Serotonin_toxicity/
* Dextromethorphan* Methadone Tapentadol Fentanyl Drugs of abuse MDMA (ecstasy) LSD Amphetamines Cocaine Antiemetics … Consider consultation with local paediatric team when Child is symptomatic: requires admission … or significant accidental ingestion should be observed for symptoms for a minimum of 12 hours Any child …
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Brief resolved unexplained event (BRUE)
www.rch.org.au/clinicalguide/guideline_index/Brief_resolved_unexplained_event_(BRUE)/
event (BRUE) PIC Endorsed See also Gastrooesophageal reflux in infants Afebrile seizures Child Abuse Key … multiple or changing versions of the history are provided or circumstances are inconsistent with the child …. Hosp Pediatr. 2022;12(9):772-785. Starship Child Health, BRUE brief resolved unexplained events …
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Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
and other forms of ethanol abuse are common problems. There are variety of forms of alcohol which children … Child protection and safety concerns Consult the Poisons Information Centre 13 11 26 for advice Consider … safe to discharge a child or adolescent from hospital, but ongoing mental health or drug and alcohol …
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Nitrous Oxide Misuse
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Misuse/
. Children requiring assessment All children with deliberate self-poisoning Any child with neurological … paediatric team when Any child or adolescent presents with intentional overdose as admission should …) Poisons Information Centre: phone 13 11 26 Victoria Poisons Information Centre Child & Adolescent Mental …
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Dental trauma
www.rch.org.au/clinicalguide/guideline_index/Dental_trauma/
child abuse Assessment Reviewing tooth anatomy , tooth numbering and eruption dates will assist when … to emergency dental service Injuries to the supporting bone Check that the child's bite is normal Get an OPG … Australia Some children will also be eligible for the Child Dental Benefits Schedule which subsidises dental …
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Functional somatic symptoms
www.rch.org.au/clinicalguide/guideline_index/Functional_somatic_symptoms/
chronic Anxiety: identification and management Child abuse Key points Functional somatic symptoms (FSS … that wake child from sleep syncope associated with exertion or cardiac symptoms abnormal neurological … testing Collaborative, with clear explanation provided to the child and family Diagnosis does not require …
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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/
, dysmorphism Hypoglycaemia, metabolic acidosis Non-accidental injury (NAI) Child abuse Bruising, unexplained … child Sepsis in neonates Acceptable range of physiological variables Key points Infections are the most … investigations and antibiotics, vitamin K after birth Family history: previous child with early onset sepsis …