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Clinical Practice Guidelines

  • Periorbital and orbital cellulitis
    www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/
    or focal neurological signs Child requires care above the level of comfort of local hospital For emergency …?: A Prospective Observational Study in Children with Moderate/Severe Cellulitis. Pediatr Infect Dis J. 2016;35(3 …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
    Coeliac disease  Hypothyroidism Hypercalcaemia  Slow-transit constipation Neurological disorders … of the abdomen Lower back/spine — consider occult spinal dysraphism/tethered cord Neurology — assessment of lower … limbs, observation of gait Perianal area — fissures, placement of anus, anal wink / tone, or other …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    GI: anorexia, nausea/vomiting, abdominal pain, weight loss Neurological: dizziness/syncope, headache …) Neurological changes (adrenoleukodystrophy) Management Investigations All children Blood glucose (both bedside …, give an initial 'stress' dose of IV/IM hydrocortisone sodium succinate as above and observe for 4-6 …
  • Fractures of the Pelvic Ring and Acetabulum - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fractures_of_the_Pelvic_Ring_and_Acetabulum_-_Emergency_Department/
    or abdominal pain lower limb deformity or neurological abnormality, or the patient is obtunded. Specific  signs … X-ray, but will be suggested by pain with attempts to walk) !  Observing the patient walking …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    /swelling Assess c-spine (See C-spine assessment) Chest Observe work of breathing and effectiveness … to children with neurological deficits concerning for spinal injury, and should only be performed once …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    , genitourinary, respiratory and neurological symptoms) Growth, development Menstrual history Mental health … the mouth, and areas underneath the nappy Behaviours observed between the child and carer during …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    of complications (eg myocarditis/chest pain, respiratory, neurological) and disease progression A positive … be observed for  ALL  HCWs Decision to admit should be supported by clinical assessment (including risk …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.