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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
(DKA) may be the initial presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key … on intubation is advised Supportive measures and monitoring Nurse head up Continue to monitor airway safety … access (x2) and initial bloods including VBG Weigh child Start rehydration fluids Nurse head up Document …
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Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
overdose) Trauma / injury, especially trauma to head Level of neurological depression, and progression …, always consider potentially more dangerous contributors to decreased conscious state (including head … Injury ingestion of other drugs) For 24 hour advice, contact the Poisons Information Centre 13 11 26 …
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Lacerations
www.rch.org.au/clinicalguide/guideline_index/Lacerations/
(eg head/ cervical spine in falls, eye in facial trauma, teeth with mouth injuries) Injury to deeper … are distressed Assessment Assess the laceration for: Contamination by dirt or foreign bodies Associated injuries … of wound where the viability is in doubt, prior to closure Glass injuries Glass can cut deep to bone …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
management Key Points A careful history and thorough ‘head to toe’ examination is required to assess … a significant impact on quality of life, sleep and mood A careful history and thorough ‘head to toe’ examination …/infected VP shunt Musculoskeletal Accidental fractures Consider non-accidental injury (under reported …
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Seizures acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
cause eg neurocutaneous stigmata, microcephaly Red flags Head injury with delayed seizure Developmental … known pathology meningitis hypoxic injury trauma cardio-respiratory compromise Assessment Assessment … trauma, consider non-accidental injury focality of limb or eye movement post-ictal phase/hemiparesis …
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Family Violence
www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
injuries: burns, bruises, or fractures? (see Child abuse ) Bruising and or petechiae around neck or head … or controlling relationship dynamics between parents Mental health issues Substance misuse Unexplained injuries …, consider heading any notes relating to family violence with the following statement: "Third party …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
or size Reduced conscious state eg after drug or alcohol ingestion, recent seizure, head injury (including … obstruction in infants and children. JAMA Otolaryngology - Head&Neck Surgery. 2017. 143(6) pp539 Loftis L …
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Substance use (abuse)
www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
or biological reasons for the presentation (eg head injury, acute infection, electrolyte imbalance, CVA …
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Acquired Torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS or upper lobe chest Inflammation … fixation: rest, use of a soft collar Injury or congenital bony cause: refer to orthopaedics Dystonic …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
head/neck injury, chiropractic neck manipulation (risk factor for dissection) Methamphetamine …