• Haemophilia
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
    a detailed description of each type and mechanism of injury. Internal and joint injuries are often missed … Major or suspected bleeding in the head, neck, chest, gastrointestinal tract and abdomen and/or pelvis … or after a minor injury Moderate  1–5 Can bleed after a minor injury.  May have bleeding into joints …
  • Emergency airway management
    www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
    and perfusion prior to the induction of anaesthesia Strategies to optimise physiology  Hypoxia Elevate head … associated with difficult airways There is an increased risk of airway obstruction in the setting of: Headinjury or intoxication (loss of pharyngeal tone) Trauma (injury to the airway or compression due to neck …
  • Diabetic ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
    presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key life-threatening complication of DKA … 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 …
  • Ethanol poisoning
    www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
    dangerous contributors to decreased conscious state (including head Injury ingestion of other drugs) For 24 … / injury, especially trauma to head Level of neurological depression, and progression of symptoms which …
  • CPG Committee Calendar
    www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
    guideline (CPG) topic *  June 2026  Thursday 4 Henoch-Schonlein purpura  Wednesday 17 Head injury  May 2026 …
  • 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 …
  • 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 …
  • 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 …
  • Family Violence
    www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
    health issues Substance misuse Unexplained injuries   Consider intersectionality: in what ways might … under Lethality risk factors Physical Unexplained injuries: burns, bruises, or fractures? (see  Child … abuse ) Bruising and or petechiae around neck or head could suggest recent attempt at strangulation …
  • 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 …