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Seizures - acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
, raised temperature, diaphoresis, diarrhoea, tremors, hyperreflexia) Red Flags Head injury with delayed … hypoxic injury trauma Assessment Assessment and management should occur concurrently if the child …, hypomagnesaemia) meningitis drug/toxin overdose or envenomation head trauma stroke and intracranial haemorrhage …
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Emergency airway management
www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
Elevate head of bed to up to 40 degrees Pre-oxygenate with positive airway pressure / PEEP (BVM with PEEP … associated with difficult airways There is an increased risk of airway obstruction in the setting of: Head … injury or intoxication (loss of pharyngeal tone) Trauma (injury to the airway or compression due to neck …
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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
be the initial presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key life-threatening … 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/
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 …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
pain management Key points A careful history and thorough ‘head to toe’ examination is required … 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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Lacerations
www.rch.org.au/clinicalguide/guideline_index/Lacerations/
by dirt or foreign bodies Associated injuries (eg head/ cervical spine in falls, eye in facial trauma …, teeth with mouth injuries) Injury to deeper structures (eg tendons, joints or nerves) in the face … to closure Glass injuries Glass can cut deep to bone and will need thorough exploration These injuries should …
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von Willebrand disease
www.rch.org.au/clinicalguide/guideline_index/von_Willebrand_disease/
on function in the setting of injury Major haemorrhage, head injury or any suspected internal bleeding should … times daily, for 5-10 days (duration dependent on severity of injury) Desmopressin (DDAVP) Used …
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CPG Committee Calendar
www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
Henoch-Schönlein purpura Wednesday 17 Head injury May 2026 Thursday 7 Febrile neutropenia Wednesday 20 Foreign …
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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 …
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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 …