• Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    violence Fractures Head injury Slow weight gain Straddle injuries See Additional Resources Key points … with high specificity for abuse eg ear bruising, posteromedial rib fractures, scald pattern suggesting … or mixed injuries Bruising with petechiae Fractures Any fracture Skull fractures other than single parietal …
  • Dental trauma
    www.rch.org.au/clinicalguide/guideline_index/Dental_trauma/
    or primary Type of dental injury: loose or displaced tooth, fractured tooth, injury to supporting bone … who can cooperate if considering fractured mandible, temporomandibular joint (TMJ) injury or concern … indicated after replantation Fractured teeth Enamel is white, dentine is yellow, pulp is pink Injury …
  • Shoulder Dislocations - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
    for this fracture? What follow-up is required? What advice should I give to parents? What are the potential … radiographs should be checked very carefully for a glenoid rim fracture (Bankart lesion), with early CT … May be associated with a bony fracture, either of the humeral head or the glenoid X-ray should …
  • Hand
    www.rch.org.au/clinicalguide/guideline_index/fractures/Hand/
    Fractures Phalangeal Finger Fractures Thumb Fractures Fracture Guideline Index Feedback Content developed …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    See also Fractures Pulled elbow The acutely swollen joint Bone and joint infection Child abuse Key … and fractures of the upper limb and clavicle Toddlers may present with just upper limb non-use as trauma … of the forearm Upper limb fracture Pain and reluctance to use affected area/loss of movement Swelling, tenderness …
  • Trauma: Tertiary Survey
    www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
    skull fracture), bruising behind the ears (Battle’s sign: may indicate base of skull fracture …),  periorbital bruising  (“Racoon eyes”: may indicate base of skull fracture) Eyes Palpate bony margins of orbit … for fracture. Test eye movements, pupillary reflexes and vision. Inspect for  penetrating injury (see …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    , bruising, swelling, depressions / irregularities in the skull (to suggest skull fracture), bruising behind … the ears (Battle’s sign: may indicate base of skull fracture), periorbital bruising (“Racoon eyes”: may … indicate base of skull fracture) Eyes: Palpate bony margins of orbit for fracture. Test eye movements …
  • Acute knee injuries - emergency department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_knee_injuries_-_emergency_department/
    of these are ligamentous injuries, meniscal tears, and osteochondral fractures.  ( Patella Dislocations are covered … with good analgesia. Thus, making an accurate diagnosis may be difficult on that day. Excluding a fracture … fracture) See separate guideline Common Valgus force with some femur rotation or direct blow to the medial …
  • Wrist
    www.rch.org.au/clinicalguide/guideline_index/fractures/Wrist/
    ) Scaphoid Fractures Fracture Guideline Index Feedback Content developed by Victorian Paediatric Orthopaedic …
  • Ankle Sprains - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Ankle_Sprains_-_Emergency_Department/
    Department and to Primary Care. Evaluation consists mostly of excluding an ankle or foot fracture … sprain are listed in the table above Though swelling and tenderness are also present in fractures … and were able to walk normally before the injury. Plain films of the ankle looking for an ankle fracture …