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Patellar Dislocation - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Patellar_Dislocation_-_Emergency_Department/
in chondral scuffing or an osteochondral fracture from either the lateral femoral condyle or patella itself … are they classified Acute first time dislocation a.With unstable osteochondral fracture b.Without unstable … osteochondral fracture Recurrent dislocation a.With identifiable anatomical abnormality b.Without identifiable …
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Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
that may absorb and conceal blood loss Apply a pelvic binder if a pelvic fracture is suspected … fractures, blood/vomit/loose teeth in airway If burns present, assess for: Singeing of facial / nasal hair … Oropharyngeal airway if tolerated, or nasopharyngeal airway (if base of skull fracture unlikely) Endotracheal …
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Apophysitis of the Pelvis and Hip - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Apophysitis_of_the_Pelvis_and_Hip_-_Emergency_Department/
with this injury? Ongoing pain and limitation of activity. Avulsion fractures from inappropriate early return … to strenuous activities. 13. References Clancy, W and Foltz, A.Iliac apophysitis and stress fractures … injuries in the Adolescent Athlete Sports Health 2009;1(3):201-211 Pointinger, H. Avulsion fracture …
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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
neurology Suspected child abuse Palpable skull fracture Signs of base of skull fracture Non-frontal scalp … and bradycardia (Cushing reflex – late sign) Feel specifically for palpable skull fractures Look for signs … of fractured base of skull (haemotympanum, cerebrospinal fluid otorrhoea or rhinorrhoea, periorbital bruising …
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Bier block
www.rch.org.au/clinicalguide/guideline_index/Bier_block/
Cooperative child with forearm fracture requiring manipulation or laceration needing repair Contraindications … Local anaesthetic allergy/anaphylaxis Open fracture Severe hypertension (reconsider if systolic blood … the procedure Uncontrollable pain Fracture requiring surgical treatment not able to be performed at presenting …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
bearing child PIC Endorsed See also Fractures Bone and joint infections Acutely swollen joint Child abuse … fracture Bone and joint infection Transient hip synovitis Acute myositis Developmental dysplasia of hip … (DDH) Transient hip synovitis Acute myositis Perthes disease Inflammatory arthritis Stress fractures …
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Fascia iliaca block of the femoral nerve
www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
anaesthesia for femoral fractures and superficial injuries to the anteromedial thigh Fascia iliaca block … anaesthetic blocks in case of local anaesthetic systemic toxicity Background Femoral fractures cause severe … of the femoral nerve by either method provides good analgesia for femoral fractures and wounds …
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Slipped upper femoral epiphysis SUFE - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Slipped_upper_femoral_epiphysis_SUFE_-_Emergency_Department/
Emergency Department Fracture Guideline Index See also: Slipped upper femoral epiphysis (SUFE) - Fracture …, and may require further surgical treatment to correct this. See fracture clinics for other potential …
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Shoulder
www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder/
Dislocations Fracture Guideline Index Feedback Content developed by Victorian Paediatric Orthopaedic Network …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
/infected VP shunt Musculoskeletal Accidental fractures Consider non-accidental injury (under reported … in this group) Pathological fractures/osteoporosis Hip dislocation or subluxation Contractures Spasticity (can …