• Acute eye injury
    www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/
    require urgent decompression Left retrobulbar haematoma Orbital blow out fracture Occurs due to high … and ophthalmology/maxillofacial surgery referral A 4yo child with right orbital blow out fracture associated …) If the posterior extent of the haemorrhage cannot be visualised, an orbital or base of skull fracture is possible …
  • Lacerations
    www.rch.org.au/clinicalguide/guideline_index/Lacerations/
    or Monocryl sutures ROS 5-7 days Cheek Check for fractures (zygoma, orbit) or involvement of facial nerve … specialist X-ray for distal phalanx fracture, which implies damage to nail bed matrix and can also represent … an open fracture requiring management in theatre Refer for relevant surgical specialty advice   Palm …
  • Intraosseous access
    www.rch.org.au/clinicalguide/guideline_index/Intraosseous_access/
    rapid access can be achieved via umbilical vein access or intraosseous access Contraindications Fracture … out of the site, then clean the area Routine X-ray is not required unless a fracture is suspected …
  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    used with nitrous oxide when performing painful procedures such as fracture reductions or burns … injuries such as Fractures, dislocations, amputations Burns Significant lacerations Painful procedures …
  • CPG Committee Calendar
    www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
    March 2025 Thursday 6 Nasal fractures Wednesday 19 Rhinosinusitis The Royal Children’s Hospital …
  • Gastrooesophageal reflux disease in infants
    www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
    risk of community acquired pneumonia, gastroenteritis, future fractures and micronutrient deficiencies …. Early Acid Suppression Therapy Exposure and Fracture in Young Children. Pediatrics . 2019. 144 (1 …
  • Animal and human bites
    www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
    marks on opposing sides of the skull, a CT should be performed to evaluate for associated skull fracture … or genital area Close proximity to bone or joint Associated crush injury Involving an open fracture …
  • Communicating procedures to children
    www.rch.org.au/clinicalguide/guideline_index/Communicating_procedures_to_children/
    about an hour Bandage For a wound or fracture - this helps to protect your sore ( name body part … into the straw with the syringe to make sure it is working  Fracture Broken bone Fracture reduction Putting …
  • COVID-19 swabbing
    www.rch.org.au/clinicalguide/guideline_index/COVID-19_swabbing/
    or procedure to be deferred.  Expert advice is recommended Recent facial trauma / fracture / surgery Mucositis …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    immobilisation, eg: Lacerations (especially of the face) Fracture reduction Abscess incision & drainage Removal … with Suspected Extremity Fractures. Academic Emergency Medicine . 2017. 24(12), 1430-1440. Riddell, J et al …