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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
injury and infection are the most common causes of paediatric coma The Glasgow Coma Scale (GCS … Blunt, penetrating head injury, falls, concussion Infection Meningitis, encephalitis, sepsis, cerebral … infective cause, give antibiotic and antiviral therapy urgently. See local antimicrobial guideline Treat …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
Infection is the most common cause of acute vomiting Bilious vomiting occurs when … Rectal bleeding Gastroenteritis Colitis Intussusception Meckel's diverticulum Infection Fever or systemic … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
if there is altered mental state or no clear focus of infection Presentation of bacterial meningitis can vary from … (altered conscious state, focal neurological signs, seizures, signs or risk of HSV infection) and/or child … be with 10 mL/kg 0.9% sodium chloride IV boluses Children with CNS infections are at higher risk of excess …
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Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
to reduce the risk of invasive fungal infection (IFI) in selected high-risk children Where possible … and voriconazole Background Children with cancer are at varying risk of invasive fungal infection (IFI). Factors … the initial infection may be used for prophylaxis, provided it was well tolerated and effective. Discuss …
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Lacerations
www.rch.org.au/clinicalguide/guideline_index/Lacerations/
) will improve wound outcomes (function, risk of infection, and cosmesis), as well as the child’s experience … space between each to allow drainage of fluid from the wound to avoid infection Keep dry for 72 hours … sutures are less inclined to become infected than braided sutures – consider this with potentially …
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Fingertip and nail injuries – Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Fingertip_and_nail_injuries_–_Emergency_Department/
indicate a tight dressing or infection. Elevate limb as possible (eg sling) Keep dressing dry (particularly … shield hinges 10. What are the potential complications associated with these injuries? Wound Infection … Fingertip Injuries: do prophylactic antibiotics alter infection rates? Pediatr Emerg Care 2008;24(3)148-52 …
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Henoch-Schönlein purpura
www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
respiratory tract infection is present in 50% of HSP cases, commonly viral or Group A streptococcus infections … out differentials if the diagnosis is unclear (eg ITP, leukaemia, meningococcal infection …
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Iron deficiency
www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
, coeliac disease, inflammatory bowel disease, gastric or intestinal surgery or infection Other chronic … disease, inflammatory bowel disease, gastric or intestinal surgery or infection Other chronic blood loss … deficiency in the presence of coexisting infection, inflammation or liver disease Iron studies or serum iron …
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Metacarpal Fractures – Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Metacarpal_Fractures_–_Emergency_Department/
the MCP joint; Risk of deep infection here is very high, regardless of whether abnormality is present … in septic arthritis or infections of the deep spaces of the hand. Arthritis may complicate any …
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Intravenous access - Peripheral
www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
Monitor IV site for signs of infection or extravasation If prolonged IV therapy is anticipated, plan … for longer term access eg PICC or midline Remove unused cannulas to minimise infection Selection … Thrombophlebitis or infection Extravasation injury Equipment, analgesia, anaesthesia and sedation Child Infants <3 …