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Seizures - acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
with seizure first aid advice Active seizure flowchart Take into account benzodiazepine doses given … there are other indications EEG Rarely required in the acute setting Not routine after a first seizure. Should … to discharge which includes: explanation of risk of recurrence seizure safety advice seizure first aid …
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Febrile seizure
www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
first aid Febrile seizure handout If seizure >5 minutes, consider providing emergency medication …) Febrile convulsions (QLD) Febrile convulsions (WA) First aid for seizures (Vic) First aid during seizures … (NSW) First aid for seizures (QLD) First aid for seizures (WA) Midazolam for seizures (Vic) Zyamis …
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Hydrocarbon poisoning
www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
catecholamine inotropes if possible Seizures – Benzodiazepines remain standard first line treatment. Phenytoin … management Coma Afebrile seizures Resuscitation Poisoning - Camphor Poisoning - Essential Oil Key Points CNS … including CNS depression and seizures. Volatile hydrocarbons can be aspirated and cause chemical pneumonitis …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
Afebrile seizures CSF interpretation Febrile child Lumbar puncture Key points Making a clinical distinction … URTI may be present Seizures Recent antibiotics Immunisation history Travel history Medical condition … of the brain: unusual behaviour confusion personality change emotional lability Seizures (common) Abnormal …
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Whooping cough (pertussis)
www.rch.org.au/clinicalguide/guideline_index/Whooping_Cough_Pertussis/
the severity of illness and risk of transmission if prescribed within the first 14 days of paroxysmal cough … are at greatest risk of complications (apnoea, bradycardia, severe pneumonia, seizures, encephalopathy … , pneumonia Rib fractures, pneumothorax, scleral haemorrhage, hernias Seizures, hypoxic ischaemic …
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CSF interpretation
www.rch.org.au/clinicalguide/guideline_index/csf/
in the first 2 weeks of life Assessment Normal values White cell count Age Neutrophils (x 106/L … the first 24 hours If the CSF is abnormal, the safest course is to treat for bacterial meningitis Other … than untreated bacterial meningitis Seizures Seizures do not cause an increased CSF cell count …
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Essential Oil Poisoning
www.rch.org.au/clinicalguide/guideline_index/Essential_Oil_Poisoning/
first, followed by CNS depression which increases the risk of aspiration pneumonitis Aspiration … depression (any change in mental state is significant), vertigo, dizziness, ataxia, seizures CVS …, vomiting, seizure activity, pulmonary oedema Geranium Allergic contact cheilitis Lavender CNS depression …
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Hypoglycaemia
www.rch.org.au/clinicalguide/guideline_index/Hypoglycaemia/
in the first 48 hours of life have a lower acceptable blood glucose level as they transition to extrauterine … apnoea, lethargy, seizures, hypotonia, jitteriness, poor feeding, a high pitched cry, altered behaviour … Episodes suggestive of hypoglycaemia e.g. undiagnosed seizure disorder Insulin dependent diabetes mellitus …
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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
haematoma (occipital, parietal or temporal) in child <2 years Severe mechanism Post-traumatic seizure Loss … sustained Presence of amnesia Post injury seizure Examination Neurological examination, including signs … History of loss of consciousness Post-traumatic seizure Severe headache Persistent vomiting Non-frontal …
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Infantile spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
Infantile spasms Infantile spasms PIC Endorsed See also Seizures: acute management Sepsis Adrenal crisis …/insufficiency Key points Infantile Spasms (IS), also known as epileptic spasms, is a type of seizure and often …, HIE Family history of seizure disorder or developmental delay (genetic basis) Early handedness (focal …