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Capsicum spray
www.rch.org.au/clinicalguide/guideline_index/Capsicum_spray/
Intense irritation of conjunctiva and nasal and oral mucosa Bronchospasm and cough Irritation of skin … guidelines Look for any signs of injury. See major injury guidelines Treat bronchospasm with salbutamol. See …
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Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
: methionine synthetase deficiency, homocystinuria and methylmalonic academia GCS <15 from head injury Very … filled airspace: chest injury, abdominal distension, head injury with GCS 15 but ongoing symptoms … be challenging to repair under nitrous oxide due to positioning of the mask. A nasal circuit or mouth piece can …
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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
Altered conscious state Altered conscious state PIC Endorsed See also Head injury Hypoglycaemia Trauma - … conscious state and signs of injury Background Altered conscious state is a continuum from disorientation … injury and infection are the most common causes of paediatric coma The Glasgow Coma Scale (GCS …
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Resuscitation: Care of the seriously unwell child
www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Care_of_the_seriously_unwell_child/
or suprasternal recession, abdominal breathing, nasal flare, head bob, tracheal tug, forward posture Respiratory … Oxygen 15L/min non rebreather mask Non-invasive ventilation High flow nasal canulae CPAP BiPAP Do not use …, hypernatraemia Hypocalcaemia Consider Brain injury Stroke Meningitis/Encephalitis Shunt complication Manage …
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Burns - Acute Management
www.rch.org.au/clinicalguide/guideline_index/Burns/
/inhalation injury : stridor , hoarseness , black sputum, respiratory distress, singed nasal hairs or facial … and Dressings Key points Burn injuries should be managed as a Trauma case requiring primary and secondary survey … to a deeper burn for any given temperature Assessment of burn depth is difficult, especially early post injury …
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Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
and treat actual or imminent life threats and prevent complications from these injuries A systematic … of the anticipated injuries and management priorities Use a pre-arrival checklist to help with role and task … fractures, blood/vomit/loose teeth in airway If burns present, assess for: Singeing of facial / nasal hair …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
inspiratory time Moderate work of breathing, nasal flaring, grunting, paradoxical chest movement Decreased air … or size Reduced conscious state eg after drug or alcohol ingestion, recent seizure, head injury (including … burns Burns elsewhere, especially facial Singed nasal hairs Sooty sputum Trauma Bruising and swelling …
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Acute pain management
www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
of injuries, useful strategies include: Immediate immobilisation of potential fractures with a splint … (see Burns ) For limb or finger injuries consider regional local anaesthesia/nerve block … Pharmacological management Local analgesia Context Suggested topical agent Limb or finger injuries: local …
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Substance use (abuse)
www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
or biological reasons for the presentation (eg head injury, acute infection, electrolyte imbalance, CVA … use such as puncture marks, cellulitis, phlebitis, skin abscesses, nasal erosion, irritation or rash …
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CPG Committee Calendar
www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
Thursday 6th March Nasal fractures Ben Fear / Brendan Whiting Wednesday 19 March Rhinosinusitis Emma … 5th Extravasation injuries Ed Oakley Wednesday 18th Sepsis Natasha van den Heuvel / Elliot Long …