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In this section
About Clinical Practice Guidelines
CPG index
Paediatric Improvement Collaborative
Nursing Guidelines
Paediatric palliative care guidelines
Parent resources
Retrieval services
CPG Committee Calendar
CPG information
Other resources
CPG feedback
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Primary spontaneous pneumothorax
www.rch.org.au/clinicalguide/guideline_index/Primary_spontaneous_pneumothorax/
Primary spontaneous
pneumothorax
…
pneumothorax
The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint … > Health Professionals > Clinical Practice Guidelines > Primary spontaneous
pneumothorax
…
Thoracocentesis and chest drain insertion
www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
drain insertion PIC Endorsed See also Primary spontaneous
pneumothorax
Acute pain management Trauma Key … points Tension
pneumothorax
is a clinical diagnosis and requires immediate intervention Patients … not be used as it may enter the pleural space and rapidly increase the volume of the
pneumothorax
Chest X-ray …
Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
and manage with regards to breathing include: Tension
pneumothorax
Open
pneumothorax
Massive haemothorax …
pneumothorax
: chest decompression with a finger or instrument, thoracostomy or intercostal catheter insertion …. Needle decompression may be used in emergencies but is unlikely to be effective Open
pneumothorax
…
Resuscitation: Hospital Management of Cardiopulmonary Arrest COVID-19
www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Hospital_Management_of_Cardiopulmonary_Arrest_COVID-19/
Tension
pneumothorax
Toxins/poisons/drugs Thrombosis Other considerations during resuscitation Aim … 2 Perform CXR to confirm ETT in desired position and check for complications of CPR (
pneumothorax
…
Chest pain
www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
Primary Spontaneous
pneumothorax
COVID-19 Key points The cause of most paediatric chest pain is unknown … changes possible
Pneumothorax
Tall/thin adolescents Acute pain or dyspnoea after cough/Valsalva manoeuvre …
Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
of the neck Subcutaneous emphysema May progress to
pneumothorax
/ pneumomediastinum Management Investigations …
Foreign bodies inhaled
www.rch.org.au/clinicalguide/guideline_index/Foreign_bodies_inhaled/
Pneumothorax
Pulmonary abscess and bronchiectasis are signs of a chronic impacted FB CT is not recommended …
Nitrous Oxide Misuse
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Misuse/
as a result of temporary ataxia.
Pneumothorax
may rarely occur as the result of forceful inhalation History …
Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
Expansion of gas filled airspaces:
pneumothorax
, lung cyst, obstructive airways disease, recent craniectomy …
Trauma – secondary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
in paediatric trauma it may be useful in diagnosing acute haemo/
pneumothorax
and haemopericardium when used …
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