Primary Care Liaison


  • This pre-referral guideline covers Hoarseness in children of all ages.

    Initial work-up

    • Hoarseness with moderate or severe stridor or respiratory distress should be seen in the Emergency Department.
    • History and physical examination - to rule out associated viral or bacterial infection.

    Pre-referral treatment

    • Treat any associated bacterial infection.
    • Observe for viral infections – supportive management.

    When to refer

    • > 3 months of moderate to severe hoarseness.
    • Prolonged voice loss.

    Referral form (pdf)

    Parent handout (pdf)


    Kids Connect (RCH Primary Care Liaison)

    Kids Health Info (Parent fact sheets online)

    Contact information

    Clinical advice

    Switchboard – ask for ENT specialist consultant or registrar on-call    (03) 9345 5522
    RCH Emergency Department (03) 9345 6477


    Booking enquiries and appointment rescheduling (parents) (03) 9345 6180 
    Rural doctors only (03) 9345 6789 

    Admission enquiries

    General admission enquiries  (03) 9345 6172

    ED admission enquiries 

    (03) 9345 6477
    After hours/switchboard

    (03) 9345 5522


    Seriously unwell child (03) 9345 7007

    RCH Drug info-line 

    (03) 9345 5208


    Paediatric Handbook Ear, Nose and Throat Conditions, Chapter 21 (pp312-324); Robert Berkowitz and Michael Marks; Seventh Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia

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