• Lumbar puncture
    www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
    meningococcal infection is suspected, LP may not change the management and may cause deterioration In term … or persistent paraesthesia/numbness (very uncommon) Respiratory arrest from positioning (rare) Infection
  • Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    Infection - this is uncommon after surgical fixation of femoral neck fractures.  It is reported to occur …
  • Drowning
    www.rch.org.au/clinicalguide/guideline_index/Drowning/
    shown to improve outcome and should be restricted to patients demonstrating signs of infection or sepsis …
  • Pyloric stenosis
    www.rch.org.au/clinicalguide/guideline_index/Pyloric_stenosis/
    tract infection Gastroenteritis Gastro-oesophageal reflux Surgical causes eg volvulus, malrotation …
  • Diabetic ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
    signs of infection, consider additional testing as part of septic workup Once DKA is confirmed … for febrile children with signs of infection Consider urinary catheter for children who are unconscious … cause Assess for underlying infections and consider antibiotics after obtaining relevant cultures …
  • Hirschsprung associated enterocolitis HAEC
    www.rch.org.au/clinicalguide/guideline_index/Hirschsprung_associated_enterocolitis_HAEC/
      Rectal bleeding Recent viral infections (respiratory, gastrointestinal) History of recurrent episodes …
  • Hydrocarbon poisoning
    www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
    evidence of bacterial infection 2. Decontamination Activated charcoal is specifically contraindicated …
  • Substance use (abuse)
    www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
    for the presentation (eg head injury, acute infection, electrolyte imbalance, CVA, hypoglycemia, psychosis, severe …
  • Vancomycin
    www.rch.org.au/clinicalguide/guideline_index/Vancomycin/
    Target Vancomycin Trough Concentrations for Treating Staphylococcus aureus Infection in Infants Aged 0 …: Therapeutic Monitoring of Vancomycin for Serious Methicillin-Resistant Staphylococcus aureus Infections
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    ,  confusion, seizure  Fever, screen for infective symptoms or injury as a trigger for presentation Known …, admit for ongoing parenteral hydrocortisone   Mildly unwell For example, respiratory or ear infection