• Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    need to refer to orthopaedics now? What is the usual ED management for this injury? What follow-up … with this injury? 1. Summary ED management Neck of femur (NOF) fractures are uncommon in children but can have ….  They generally occur from high energy injury mechanisms (such as a fall from a height or motor vehicle …
  • Penetrating eye injury
    www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
    outcomes Open globe injuries may accompany multiple trauma or serious head injury Assessment History Full … injuries (may accompany multiple trauma or serious head injury) Examination Examination may only need …Penetrating eye injury
  • Proximal humeral fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Proximal_humeral_fractures_Emergency_Department/
    ? What are the potential complications associated with this injury?   1. Summary  Most proximal humeral … are Salter-Harris I or II injuries.    Metaphyseal fractures - buckle or complete Greater or lesser tuberosity …) or in the metaphysis. They are usually the result of a fall on an outstretched hand, with the humeral head locked …
  • Radial neck fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Radial_neck_fractures_Emergency_Department_setting/
    complications associated with this injury? 1. Summary Fracture type ED management Follow-up Isolated, minimally … Salter-Harris type II) degree of displacement presence of other injuries of the elbow/forearm (ligamentous and … of a posterior dislocation or reduction of the elbow joint.   !     Associated elbow injuries occur in 50 …
  • Pulled elbow
    www.rch.org.au/clinicalguide/guideline_index/Pulled_elbow/
    the head In cases where reduction is felt to be successful, but the injury is greater than 12 hours old … history and examination It is a common injury in toddlers (1-4 years) Reduction manoeuvres are used … diagnosis made Expect distress and pain with the manoeuvre A click may be felt over the radial head Review …
  • Radial neck fractures - Fracture clinics
    www.rch.org.au/clinicalguide/guideline_index/fractures/Radial_neck_fractures_Outpatient_fracture_clinics/
    complications associated with this injury? When should I refer for an orthopaedic consultant opinion? What … weeks post-injury, for removal of backslab, x-ray and mobilisation At 3 months after injury, x-ray … post-operative with x-ray (looking in particular for AVN/collapse of head). If the operative reduction …
  • Trauma - primary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
    to debris Loss of pharyngeal tone (due to head injury or intoxication with drugs / alcohol) Incorrect … 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 …
  • Shoulder Dislocations - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
    complications associated with this injury? 1. Summary This guideline refers to acute traumatic dislocation …, and is very seldom seen in the younger child Shoulder dislocation is one of the most common injuries sustained … and adolescents, there is a general rise in the incidence of shoulder instability injuries. Posterior dislocations …
  • Animal and human bites
    www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
    over the dorsum and MCP joints of the hand Associated injuries C-spine/head if fall has occurred Long … Lyssavirus post exposure prophylaxis Key Points Animal and human bite injuries in which the skin is broken … These wounds require a thorough assessment for depth and injury to associated structures Most bite injuries
  • Olecranon fracture - Fracture clinics
    www.rch.org.au/clinicalguide/guideline_index/fractures/Olecranon_fracture_Outpatient_fracture_clinics_/
    ? !   Always look for any evidence of a 'missed' injury, especially dislocation of the radial head.     Early … with this injury? When should I refer for an orthopaedic consultant opinion?  What are the indications … Discharge advice to parents Isolated, undisplaced/stable Within 1 week post- injury (with x-ray) At 3 weeks …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.