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Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
dangerous contributors to decreased conscious state (including head Injury ingestion of other drugs) For 24 … / injury, especially trauma to head Level of neurological depression, and progression of symptoms which …
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Lacerations
www.rch.org.au/clinicalguide/guideline_index/Lacerations/
(eg head/ cervical spine in falls, eye in facial trauma, teeth with mouth injuries) Injury to deeper … are distressed Assessment Assess the laceration for: Contamination by dirt or foreign bodies Associated injuries … of wound where the viability is in doubt, prior to closure Glass injuries Glass can cut deep to bone …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
management Key Points A careful history and thorough ‘head to toe’ examination is required to assess … a significant impact on quality of life, sleep and mood A careful history and thorough ‘head to toe’ examination …/infected VP shunt Musculoskeletal Accidental fractures Consider non-accidental injury (under reported …
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Family Violence
www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
misuse Unexplained injuries Consider intersectionality: in what ways might the person be experiencing … risk factors Physical Unexplained injuries: burns, bruises, or fractures? (see Child abuse ) Bruising … and or petechiae around neck or head could suggest recent attempt at strangulation Unexplained pain: abdominal pain …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
or size Reduced conscious state eg after drug or alcohol ingestion, recent seizure, head injury (including … obstruction in infants and children. JAMA Otolaryngology - Head&Neck Surgery. 2017. 143(6) pp539 Loftis L …
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Seizures acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
cause eg neurocutaneous stigmata, microcephaly Red flags Head injury with delayed seizure Developmental … known pathology meningitis hypoxic injury trauma cardio-respiratory compromise Assessment Assessment … trauma, consider non-accidental injury focality of limb or eye movement post-ictal phase/hemiparesis …
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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 …
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Acquired Torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS or upper lobe chest Inflammation … fixation: rest, use of a soft collar Injury or congenital bony cause: refer to orthopaedics Dystonic …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
History Congenital heart disease Sickle cell disease Recent head/neck injury, chiropractic neck …
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Unsettled or crying babies
www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
factor for abusive head trauma (previously known as shaken baby syndrome) Consider if crying is acute … onset Raised intracranial pressure (ICP) Injury eg clavicle fracture, non-accidental injury Incarcerated … to hospital — if infant considered at risk of non-accidental injury or parental exhaustion Consider transfer …