• Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    , striae, acne, rash (vasculitis) Cardiovascular: murmurs +/- radiation, apical heave, reduced femoral …
  • Recognition of the seriously unwell neonate and young infant
    www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
    signs  Focal, complex or prolonged seizures Other Non-blanching rash  Fever for ≥5 days  Swelling …
  • Snakebite
    www.rch.org.au/clinicalguide/guideline_index/Snakebite/
    of flu-like symptoms, fever, myalgia, arthralgia and rash.  A letter should also be written to the child’s GP …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    movements or stiffness, muscle twitching, rash, and vocalisations: common and of no clinical significance …
  • Paracetamol poisoning
    www.rch.org.au/clinicalguide/guideline_index/Paracetamol_poisoning/
    reactions to NAC may occur (wheeze, rash).  In these cases, cease the infusion for 30 minutes, give …
  • Lacerations
    www.rch.org.au/clinicalguide/guideline_index/Lacerations/
    % sodium chloride under pressure (eg with a 19 gauge needle on a 10-20 mL syringe) Gravel rash (Bitumen …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    only once with the cooperation of the child eg to assess the amount of bleeding, extent of a rash
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    PIMS-TS should be considered in an unwell child  who presents with fever (≥3 days), signs of shock, rash
  • Vancomycin
    www.rch.org.au/clinicalguide/guideline_index/Vancomycin/
    or rash on upper body and neck muscle spasm of chest and back fever hypotension itch These features …
  • Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    inguinal lymphadenopathy Secondary infection (incubation 2-24 weeks): fever, malaise, skin rash

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.