Starship Clinical Guidelines
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A
- Updated Apr 2012 Abdominal pain in childhood
- Updated Oct 2016 Abuse and Neglect
- Updated May 2018 ACE Review (After critical event)
- Updated Dec 2016 Adolescent Consultation
- Updated Apr 2016 Alcohol Intoxication
- Updated Mar 2018 Allergy - food challenges at Starship
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Allergy Clinical Network
Resources developed by the National Paediatric Allergy Clinical Network including information on bee and wasp venom allergy, food allergy prevention, training for health professionals and more...
- Updated Dec 2015 Allergy myths
- Updated Aug 2017 Allergy resources
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Allergy testing
Links to the BPAC guideline on allergy testing
- Updated Apr 2012 ALTE Apparent Life Threatening Events
- Updated Mar 2017 Aminoglycosides
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Updated Sep 2018
Anaesthesia - Fasting Guideline
Clear fluids and other foods
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Anaesthetic guidelines
Link to Paediatric Anaesthetic Guidelines including both general and cardiac specific information
- Updated Oct 2017 Anaphylaxis
- Anorexia
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Anterior Mediastinal Mass (AMM) in a child requiring anaesthesia
ADHB access only - link to policies and guidelines library
- Updated Jan 2017 Anticoagulation
- Updated Sep 2016 Appendicitis, Suspected
- Asplenia
- Updated Feb 2017 Asthma - life threatening
- Updated Mar 2009 Asthma, management of acute
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B
- Beckwith-Wiedemann Syndrome - tumour surveillance
- Updated Feb 2017 Behavioural Disturbance
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Biliary Atresia
Links to the National Paediatric Gastroenterology Clinical Network's guideline on Biliary Atresia
- Updated Jan 2017 Bleeding
- Updated Jul 2015 Blood pressure - ambulatory monitoring in children
- Blood pressure - hypertension and normal ranges
- Updated Aug 2018 Blood product use - possible DiGeorge syndrome
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Blood Transfusion
A link for ADHB staff only
- Bone and joint infection
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Updated Nov 2017
Botox A for use in Sialorrhoea (drooling)
For chronic sialorrhoea (drooling)
- Updated Jan 2018 Breastfeeding Support Services and Lactation Consultants
- Updated Oct 2013 Bronchiectasis
- Updated Oct 2017 Bronchiolitis
- Updated Jun 2018 Bronchiolitis - High Flow Nasal Cannula treatment
- Updated Jan 2016 Burns
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C
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Cancer
Link to the National Child Cancer Network Oncology and Haematology Guidelines
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Cardiac acute referral database
Links to the 'Acute Referral Data Base' for acute cardiology referrals from paediatricians around New Zealand
- Cardiac surgery - pre-operative anti-staphylococcal bundle
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Cardiology clinical guidelines
Links to the main index for cardiology specific clinical guidelines
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Updated Aug 2013
Cardiomyopathy
Guideline on Paediatric Cardiomyopathy
- Updated Aug 2011 Cardiopulmonary Resuscitation
- Updated Jun 2009 Carvedilol
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Updated May 2018
Cellulitis
Guideline on Cellulitis/Skin infections
- Updated Feb 2015 Central precocious puberty - treatment protocol
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Central Venous Catheters (pdf, 504.76KB)
Central Venous Catheter Care for a Child
- Updated Mar 2017 Cervical Spine Injury
- Updated Jun 2010 Chest xray in acute wheeze
- Chickenpox exposure - use of Zoster immunoglobulin
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Code Blue (resuscitation of children)
Links to ADHB Policy
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Code Pink (paediatric emergency but not resuscitation)
Links to ADHB Policy
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Coeliac disease - assessment and management (pdf, 1.27MB)
Auckland Regional Pathway for Assessment and Management of Children with Coeliac Disease
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Updated Aug 2007
Coma
Guideline on the management of the unconscious child
- Updated Jan 2017 Community Needlestick Injuries
- Updated Feb 2018 Congenital Hypothyroidism - early assessment and management
- Updated Feb 2012 Constipation
- Convulsions - afebrile
- Convulsions - febrile
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Updated Apr 2017
Convulsions - Status Epilepticus
Consulsive Status Epilepticus in Infants (Age >1 month), Children and Adolescents
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Updated Aug 2008
Cough
Investigation of chronic cough and/or confirmed Bronchiectasis
- Updated Dec 2009 Croup
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Cystic Fibrosis - newborn screening and diagnostic protocol
Links to the newborn metablic screening programme
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Cystic Fibrosis national clinical network
Links to National Child and Youth Cystic Fibrosis Clinical Network including infection control recommendations and information for newly diagnosed families
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Cancer
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D
- Deafness
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Death of a child - documentation
Links to PICU Guideline
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Deceased (Tūpāpaku) +/- Referrals to the Coroner for an Adult, Child, Infant, Neonate or Stillbirth
Links to ADHB policy (ADHB staff only)
- Developmental Dysplasia of the Hip (pdf, 34.92KB)
- Updated Jun 2017 Diabetes - insulin treatment of hospitalised patients with diabetes mellitus
- Updated Jun 2017 Diabetes - managing hyperglycaemia and ketone testing in hospitalised patients with diabetes mellitus
- Updated Jun 2017 Diabetes - managing hypoglycaemia in hospitalised patients with diabetes mellitus
- Updated Jun 2017 Diabetes - managing severe hypoglycaemia in hospitalised patients with diabetes mellitus
- Updated Oct 2018 Diabetes - microalbuminuria in children and young people with diabetes mellitus
- Updated Jan 2017 Diabetes Insipidus -post-neurosurgical management of acute
- Updated May 2016 Diabetes mellitus type 1 - blood glucose monitoring of hospitalised patients
- Updated Jun 2016 Diabetes mellitus type 1 - management of persistent hypoglycaemia using mini dose glucagon
- Updated Jan 2017 Diabetes mellitus type 1 and surgery
- Updated Jan 2017 Diabetes without Ketoacidosis (new onset Type 1 Diabetes)
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Diabetic Ketoacidosis
Links to the National Diabetes Clinical Network guideline
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Duchenne Muscular Dystrophy
Links to guidelines on DMD and Steroid use produced by the New Zealand Neurology Clinical Network
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E
- Updated Oct 2018 Eating Disorders - management of
- Updated May 2016 Eczema
- Updated Dec 2016 Electrocardiograph (ECG)
- Updated Jul 2015 Emerging and Re-Emerging Infectious Diseases
- Updated Jan 2017 Empyema
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Updated Jan 2012
Encephalitis
Guideline on the investigation and management of encephalitis
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Updated Feb 2010
Endocarditis - Infective
Prevention and diagnosis
- Endocarditis Prophylaxis
- Epilepsy - afebrile seizures
- Epilepsy - febrile seizures
- Epilepsy - status epilepticus
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Epilepsy guidelines and pathways for children and young people (pdf, 479.38KB)
Links to the New Zealand Paediatric Neurology Clinical Network
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Updated Apr 2012
Eye Infections
Infections in and around the eye
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F
- Updated Feb 2017 Faltering Growth - Failure to thrive
- Fasting guideline - anaesthesia
- Febrile Neutropenia
- Febrile seizures
- Fentanyl (Intranasal)
- Updated Dec 2009 Fever Investigation and Management
- Updated Jul 2016 Fingertip injuries - management of
- Forensic Hair and Nail Sampling for Toxicology (pdf, 199.85KB)
- Updated Jan 2016 Fragile X testing
- Functional disorders - inpatient rehabilitation
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G
- Updated Nov 2017 G6PD Deficiency
- Updated Apr 2017 Gastroenteritis
- Updated Dec 2015 Gastroenterology Service Referral Guidelines
- Updated Apr 2016 Gastrointestinal Bleeding
- Updated Apr 2012 Gastro-Oeosophageal Reflux
- Updated Nov 2016 Gastrostomy
- Updated Mar 2017 General Paediatric Direct Admissions from CED
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Genu Varum
Guideline on the management of Bow Legs
- Updated Aug 2016 Glomerulonephritis
- Glucose monitoring of hospitalised patients with Diabetes mellitus type I
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H
- Haemangioma (Infantile)
- Updated Feb 2017 Haematuria
- Updated Feb 2009 Head injury
- Updated Jun 2012 Headaches in Childhood
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Healthy Housing Referrals
For ADHB only
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Updated Sep 2013
Hearing Loss
Investigtion of sensorineural hearing loss
- Hemihypertrophy - tumour surveillance
- Updated Jul 2018 Henoch-Schonlein Purpura
- Updated Jan 2017 Heparin monitoring
- Updated Jun 2018 Hyperkalemia
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Updated Jun 2015
Hypertension
(BP in childhood)
- Updated Jan 2017 Hypocalcaemia
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Updated Aug 2018
Hypoglycaemia in childhood
Causes, Investigation and Management
- Hypothyroidism - congenital
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I
- Updated Mar 2017 Idiopathic Thrombocytopenic Purpura
- Immune Deficiency Disorders
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Immune Deficiency Screening in Seriously Ill Children
Links to PICU guideline
- Immunisations - funded special immunisations (pdf, 393.79KB)
- Updated Jul 2017 Immunosuppression, Infection and Immunisation in Rheumatology
- Updated Jun 2017 Infantile haemangioma (IH)
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Inflammatory Bowel Disease
Links to the national protocol developed by the Paediatric Gastroenterology Clinical Network
- Updated Feb 2016 Infliximab
- Updated Feb 2017 Influenza
- Inter-hospital transfer of patients
- In-toeing (pdf, 107.59KB)
- Updated Jun 2014 Intranasal Fentanyl
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Updated Nov 2018
Intravenous Fluids
Guidelines for the prescribing of intravenous (IV) fluids for hospitalised children
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Updated Dec 2015
Intravenous Immunoglobulin (IVIG)Therapy
Guideline on the practical aspects of IVIG Therapy
- Updated Feb 2017 Intravenous line insertion
- Intravenous Nutrition (pdf, 885.07KB)
- Updated Jul 2016 Iron Deficiency
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J
- Updated Apr 2010 Jaundice - investigation of prolonged
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K
- Updated Feb 2015 Kawasaki Disease
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L
- Updated Oct 2013 Lacerations and Wound Closure
- Lactation Consultants
- Updated Jul 2018 Limp - assessment of paediatric limp in the Emergency Department
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Liver - Biliary Atresia
Links to the National Paediatric Gastroenterology Clinical Network's guideline on Biliary Atresia
- Liver - chronic liver disease complications
- Liver - investigation of prolonged jaundice
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Liver - management of infant and paediatric chronic liver disease
links to the national paediatric gastroenterology clinical network site
- Updated Aug 2008 Local anaesthetic for minor procedures
- Updated Aug 2018 Long QT Syndrome
- Updated Aug 2014 Lung Function and Oximetry Requests
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M
- Updated Sep 2017 Massive Transfusion Protocol
- Updated Nov 2018 Maternity care while dependant is a patient at Starship
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Updated Dec 2015
Measles
Infection Control Definitions and Guidelines
- Updated Nov 2018 Meningitis
- Updated Dec 2018 Meningococcaemia
- Updated Nov 2016 Metabolic Disease
- Methamphetamine Decontamination (pdf, 88.81KB)
- Morphine administration
- Updated Feb 2017 Mother and Baby Unit - management of admitted infants
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Updated Jan 2017
Muscle and Skin Biopsy
Guidelines for muscle and skin biopsy in neuro-metabolic investigations
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N
- Needlestick Injuries
- Updated Jun 2017 Neglect of Medical Care
- Updated Aug 2016 Nephrotic Syndrome
- Updated Sep 2013 Neuroimaging
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Newborn Screening
Links to the National Screening Unit website
- Newborn Services Clinical Guidelines
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O
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Updated Feb 2017
Obstructive Sleep Apnoea
Includes Respiratory Physiology Paediatric OSAS Screening Questionnaire
- Updated Nov 2017 Oesophageal atresia (OA) with/without tracheo-oesophageal fistula (TOF)
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Oncology
Link to the National Child Cancer Network Oncology and Haematology Guidelines
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Updated Nov 2015
Orofacial problems
The emergency management of oro-facial problems
- Updated Aug 2017 Osteomyelitis
- Updated Sep 2018 Oximetry
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Updated Feb 2017
Obstructive Sleep Apnoea
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P
- Updated May 2017 Pain - analgesia overview
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Updated Dec 2017
Pain - CRPS Ketamine Infusion
The use of Ketamine for the management of Complex Regional Pain Syndrome (CRPS)
- Updated Jan 2017 Pain - epidural and caudal management
- Pain - intranasal fentanyl
- Updated Apr 2018 Pain - IV Oxycodone as per protocol
- Updated Jan 2018 Pain - Ketamine Infusion
- Pain - local anaesthetic for minor procedures
- Updated Mar 2018 Pain - Morphine intermittent IV administration
- Updated Dec 2016 Pain - paediatric pain assessment
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Updated Jan 2018
Pain - PCA and NCA
Patient Controlled Analgesia and Nurse Controlled Analgesia
- Updated Oct 2017 Pain - procedural pain management
- Updated Dec 2016 Pain - referral to the paediatric pain service
- Updated Jan 2017 Pain - regional infusions
- Pain - sucrose analgesia
- Pain - weaning of opioids and benzodiazepines
- Updated Aug 2018 Pain and functional disorders - inpatient rehabilitation
- Updated Feb 2018 Pain Management Pathway
- Updated Nov 2018 Palliative care - allow natural death (Te Wa Aroha)
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Palliative Care - paediatric, ADHB Intranet site
For ADHB staff only
- Palliative Care - Starship Advance Care Plan (pdf, 47.60KB)
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Palliative Care Clinical Guidelines
Access the National Palliative Care Clinical Network guidelines for end-of-life care
- Updated Dec 2018 Paracetamol Poisoning
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Patient at Risk (PaR) team policies
Link to policies and guidelines relating to the management of the deteriorating child in Starship
- Updated Oct 2014 Pertussis
- Updated Jun 2017 Petechiae and purpura with/without fever
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PICU
Link to PICU guidelines
- Updated Aug 2010 Pneumonia
- Updated Jun 2017 Poisoning -management of childhood
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Postnatal drop in clinic (pdf, 52.53KB)
The ADHB medical midwives provide a postnatal care service for women who have babies in NICU, PICU or Starship who have had a hospital midwife as their LMC or have come from outside the Auckland area.
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Updated Mar 2016
Prescribing Guidelines
Prescribing - Guidelines for Good Practice
- Primary Care Pathways
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Privacy - sharing Information about vulnerable children
Links to the Office of the Privacy Commissioner.
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Updated Feb 2017
Psychosis
Psychiatric Assessment of Young People
- Updated Feb 2017 Pulled Elbow
- Updated May 2018 Pulse oximetry screening in the newborn
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R
- Updated Sep 2017 Rabies - post exposure prophylaxis
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Radiology
Links to Starship Radiology Protocols
- Renal - acute pain relief in children with renal impairment (pdf, 536.90KB)
- Updated Feb 2017 Renal - acute peritoneal dialysis catheter insertion
- Updated Feb 2017 Renal - chronic peritoneal dialysis catheter insertion
- Renal - Glomerulonephritis
- Renal - Hypertension
- Updated May 2017 Renal - national antenatal renal dilation guideline
- Renal - Nephrotic Syndrome
- Renal - Peritonitis protocol (pdf, 216.07KB)
- Updated Feb 2018 Renal - single, multi-cystic dysplastic and duplex kidneys
- Renal - Urinary Tract Infection
- Updated Jan 2017 Renal Biopsy
- Renal transplant shared care protocol (pdf, 241.32KB)
- Renal vaccination record for paediatric CKD (pdf, 174.17KB)
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Updated Feb 2018
Respiratory - Bronchoscopy and Broncho-Alveolar Lavage referral guidelines
Referral indications and timing for Flexible Bronchoscopy and Broncho-Alveolar Lavage
- Respiratory - lung function and oximetry requests
- Respiratory - oximetry
- Respiratory Service referral guidelines (pdf, 67.79KB)
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Updated Jun 2017
Respiratory support on Starship wards
Placement of an infant, child or young person receiving respiratory support on Starship Child Health wards
- Updated Nov 2018 Respiratory Support/Long Term Ventilation after hours issues
- Updated Oct 2017 Responsibility of Care
- Resuscitation - drug calculator
- Updated Sep 2018 Rheumatic Fever - children and adults
- Updated Jun 2017 Rheumatology - Abatacept (Orencia)
- Rheumatology - Immunosuppression, infection and immunisation
- Rheumatology - Infliximab
- Updated Feb 2018 Rheumatology - inpatient referrals and admissions
- Updated Aug 2017 Rheumatology - intravenous bisphosphonate therapy
- Updated Mar 2017 Rheumatology - intravenous cyclophosphamide in paediatrics
- Updated Feb 2018 Rheumatology - Rituximab
- Updated Jun 2017 Rheumatology - Tocilizumab (Actemra®) for Juvenile Idiopathic Arthritis
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S
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Updated Jan 2017
Scoliosis in Neuromuscular Disorders
Guideline on the respiratory management of
- Updated Mar 2017 Sedation for EEG using clonidine
- Updated May 2018 Sedation in children
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Sedation withdrawal protocol (PICU)
Links to the PICU protocol (and assessment form) for the withdrawal of analgesia and sedation
- Updated Sep 2018 Seizures - afebrile
- Updated Sep 2018 Seizures - febrile
- Seizures - Status epilepticus
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Updated Feb 2017
Self harm
Guideline on the psychiatric assessment of self harm
- Updated Aug 2015 Sepsis
- Septic arthritis
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Updated Oct 2018
Severe Combined Immunodeficiency (SCID)
Guideline for the investigation and management of
- Skin infections
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Sleep-Disordered Breathing
New Guideline developed by the National Clinical Network for Paediatric Sleep Medicine
- Updated Jul 2014 Splenectomy
- Updated Jan 2017 Staphylococcal Scalded Skin Syndrome
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Starship Hospital after hours information
For ADHB staff only
- Status Asthmaticus
- Status Epilepticus
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Updated Jan 2017
Stress Steroid Management
Guideline on stress steroid management for children with primary or secondary adrenal failure
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Updated Dec 2016
Sucrose Analgesia
Guideline for the use of sucrose analgesia for procedural pain in infants
- Supraventricular tachycardia (SVT)
- Surgical antimicrobial prophylaxis (pdf, 225.98KB)
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Updated Jan 2017
Scoliosis in Neuromuscular Disorders
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T
- Updated Mar 2010 Tachyarrhythmia in infants and children
- Updated Dec 2015 Tetanus Prophylaxis
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Updated Feb 2010
Tetralogy of Fallot
Tetralogy of Fallot Hypercyanotic Spells
- Updated Nov 2017 Thalassaemia
- Toe Walking (pdf, 18.25KB)
- Updated Sep 2018 Tonsillectomy - management of post-tonsillectomy bleed in CED
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Updated Jul 2015
Transfer of patients
Transfer of patients to Starship from other hospitals
- Updated May 2017 Transport of an infant, child or young person
- Updated Nov 2018 Trauma
- Updated Mar 2017 Tuberculosis treatment
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Tuberous Sclerosis Complex Surveillance and Management Guidelines
Link to Tuberous Sclerosis Australia
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Tumour Lysis Syndrome
Links to National Child Cancer Network guideline
- Updated Aug 2017 Tumour surveillance in Beckwith-Wiedemann syndrome and Hemihyperplasia (Hemihypertrophy)
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U
- Updated Nov 2012 Urinary Tract Infection
- Updated May 2015 Urticaria
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V
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Updated Dec 2017
Vancomycin
Guideline on the dosage and monitoring of vancomycin in children
- Varicella exposure - use of Zoster immunoglobulin
- Ventricular Tachycardia (VT) - pulseless
- Ventricular Tachycardia (VT) - with a pulse
- Updated Feb 2017 Vitamin D deficiency - investigation and management
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Updated Dec 2017
Vancomycin
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W
- Updated Aug 2017 Weaning of Opioids and Benzodiazepines
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Z
- Updated Feb 2017 Zoster Immunoglobulin
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