Statewide Emergency Guidelines

These guidelines outline the current recommendations for the care and management of children presenting to an Emergency Department (ED) in Queensland.

The Statewide Emergency Guidelines have been developed by senior ED clinicians and Paediatricians across Queensland with  input from relevant specialists from Lady Cilento Children’s Hospital. They have been endorsed for use across Queensland by the Statewide Emergency Care of Children Working Group in partnership with the Queensland Emergency Department Strategic Advisory Panel and the Healthcare Improvement Unit, Clinical Excellence Division.

This guideline is intended for information purposes only. The information has been prepared using a multidisciplinary approach with reference to the best information and evidence available at the time of preparation. No assurance is given that the information is entirely complete, current, or accurate in every respect.

The guidelines are not a substitute for clinical judgement, knowledge and expertise, or medical advice. Variation from the guideline, taking into account individual circumstances may be appropriate.

This guideline does not address all elements of standard practice and accepts that individual clinicians are responsible for the following:

  • Providing care within the context of locally available resources, expertise, and scope of practice.
  • Supporting consumer rights and informed decision making in partnership with healthcare practitioners including the right to decline intervention or ongoing management.
  • Advising consumers of their choices in an environment that is culturally appropriate and which enables comfortable and confidential discussion. This includes the use of interpreter services where necessary.
  • Ensuring informed consent is obtained prior to delivering care.
  • Meeting all legislative requirements and professional standards.
  • Applying standard precautions, and additional precautions as necessary, when delivering care.
  • Documenting all care in accordance with mandatory and local requirements.

Queensland Health disclaims, to the maximum extent permitted by law, all responsibility and all liability (including without limitation, liability in negligence) for all expenses, losses, damages and costs incurred for any reason associated with the use of this guideline, including the materials within or referred to throughout this document being in any way inaccurate, out of context, incomplete or unavailable.

The Statewide Emergency Care of Children Working Group consists of senior emergency medical and nursing clinicians from 21 emergency departments across Queensland:

  • Bundaberg Hospital
  • Caboolture Hospital
  • Cairns Hospital
  • Gold Coast University Hospital
  • Ipswich Hospital, Gladstone Hospital
  • Lady Cilento Children’s Hospital
  • Logan Hospital
  • Mackay Hospital
  • Maryborough Hospital
  • Nambour Hospital
  • QEII Hospital
  • Redcliffe Hospital
  • Redland Hospital
  • Robina Hospital
  • Rockhampton Hospital
  • Royal Brisbane and Women’s Hospital
  • Sunshine Coast University Hospital
  • Toowoomba Hospital Townsville Hospital
  • The Prince Charles Hospital
Statewide Guidelines
Acute otitis media – Emergency management in children
Acute scrotal pain – Emergency management in children
Asthma – Emergency management in children
Bone and joint infection management (PDF)
Bronchiolitis PREDICT guideline
Burns – Management in children (PDF)
Community needlestick injury (PDF)
Constipation – Emergency management in children
Croup – Emergency management in children
Febrile convulsion – Emergency management in children
Febrile illness – Emergency management in children
Fever in a paediatric oncology patient (PDF)
Jaundice – Management in neonates
Limp – Emergency management in children
Meningitis – Emergency management in children
Pre-school wheeze – Emergency management in children
Sepsis – Recognition and emergency management in children
Tetanus prophylaxis in wound management (PDF)
Guidelines intended for use at Lady Cilento Children’s Hospital may also be useful for Queensland Health Emergency clinicians across the state. A selection of relevant guidelines can be found below or you can search all Children’s Health Queensland Hospital and Health service guidelines here.

Guidelines currently under development

  • Animal bites
  • Dental emergencies
  • Eczema
  • Femoral nerve block
  • Hand injuries
  • Intussusception
  • LA toxicity
  • Rashes
  • UTI