Queensland Paediatric Emergency Guidelines

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

Flowcharts quick search
Sepsis

shock, critical, toxic shock syndrome, meningitis

Status epilepticus

seizure, convulsion, fit

Asthma

Wheeze, reactive airway

Allergy and anaphylaxis

acute allergic reaction

Febrile Illness <3 months

fever, temperature

Pre-school wheeze

wheeze, preschool, pre-school, reactive airway, viral induced wheeze, pneumonitis

Croup

airway obstruction

Febrile Illness – 3 months old or older

fever, temperature

Acute otitis media

middle ear infection

Constipation
Limp

septic arthritis

Meningitis
Headache

migraine

Inhaled foreign body

airway obstruction

Bronchiolitis

respiratory tract

Gastroenteritis

Gastro, diarrhoea

Drowning

immersion

Unexplained hypoglycaemia

metabolic

Cervical spine injury

spinal, CSI

DKA – Emergency management

hyperglycaemia, ketonaemia, ketonuria

DKA – Ongoing management

hyperglycaemia, ketonaemia, ketonuria

Ingested foreign body

button battery

Head injury

intracranial

Paracetamol ingestion

overdose, NAC

Urinary tract infection

UTI

Foreign body in the ear

aural, button battery

Foreign body in the nose

nasal, button battery

Guidelines
Sepsis

shock, critical, toxic shock syndrome, meningitis, 60010

Status epilepticus

seizure, convulsion, fit, 60014

Asthma

Wheeze, reactive airway, 60002

Allergy and anaphylaxis

acute allergic reaction, 60011

Febrile illness

fever, temperature, 60006

Pre-school wheeze

wheeze, preschool, pre-school, reactive airway, viral induced wheeze, pneumonitis, 60009

Cervical spine injury

spinal, CSI, 60025

Head injury

intracranial, 60023

Croup

airway obstruction, 60004

Unexplained hypoglycaemia

metabolic, 60024

Gastroenteritis

Gastro, diarrhoea, 60015

Headache

migraine, 60017

Inhaled foreign body

airway obstruction, 60020

Bronchiolitis

respiratory tract, 60012

Drowning

immersion, 60013

Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycaemic State (HHS)

hyperglycaemia, ketonaemia, ketonuria, 60016

Ingested foreign body

button battery, 60019

Paracetamol ingestion

overdose, NAC, 60018

Urinary tract infection

UTI, 60026

Foreign body in the ear

aural, button battery, 60021

Foreign body in the nose

nasal, button battery, 60022

Acute otitis media

middle ear infection, 60000

Acute scrotal pain

Scrotal pain, testicular torsion, abdominal pain, 600001

Constipation

600003

Febrile convulsion

seizure, fit, 60005

Limp

septic arthritis, 60007

Meningitis

sepsis, 60008

Guidelines intended for use at Queensland 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
  • Community acquired pneumonia
  • Dental emergencies
  • Eczema
  • Hand injuries
  • Hyperkalaemia
  • Non-blanching rash
  • Syncope
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.

Children’s Health Queensland 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 24 emergency departments across Queensland:

  • Bundaberg Hospital
  • Caboolture Hospital
  • Cairns Hospital
  • Gladstone Hospital
  • Gold Coast University Hospital
  • Gympie Hospital
  • Hervey Bay Hospital
  • Ipswich Hospital
  • Logan Hospital
  • Mackay Hospital
  • Maryborough Hospital
  • Mount Isa Hospital
  • Nambour Hospital
  • QEII Hospital
  • Queensland Children’s Hospital
  • Redcliffe Hospital
  • Redland Hospital
  • Robina Hospital
  • Rockhampton Hospital
  • Royal Brisbane and Women’s Hospital
  • Sunshine Coast University Hospital
  • The Prince Charles Hospital
  • Toowoomba Hospital
  • Townsville Hospital

Useful links

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