Clinical measurements

Summary of changes

  • Separated adult and children BMI and weight/growth measurements for clarity
  • All measurements for children <2y should be separate - BMI is not used in this age group
  • Removal of z-scores
  • Added section on waist for height
  • Use of RCH physiological values for heart rate, BP and RR

Primary references

  1. American Heart Association (2015) 'Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care', Circulation, 132(18 Suppl 2):S526–S542, doi:10.1161/CIR.0000000000000266

  2. Ataş Berksoy E, Bağ Ö, Yazici S and Çelik T (2018) 'Use of noncontact infrared thermography to measure temperature in children in a triage room', Medicine (Baltimore), 97(5):e9737, doi:10.1097/MD.0000000000009737

  3. Australian Commission on Safety and Quality in Health Care (2020) Recognising and Responding to Acute Deterioration Standard, accessed 11 January 2022.

  4. Australian Institute of Health and Welfare (2020) Overweight and obesity: an interactive insight, AIHW, Canberra, accessed 11 January 2022.

  5. Australian and New Zealand Committee on Resuscitation (2016) ANZCOR Guideline 9.2.7 – First aid management of anaphylaxis, The ARC Guidelines, 2022 accessed 11 January.

  6. Bharti P, Chauhan M and Ahmed K (2017) 'Comparison of rectal, infra red tympanic and infra red skin temperature in term neonates', International Archives of Integrated Medicine, 3:43-49.

  7. Cole TJ and Lobstein T (2012) 'Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity', Pediatric Obesity, 7(4):284-294, doi:10.1111/j.2047-6310.2012.00064.x

  8. Foster M (2019) Weight estimation guidelines – Part 1, Don't Forget the Bubbles, accessed 18 September 2022 doi:10.31440/DFTB.18165

  9. Lobor Cancelier AC, Trevisol D and Schuelter-Trevisol F (2018) 'Waist-To-Height Ratio as a Screening Tool for Childhood Obesity: A Systematic Literature Review', Annals of Pediatrics and Child Health, 6(1):1141.

  10. Mogensen CB, Wittenhoff L, Fruerhøj G and Hansen S (2018) 'Forehead or ear temperature measurement cannot replace rectal measurements, except for screening purposes', BMC Pediatrics, 18(1):15, doi:10.1186/s12887-018-0994-1

  11. National Health and Medical Research Council (2013) Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia, accessed 18 January 2022.

  12. Paes BF, Vermeulen K, Brohet RM, van der Ploeg T and de Winter JP (2010) 'Accuracy of tympanic and infrared skin thermometers in children', Archives of Disease in Childhood, 95(12):974-8, doi:10.1136/adc.2010.185801

  13. Safer Care Victoria (2018) Blood pressure disorders, Neonatal eHandbook, accessed 22 September 2022.

  14. The Royal Children's Hospital Melbourne (2020) Acceptable ranges for physiological variables, Clinical Practice Guidelines, accessed 11 January 2022.

  15. The Royal Children's Hospital Melbourne (2017) Hypertension, Clinical Practice Guidelines, accessed 11 January 2022.

  16. van den Bruel A, Verbakel J, Wang K, Fleming S, Holtman G, Glogowska M, Morris E, Edwards G, Abakar Ismail F, Curtis K, Goetz J, Barnes G, Slivkova R, Nesbitt C, Aslam S, Swift E, Williams H and Hayward G (2020) 'Non-contact infrared thermometers compared with current approaches in primary care for children aged 5 years and under: a method comparison study', Health Technology Assessment, 24(53):1-28, doi:10.3310/hta24530