Aust Fam Physician
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Primary nocturnal enuresis is common, and if left untreated has considerable psychological ramifications on children as they get older. ⋯ By far the most successful treatment is the bed wetting alarm. In recent years desmopressin nasal spray has also found a clinical niche as a short term solution for children attending school camps or sleeping over at friends' houses. It may also be used as an adjunct to the use of the alarm. Treatment with imipramine is increasingly in disfavour because the relapse rate is unacceptably high and fatal overdose is a possibility.
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Paediatric lacerations and burns are common problems. ⋯ A significant number of lacerations are minor and can be managed without hospitalisation, provided due care is paid to adequate assessment and pain relief. Minor burns can also be managed without hospitalisation. Frequent change of dressings should be avoided but any burn that is not healed within 7-10 days should be considered for possible skin grafting.