Paediatric Guidelines

A Title Last Review Next Review
A& Clinic Referral Form Dec 21 Dec 25
A&E policy on treatment of 16 and 17 year old patients Dec 19 Dec 23
Abdominal Pain – Acute Dec 19 Dec 23
Abdominal Pain – Chronic Dec 19 Dec 23
Abdominal Trauma Feb 22 Feb 25
Abdominal Xray Requests in Children Jun 22 Jun 25
Acute Hepatitis of Unknown Aetiology – see TrustNet Apr 22
Acute Kidney Injury
Allergy
Adrenaline Autoinjector Guideline Apr 21 Apr 24
Food Challenge Booklet May 19 Jan 24
Food Challenge ICP – See TrustNet Apr 22 Apr 27
Food Challenges – Patient Leaflet Apr 19 Oct 21
Paediatric Allergy Website
Skin Prick Testing – Patient Leaflet Nov 21 Nov 24
Anaphylaxis:

Oct22 Jan 27
Ankle Injuries Dec 19 Dec 23
Anorexia Nervosa Guidelines
A&E Clerking Proforma for Eating Disorders (to use in A&E) May 21 May 24
Detailed guidance for ward management of patients admitted with known or suspected anorexia nervosa including patient/ parent care plan Nov 17 Nov 22
Eating Disorders Booklet – Parents Jun 21 Jun 23
Eating Disorders Booklet – Patient Jun 21 Jun 23
Eating Disorders Ward Refeeding Booklet (for MDT use on ward) May 21 May 24
Feeding Against Consent Dec 19 Dec 23
Guideline for the management of anorexia nervosa / eating disorder including risk assessment Nov 17 Nov 22
Refeeding guideline for patient with an eating disorder Jul 19 Jul 23
Standard Template for Eating Disorders Meal Plan Jul 21 Jul 25
Antibiotic Selector – Microguide
ALTE – Acute Life Threatening Event Dec 19 Dec 23
Arrhythmias Apr 21 Apr 24
Arthritis Dec 19 Dec 23
Asthma Guidelines
Asthma – Acute Management (Jul 22)

Jul 22 Dec 25
External Asthma Resources:

Atraumatic Paediatric Hip Pain and Limping Child ED Mar 22 Mar 25

 

B Title Last Review Next Review
Baby / Child Abduction – see TrustNet
Bell’s Palsy – see Facial Nerve Palsy
Blood Culture Guideline for Paediatric Patients Jan 21 Jan 25
Blood Transfusion Policy and Related Guidelines for Neonatal and Paediatric Patients Jun 17 Jul 20
Bone and Joint Infection:

Bronchiolitis

Jun 21 Jun 24
BRUE – Brief Unexplained Resolving Episode Dec 19 Dec 23
Burns and Scalds:

Apr 21 Apr 25

 

C Title Last Review Next Review
Cardiology
Management of Hypercyanotic Spells Mar 21 Mar 26
Cellulitis – Orbital and Periorbital Jan 21 Jan 25
Central Venous Access Devices: Use of Heparin Jan 21 Jan 25
Chest Drain Guideline Jan 22 Jan 25
Chest Pain Guidelines Dec 19 Dec 23
Child Protection: Guidance – see Trust intranet
Chronic Fatigue Syndrome

Dec 19 Dec 23
Chronic Headache Nov 21 Dec 24
Chronic Pain Guideline (Musculoskeletal Pain) Aug 22 Aug 25
Coeliac Disease:

Sep 21 Jan 24
Common Surgical Problems in Infancy Sep 21 Sep 24
Constipation:

Apr 22 Apr 25
COVID-19: External Resources

Croup Dec 19 Dec 23
Cystic Fibrosis

 

D Title Last Review Next Review
DDAVP test for children with Von Willibrand’s Disease Feb 20 Feb 25
Death in Children and Infancy:

  • Child Death Review – see Trust intranet
Dehydration Jan 21 Jan 25
Diabetes Guidelines:
Diabetes – Admission for Stabilisation or Monitoring Oct 21 Nov 24
Diabetes – Advising on Insulin Dose Adjustment Oct 22 Oct 24
Diabetes – Care of Children Under 18 years with Diabetes Mellitus undergoing surgery or MRI under GA Nov 21 2024
Diabetes – Discharge Planning for the Newly Diagnosed Child Oct 22 Oct 24
Diabetes – Escalation Policy Oct 21 Nov 24
Diabetes – Guidelines for the Newly Diagnosed Child Oct 21 Nov 24
Diabetes – Hypoglycaemia Oct 21 Nov 24
Diabetes Ketoacidosis:

May 18 May 20
Management of Type 1 Diabetes Mellitus during illness in children and young people under 18 years (Sick Day Rules) Mar 21 Mar 24
Difficult Airway Emergency Intubation Pathway – See TrustNet Sep 22 Mar 23
Drowning Jan 21 Jan 25
Drug Calculator

 

E Title Last Review Next Review
Eczema
Eczema Guidelines

Apr 21 Dec 25
Egg Allergy Mar 18 Mar 23
Electrolyte Emergencies Jan 21 Jan 25
Emergency Drug Calculator (c/o South Thames Retrieval Service)
Emergency Feeding Regime for Patients with RSV on ASH Ward Dec 21 Dec 25
Emergency Intubation Pathway – See TrustNet Sep 22 Mar 23
Escalation Plan Nov 21 Nov 24
Enuresis Guideline Oct 22 Oct 25

 

F Title Last Review Next Review
Facial injuries and dental problems Jan 21 Jan 25
Facial Nerve Palsy – Acute Management Aug 22 Jan 25
Faltering Growth Guideline Jul 21 May 24
Febrile Neutropenia in Oncology Patients Aug 21 Aug 24
Fever in under 5s Mar 22 Mar 25
Fingertip Injuries Feb 22 Feb 25
Foreign Body Ingestion in Paediatric ED Jan 22 Jan 25
Fracture Help – see Trust intranet
Fracture – Torus Dec 18 Dec 23
Fractures: Manipulation of fractures and dislocations in Paediatric Emergency Department Dec 18 Dec 23
Fractures, sprains and dislocations Jan 21 Jan 25

 

G Title Last Review Next Review
Gastroenteritis – see Dehydration
Gastroenteritis Guidelines Jan 21 Jan 25
Gastroenterology: STPN Guidance – See TrustNet

  • Bilious Vomiting in the New-born
  • Intussusception
  • Pyloric Stenosis
Feb 2022
Gastroeosophageal Reflux Disease (GORD)

Apr 22 Apr 25
Glasgow Coma Score Jan 14 n/a
Glucose infusions see: Intravenous Fluid Guidelines

 

H Title Last Review Next Review
Haematuria Mar 18 Mar 21
HDU Provision Ash Ward Nov 21 Nov 24
Head Injury Jul 20 Jun 24
Henoch-Schonlein Purpura Guideline Jun 21 May 22
Henoch-Schonlein Purpura (for Parents) Jun 21 Jun 24
Hypoglycaemia management for non-diabetic children Jan 21 Jan 24
Hypoglycaemia Resources – Leaflets on dietary advice for reactive hypoglycaemia:

Hypothyroidism – Congenital May 22 May 25

 

I Title Last Review Next Review
Idiopathic Intracranial Hypertension Feb 21 Feb 24
Inflammatory Bowel Disease Sep 22 Sep 26
Infant Feeding:

Jun 22 Jun 24
Infant Formulae Guidelines Dec 19 Dec 23
Intravenous Fluid Guidelines Nov 16 Nov 21
ITP Mar 18 Mar 21

 

J Title Last Review Next Review
Jaundice:

 

K Title Last Review Next Review
Kawasaki Disease Nov 22 Jun 25

 

L Title Last Review Next Review
Leukaemia – Management of the patient with a likely diagnosis (age 12m – 18yrs) Jan 22 Jan 25
Liver failure Feb 18 Feb 21
Lyme Disease Management Mar 22 Mar 25
Lymphadenopathy and Lymphadenitis Jul 21 Jul 24

 

M Title Last Review Next Review
Meningitis Guidelines for children older than 3 months (see also www.nice.org.uk/guidance/CG102) Oct 17 Oct 22
Meningococcal Septicaemia in Paediatric ED Jun 21 Jun 24
Metabolic Diseases:

Momentum Family Support Referral Form Nov 21  
Murmurs in Children Assessment Guideline Jun 20 Jun 23
Myocarditis Guidelines Jun 20 Jun 23

 

N Title Last Review Next Review
Neonatal Collapse Nov 17 Nov 20
Neonates in Paediatric ED Dec 21 Dec 24
Nephrotic Syndrome – Treatment of this condition is subject to trial – please see inside the guideline for details Nov 14 Nov 17
Neurosurgical Emergency May 19 May 22
Non-Attendance at clinic appointments or non-access visits for children under 18 years of age Jan 19 Jan 22

 

O Title Last Review Next Review
Oncology: Blood Product Prescriptions for Paediatric Oncology Patients Feb 21 Feb 24
Oncology (referral pathways):

Dec 20 Dec 23
Open Access Proforma Mar 22  
Osteomyelitis and Septic Arthritis Jun 21 Jun 24

 

P Title Last Review Next Review
Pain Guideline:

Palliative Care – A Guide to Children’s Palliative Care (TFSL) Dec 19 Dec 23
Paracetamol Overdose – refer to Toxbase for guidance Mar 18 Mar 21
Pathway for Escalation of Neonatal Care in Paediatric A&E for Babies Requiring Intubation Jun 22 Jun 25
PAU – Paediatric Assessment Unit Nov 21 Nov 24
Pectus Anomalies Nov 22 Sep 25
Petechiae and Fever Dec 19 Dec 23
Physiotherapy referral for lower limb conditions Jan 21 Jan 25
Pneumonia (community acquired) Jan 21 Jan 25
Positional Plagiocephaly and Brachycephaly Jan 22 Jan 25
Pre-Pubertal Gynaecological Problems Jan 22 Jan 25
Pre-school Wheeze Jul 22 Jun 25
Procedural Sedation Guideline Jul 21 Jun 24
Proteinuria Dec 19 Dec 23
Psychiatry – Control of Acutely Disturbed Child Dec 19 Dec 23
Pulled Elbow Jan 21 Jan 25
Pyrexia of Unknown Origin (PUO) Dec 19 Dec 23

 

R Title Last Review Next Review
Reduced Consciousness Dec 19 Dec 23

 

S Title Last Review Next Review
Safeguarding Guidance – Fractures in Children under 5 and Older Children who are Immobile
Jun 21 Jun 24
Seizure

Self Discharge Against Medical Advice Dec 19 Dec 23
Self Harm

  • See TrustNet
Sepsis
Emergency Department:

Inpatient Management:

Sexual Health

Sickle Cell – Paediatric Management Apr 18 Apr 21
Skeletal Survey Guidelines

Dec 17 Dec 19
STPN Adenotonsillectomy Pathway May 22  
Stroke Management in Children

Dec 21 Dec 24
Supraventricular Tachycardia Management in Paed A&E Dec 19 Dec 22
Syncope in Childhood Jan 21 Jan 25

 

T Title Last Review Next Review
Tracheostomy care Mar 18 Mar 22
Transfers to other hospitals

Trauma – Initial Management of Major Trauma in Paediatric ED Jan 22 Jan 25
Trigger list incl. Emergency department Dec 17 Jun 22

 

U Title Last Review Next Review
Urinary Incontinence Guideline Oct 22 Oct 25
Urinary Tract Guidelines Aug 18 Aug 22
Urticaria Guideline Jul 20 Jul 24

 

V Title Last Review Next Review
Vitamin D Deficiency Dec 19 Dec 23
VTE prophylaxis in over 16s:

NICE Guidance

Mar 20 Feb 22

 

W Title Last Review Next Review
Wound Management Dec 18 Dec 23

 

X Title Last Review Next Review
X-ray use in common paediatric emergencies Dec 19 Dec 23