Paediatric Guidelines

A	Title	Last Review	Next Review
	A&E 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
	Allergic Rhinitis	Apr 23	Apr 26
	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: Anaphylaxis Management BSACI: Paediatric Allergy Action Plans Adrenaline Training Information Leaflet	Oct22	Jan 27
	Ankle Injuries	Dec 19	Dec 23

	Anorexia Nervosa Guidelines
	A&E Eating Disorder Proforma	Mar 23	Mar 26
	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 24
	Eating Disorders Booklet – Patient	Jun 21	Jun 24
	Eating Disorder Refeeding Proforma	Apr 23	Apr 26
	Feeding Against Consent	Dec 19	Dec 23
	Guideline for the Management of AN / ED including Risk Assessment	Mar 23	Mar 26
	Refeeding Guideline and Checklist for Patients at Risk of Refeeding Syndrome	Mar 23	Mar 26
	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 (Dec 22) Asthma UK Action Plan 12yrs + (Mar 21) Asthma UK Action Plan 1-12yrs (Mar 21) Inhaler Technique (May 19) Pre-school Wheeze (Jul 22)	Dec 22	Dec 25
	External Asthma Resources: DEFRA: Local Air Pollution Levels DEFRA: UK Air Pollution Information NICE: Diagnosis and Management of Asthma

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

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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: see Osteomyelitis and Septic Arthritis see Atraumatic Paediatric Hip Pain and Limping Child ED
	Bronchiolitis Discharge Advice from Ash Ward Discharge Advice from the Emergency Department	Jun 21	Jun 24
	BRUE – Brief Unexplained Resolving Episode	Dec 19	Dec 23
	Burns and Scalds: Burns and Scalds Burns Advice Leaflet LSEBN Cover Letter LSEBN Burns Referral Criteria LSEBN Burns Transfer Form LSEBN Caring for Children with Minor Burns (Jan 23) Telemed referral to Queen Victoria hospital burns unit	Apr 21	Apr 25

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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 Useful Links and Associations	Dec 19	Dec 23
	Chronic Headache	Nov 21	Dec 24
	Chronic Pain Guideline (Musculoskeletal Pain)	Aug 22	Aug 25
	Coeliac Disease: Coeliac Disease Guideline Gluten Reintroduction – Parent Information	Sep 21	Jan 24
	Common Surgical Problems in Infancy	Sep 21	Sep 24
	Constipation: Management of Paediatric Constipation Leaflet – Faecal Disimpaction with Klean-Prep	Jan 23	Apr 25
	COVID-19: External Resources NICE COVID-19 rapid guideline: children and young people who are immunocompromised Evelina London: PIMS-TS Guideline RCPCH Resources PHE Guidance
	Croup	Dec 19	Dec 23
	Cystic Fibrosis

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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: BSPED Diabetic Ketoacidosis Algorithm (Jan 2022) BSPED Diabetic Ketoacidosis Guideline (Jan 2022) BSPED Diabetic Ketoacidosis ICP (May 2022)	Mar 23	Mar 26
	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	Oct 23	Oct 26
	Drowning	Jan 21	Jan 25
	Drug Calculator

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E	Title	Last Review	Next Review
	Eczema
	Eczema Guidelines CDLQI: “Trouble with Skin” Eczema Information Leaflet Eczema Workshop Referral Form Eczema Action Plan Emollients Infantile Seborrhoeic Dermatitis and Cradle Cap PO SCORAD APP Topical Calcineurin Inhibitors Topical Steroids	Apr 21	Dec 25

	Egg Allergy	Feb 23	Feb 26
	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
	Extravasation Management in Paediatrics	Jan 23	Jan 26

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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 CCLG: Managing Febrile Neutropenia in the UK (Apr 2020)	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

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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) Carobel Pathway for GORD	Apr 22	Apr 25
	Glucose infusions see: Intravenous Fluid Guidelines

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H	Title	Last Review	Next Review
	Haematuria	Mar 18	Mar 21
	HDU Provision Ash Ward	Nov 21	Nov 24
	Head Injury Bumps Happen A3 Poster (May 2023) Bumps Happen A5 Leaflet (May 2023)	Jul 20	Jun 24
	Henoch-Schonlein Purpura Guideline PIER Network: Information for Patients and Parents (Jul 2019)	Sep 23	Sep 26
	Hypoglycaemia management for non-diabetic children	Jan 21	Jan 24
	Hypoglycaemia Resources – Leaflets on dietary advice for reactive hypoglycaemia: Dietary advice (see intranet) Emergency regime recipes
	Hypothyroidism – Congenital	May 22	May 25

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I	Title	Last Review	Next Review
	Idiopathic Intracranial Hypertension	Feb 21	Feb 24
	Inflammatory Bowel Disease	Sep 22	Sep 26
	Infant Feeding: Infant Feeding Guideline (May 23) Feeding Management Pathway (May 23) Weighing Baby Pathway (May 23) Feeding and Nurturing Padlet	May 23	Apr 26
	Infant Formulae Guidelines	Dec 19	Dec 23
	Intravenous Fluid Guidelines	Nov 16	Nov 21
	ITP Management	Mar 23	Mar 26

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Title

Last Review

Next Review

Jaundice:

Neonatal Jaundice (Jan 22)
Prolonged Jaundice Screening (PJS) (Sep 21)

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

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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

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

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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	Oct 21	Oct 24

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O	Title	Last Review	Next Review
	Oncology: Blood Product Prescriptions for Paediatric Oncology Patients	Feb 21	Feb 24
	Open Access Proforma	Mar 22
	Osteomyelitis and Septic Arthritis STPN Bone and Joint Infection Policy – See TrustNet	Jun 21	Jun 24

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P	Title	Last Review	Next Review
	Pain Guidelines: Management of Acute Pain in Children (Oct 22) Management of Pain in Children in Paediatric Emergency (Sep 19) SOP for Intranasal Analgesia (Fentanyl and Diamorphine) for children and young people in the Paediatric Emergency Department (Sep 23)
	Palliative Care – A Guide to Children’s Palliative Care (TFSL)	Dec 19	Dec 23
	Palpitation Management	Jan 23	Jan 26
	Pan London Suspected Cancer Referral Guide Children	Jan 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
	Patient Safety Intelligence Framework	Jan 23	Jan 26
	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

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R	Title	Last Review	Next Review
	Radiology Reporting Escalation Guideline	Jul 23	Aug 26
	Reduced Consciousness	Dec 19	Dec 23
	Royal Marsden Referral Form for New Oncology Diagnosis	May 22

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

	Seizure Afebrile Seizures – Management (Feb 2022) RCPCH: Resource for Parents Febrile Seizures – Management (Dec 2019) Management of Intravenous Phenytoin Loading Doses for the Treatment of Status Epilepticus in Neonates, Children and Adults – see Pharmacy guidelines on Trust intranet Status Epilepticus (Feb 2022) SUDEP (Feb 2022)

	Self Discharge Against Medical Advice	Dec 19	Dec 23
	Self Harm See TrustNet

	Sepsis
	Emergency Department: Paediatric Sepsis Six – ED Pathway Paediatric Sepsis Six – ED
	Inpatient Management: Guideline for the identification and management of sepsis for all patients on the paediatric ward Paediatric Sepsis Six – IP Pathway Paediatric Sepsis Six – IP

	Sexual Health Surrey Sexual Health Information Chlamydia and Gonorrhoea Leaflet Chlamydia and Gonorrhoea Poster Sexual Health Home Testing Poster Surrey Sexual Health Poster Surrey Young People Leaflet

	Sickle Cell – Paediatric Management	Apr 18	Apr 21
	Skeletal Survey Guidelines Skeletal Survey for Suspected Non-Accidental Injury (Apr 23) Blood tests for Children and Infants undergoing Safeguarding Investigations (Apr 23) Radiological Investigations of Suspected Non-Accidental Injury (Apr 23) Information Leaflet (Nov 21)	Apr 23	Nov 25
	STPN Adenotonsillectomy Pathway	May 22
	STPN Bone and Joint Infection Policy – See TrustNet	Aug 22
	Stroke Management in Children RCPCH: Pathway Poster RCPCH: Key Recommendations RCPCH: Resource for Parents	Dec 21	Dec 24
	Supportive Care Protocol 5th Edition (v1.1)	Jul 23
	Supraventricular Tachycardia Management in Paed A&E	Jan 23	Jan 26
	Syncope in Childhood	Jan 21	Jan 25

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T	Title	Last Review	Next Review
	Tracheostomy care	Mar 18	Mar 22
	Transfers to other hospitals STPN Inter-Hospital Transfer Principles (Feb 2022) http://stpn.uk/stopp/
	Trauma – Initial Management of Major Trauma in Paediatric ED	Jan 22	Jan 25
	Trigger list incl. Emergency department	Dec 17	Jun 22

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U	Title	Last Review	Next Review
	Urinary Incontinence Guideline	Oct 22	Oct 25
	Urinary Tract Infections DMSA Scan Micturating Cystourethrogram	Apr 23	May 26
	Urticaria Guideline	Jul 20	Jul 24