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PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK
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guidelines & Tools

Regional Guidelines

The PIER tools and guidelines have been created to reduce the variation of care for paediatric conditions throughout the region. They have been created by multidisciplinary clinicians from throughout the region, with input from tertiary consultants, regional speciality networks and accepted national guidance. Our resources also include useful signposting websites for children and young people with chronic health conditions.
New & Updated Guidelines - October 2023
​​
  • Management of Sick Day Episodes in Children and Young People Treated with Regular Glucocorticoids (Replacing Sick Day Telephone Advice for Children at Home Taking Regular Oral Corticosteroids)
  • Toxic Shock Syndrome in Paediatric Burns 
  • Debrief Tools
New and Updated Guidelines Coming Soon
​​
  • Obesity Safeguarding Strategy
  • Tics
  • Community Acquired Pneumonia
  • SNAP Protocol
  • Infantile Spasms

Current number of
​PIER Guidelines
A-Z
To search for a specific guideline:
On a computer:
  1. Click the Ctrl and F keys on your keyboard
  2. Enter your search terms in the search box​
On a phone or tablet:
  1. Click the ⋮ or share icon in your browser
  2. Click 'Find on Page'
  3. ​Enter your search terms

A

Abdominal Pain
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Acute Kidney Injury - Prevention & Recognition 
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • NICE Guideline
  • ​Flow Chart
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Ambiguous Genitalia (Initial Management of a Baby)
  • Full Guideline
Anaphylaxis
  • Anaphylaxis Management Proforma
  • Acute Anaphylaxis Guideline (Resuscitation Council 2021)
  • Refractory Anaphylaxis Guideline (Resuscitation Council 2021)
​​Anaesthesia for Emergencies
  • ​SORT Guideline
Antibiotic Therapy for Specific Childhood Infections
  • Full antibiotic guidance can also be found on the MicroGuide app or on the internet by clicking here​
Anticonvulsant use when Nil by Mouth
  • Full Guideline
Antenatally Detected Uropathy Guidelines
  • Full Guideline
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline​​
​​Arrhythmia - Bradyarrhythmia with a pulse
  • SORT Guideline​​
Asthma (Acute)
  • PIER Guideline
  • SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Asthma (Chronic)
  • Maintenance and Reliever Therapy (MART) for Chronic Asthma in Young People >12 years of age
Autosomal Dominant Poly-cystic Kidney Disease
  • National Guideline​

B

Blast Field Injury
  • Paediatric Blast Field Injury Manual
Blocked Ventricular Shunt/Hydrocephalus
  • Full Guideline ​
​​​Brief Resolved Unexplained Event (BRUE)
  • Full Guideline
Burns
  • ​SORT Guideline
​​Bronchiolitis
  • SORT Guideline
  • ​Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

C

​Care of the Ventilated Child Checklist (Awaiting SORT)
  • SORT Guideline
​Cardiac Arrest APLS Algorithm
  • SORT Guideline
Ceftriaxone Administration in Children
  • Statement on Ceftriaxone Prescribing and Administration
Central Venous Access Devices
  • Full Guideline​​
​Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Chemotherapy Induced Nausea and Vomiting
  • Full Guideline​
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
  • Full Guideline
Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​Child Protection Companion
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
​​Child Death
  • (Hampshire, Portsmouth and IoW) ​Child Death electronic reporting form
  • (Dorset) ​Child Death electronic reporting form
  • Government Statutory Guidance on Child Deaths
CMV (Congenital)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline ​​
Conjunctivitis in Children
  • Healthier Together Safety Netting Documents
Constipation 
  • Healthier Together Safety Netting Documents
Coughs and Colds
  • Healthier Together Safety Netting Documents
Croup
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Cyanosed Infant with Systemic to Pulmonary Shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline

D

​​​​Debrief after a Difficult Event
  • Full Guideline
Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Dermatology
  • See Dermatology section
​​Dextrocardia
  • Full Guideline
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Management of Children with Diabetes Undergoing Surgery
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)​​
  • Sick Day Rules for Children with Type 1 Diabetes (ACDC Guideline)
  • Guidelines For High HbA1c in Type 1 Diabetes 
    in Children and Young People (Wessex Diabetes Network Guideline)
  • ​Transition Guideline (NICE Guideline)
Diabetic Ketoacidosis
  • ​Integrated Care Pathway/DKA Calculator (2021 update)
  • Full Guideline (2021 update)
​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Drowning
  • SORT Guideline
Drug Infusion Guideline for SORT
  • SORT Guideline
​Drug Calculator
  • SORT Guidelines

E

​Eczema
  • Healthier Together Pathway​

Egg Allergy
  • Paediatric Egg Allergy Guidelines

Electrolyte Replacement
  • SORT Guideline​
  • Hypokalaemia Flow Chart 
  • Hypomagnesaemia Flow Chart ​
  • Hyponatraemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hypercalcaemia Flow Chart
  • Hypophosphataemia Flow Chart
Empyema
  • ​SORT Guideline
Encephalitis
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Extravasation
  • ​SORT Guideline​​
  • Chemotherapy Extravasation Guideline

F

Fabricated and Induced Illness
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Protocol
​​​Facial Nerve Palsy
  • ​Full Guideline
Febrile Neutropaenia
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​ and ​Nursing Care Plan
  • Vancomycin Dosing​
  • Other Antibiotic Dosing
​Femoral Fracture
  • ​Full Guideline
Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Fever in babies less than 90 days old (The Hot Baby Pathway)
  • Full Guideline
First Afebrile Seizure
  • Full Guideline​
  • Healthier Together Safety Netting and Parent Information​
​​Foreign Body Ingestion
  • Full Guideline

G

Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
Gentamicin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
  • Full Guideline
Glucose Concentrations and Calculator
  • ​SORT Guideline

H

Haematuria in Children
  • Full Guideline
Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
HSP in Children
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
HSV (Neonatal)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Humidified High Flow
  • Full Guideline​
Hydrocephalus/Blocked Ventricular Shunt
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
​​Hyperglycaemia (Steroid, Chemotherapy or Transplant Induced)
  • Full Guideline
Hyperinsulinaemic Hypoglycaemia in Neonates
  • ​Full Guideline
Hypertension (Oncology)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Hypertension (Non-Oncology)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Hyperkalaemia
  • ​SORT Guideline
Hypoalbuminaemia
  • Full Guideline
Hypocalcaemia
  • Full Guideline
Hypoglycaemia
  • Full Guideline
Hypothyroidism (congenital) and raised neonatal bloodspot TSH
  • Full Guideline

I

Ifosfamide Induced Encepahlopathy
  • Full Guideline
Infant Feeding Guidelines​
  • See full section for complete guideline
  • Healthier Together Pathway
  • Healthier Together Safety Netting Documents
​​Influenza
  • ​Full Guideline
Infectious Disease Screening for Refugees and Asylum-Seekers
  • Link to Healthier Together
Intubation Checklist
  • ​SORT Guideline
Investigation of New Oncology Patients
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline

J

Jaundice in Babies
  • Healthier Together Safety Netting and Parent Information

K

Kawasaki Disease
  • Full Guideline​

L

Limp
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

Long Term Ventilation
  • ​​Long Term Ventilation in Children and Young People Clinical Guideline - developed by TVW ODN. 
  • TVW Long Term Ventilation Quick Links - developed by TVW ODN.

Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​Lymphadenitis
  • Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​
​
Lyme Disease
  • Full Guideline

M

Malaria in Children
  • Full Guideline
MART - Maintenance and Reliever Therapy for Chronic Asthma in Young People >12 years of age 
  • ​Full Guideline
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​
Meningitis
  • Full Guideline
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
Mucositis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline

N

Nasal Bridle Insertion and Management
  • Full Guideline ​
Nasojejunal Tube Placement and Basic Care​
  • Full Guideline​
​Nausea and Vomiting Management (Oncology)
  • Full Guideline
Neonatal Collapse
  • ​SORT Guideline
​Neonatal Guidelines
  • Neonatal Guidelines main page
Nephrotic Syndrome
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline 
  • ​Patient Record Book
Nursing Care Plans
  • Asthma
  • Bronchiolitis
  • Fitting Child
  • Nephrotic Syndrome
  • Paracetamol Overdose
  • Pyloric Stenosis
  • Sickle Cell Crisis
  • Wheeze
Nutrition (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​

O

Obesity
  • Full Guideline
  • PEEER Youth Exercise Information for Patients/Families 
    • ​TikTok
    • Instagram
Off Treatment Oncology Surveillance 
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline This guideline is due for review. Please check national guidance and use at your own clinical discretion.
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hyperleucocytosis Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Typhlitis Flow Chart​
  • Spinal Cord Compression Flow Chart
Oral Steroids - Sick Day Telephone Advice
  • Full Guideline
Otitis Media
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​
​Pharmacological Management of Non-Neuropathic Overactive Bladder
  • Full Guideline

P

​​​Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Preorbital Cellulitis
  • Healthier Together Safety Netting and Parent Information
Perioperative Fasting Guidelines
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
  • ​Advice for Parents/Patients
Peri-operative Management of Children and Young People taking regular corticosteroid therapy
  • Full Guideline​
Prophylaxis of Pneumocystis Jirovecii Pneumonia (PJP) in Children with Solid Tumours
  • Full Guideline
Pneumonia
  • Healthier Together Safety Netting and Parent Information
Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
​​Pseudomonas Treatment
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart​
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Pyloric Stenosis
  • Full Guideline

R

​​Rapid Tranquilisation of Paediatric Patients
  • Full Guideline
Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline

S

Sedation (Procedural) in the Emergency Department
  • Full Guideline
Sedation Withdrawal and Weaning
  • ​SORT Guideline​
Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Sickle Cell Crisis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Painful Crisis Flow Chart
  • ​SORT flow chart
Sickle Cell Disease
  • ​Full Guideline
​​​Sick Day Steroid Doses
  • Full Guideline
Seizure
  • ​SORT Guideline
Spinal Cord Compression
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
​Starting TPN (Oncology)
  • Flow Chart​
Stones (Nephrolithiasis & Nephrocalcinosis)
​​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Stroke
  • RCPCH Guideline
Swollen Joints in Children
  • Full Guideline
​Syphilis​ (Congenital)
  • Full Guideline

T

TB in Children - Managing Active and Latent Infection
  • Full Guideline
​​TB Testing in Children on Biologics
  • Full Guideline
Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information​
  • BSAC National Guideline
Toxic Shock Syndrome
  • Full Guideline
Neonates Born to Mothers with Thyroid Disease
  • Full Guideline
Time Critical Transfer Checklist
  • ​SORT Guideline
Transfusion and Coagulation (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Trauma Guideline
  • Full Guideline
Traumatic Brain Injury
  • ​SORT Guideline
​Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism)
  • Full Guideline
Typhilitis (Oncology)
​​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart

U

​Undescended Testes
  • ​Full Guideline - Temporarily Unavailable pending review
Unsettled Baby
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Upper Airway Obstruction
  • ​SORT Guideline
Urinary Incontinence
  • Full Guideline
Uropathy (Antenatally Detected) Guidelines
  • Full Guideline
UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

V

Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline
Re-Vaccination Schedule for Patients After Completion of Standard Dose Chemotherapy
  • Full Guideline
Vancomycin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guidelines
Veno-Occlusive Disease (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Ventricular Shunt Problems
  • Full Guideline
Ventilation Initiation During Stabilisation
  • ​SORT Guideline
Viral Infections, Viral Prophylaxis and Vaccinations (Oncology)
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline​
  • Varicella Contact Flow Chart​
Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')

W

Viral Induced Wheeze and Acute Asthma Treatment
  • Full Guideline
​Recurrent Wheeze in <5 year old
  • Healthier Together Guideline
Allergy
Paediatric Egg Allergy
  • Paediatric Egg Allergy Guidelines
New Anaphylaxis
  • Anaphylaxis Management Proforma
Food Labelling and 'May Contain' Products
  • ​Patient Information Leaflet 
​Medicines for Allergic Conditions
  • Network Information Poster with QR codes
National Links
  • ​​​Anaphylaxis Campaign
  • ​The British Society for Allergy and Clinical Immunology Guidelines
    • BSACI patient Information Leaflets​​
  • Food Allergy Research & Education
  • Itchy Sneezy Wheezy
  • ​MediBand - Medical Alert Bracelets
  • MedicAlert - Medical Alert Bracelets
  • Spare Pens in Schools
  • Preventing Food Allergy in Higher Risk Infants - BSACI Early Feeding Guidance
​The Wessex Allergy Network
Cardiology
​​Arrhythmia - Bradyarrhythmia with a pulse
  • SORT Guideline​​​
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline
Dextrocardia
  • Full Guideline
Acute Management of a cyanosed Infant with systemic- to- pulmonary shunt (Blalock-Taussig or Sano shunt) presenting to primary care or ED/ Acute Paediatrics
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
Kawasaki Disease
  • Full Guideline​

​National Links
  • Caring for a Child with a Heart Condition Information Leaflet
  • Discharge Advice for Babies with Uncorrected Tetralogy of Fallot (TOF) Information Leaflet
  • Endocardial Pacemaker Information Leaflet
  • ​Having an Ablation Information Leaflet​
  • Ocean Ward (Paediatric Cardiology Ward at Southampton Children's Hospital)
  • Support for Families with a Cardiac Diagnosis Information Leaflet
  • ​Your Child's Cardiac Reveal Device Information Leaflet
Child Safeguarding & Child Protection
  • ​Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Child Protection Leaflets for Parents and Children
    • Medical Examination (Parents and Children)
    • CSA Examination (Parents and Children)
  • ​​Fabricated and Induced Illness Protocol
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
  • GMC Protecting Children and Young People
  • Competency and Training Documents
    • RCPCH
    • Intercollegiate
Child Death
  • Government Statutory Guidance on Child Deaths​
  • Child Death Electronic Reporting Form (CDOP)
    • ​Hampshire, Portsmouth and IoW
    • Dorset​
Dermatology
British Association of Dermatology Adult & Paediatric Handbook for Junior Doctors
  • Essential Skills
  • Background Knowledge
  • Emergency Dermatology
  • ​Skin Infections & Infestations
  • Skin Cancer
  • Inflammatory Skin Conditions
  • Blistering Disorders
  • Common Important Problems
  • Management
  • Practical Skills​
Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​National Links
  • Health Talk - Eczema
  • ​Itchy Sneezy Wheezy
  • The Birth Mark Support Group
Diabetes
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)​
  • Management of Children with Diabetes Undergoing Surgery
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)​​
  • Sick Day Rules for Children with Type 1 Diabetes (ACDC Guideline)
  • Guidelines For High HbA1c in Type 1 Diabetes 
    in Children and Young People (Wessex Diabetes Network Guideline)
  • ​Transition Guideline (NICE Guideline)​
Diabetic Ketoacidosis
  • ​Integrated Care Pathway/DKA Calculator (2021 update)
  • Full Guideline (BSPED 2021 update)​

​National Links
  • Health Talk - Type 1 Diabetes
Emergency Medicine
​​​Anaesthesia for Emergencies
  • ​SORT Guideline
Brief Resolved Unexplained Event (BRUE)
  • Full Guideline
Burns
  • ​SORT Guideline
​​​Cardiac Arrest APLS Algorithm 
  • SORT Guideline
Care of the Ventilated Child Checklist (Awaiting SORT)
  • SORT Guideline
Debrief after a Difficult Event
  • Full Guideline
The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Drowning
  • SORT Guideline
​Drug Calculator
  • SORT Guideline
Extravasation
  • ​SORT Guideline​​
​​Femoral Fracture
  • ​Full Guideline
Fever in babies less than 90 days old (The Hot Baby Pathway)
  • Full Guideline
Foreign Body Ingestion
  • Full Guideline
Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Humidified High Flow in Children
  • Full Guideline
Intubation Checklist
  • ​SORT Guideline
Procedural Sedation
  • Full Guideline
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline
Traumatic Brain Injury
  • ​SORT Guideline
Toxic Shock Syndrome
  • Full Guideline
Ventilation Initiation During Stabilisation
  • ​SORT Guideline
Wessex Children's Major Trauma Guideline
  • Full Guideline​ ​
National Links
  • Paediatric Blast Injury Field Manual
Endocrinology
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Acute Hypocalcaemia
  • Full Guideline
Atypical or Ambiguous Genitalia
  • Full Guideline​
Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
​Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Glucose Concentrations and Calculator
  • ​SORT Guideline
Hypoglycaemia
  • Full Guideline
​Hyperinsulinaemic/ Hypoglycaemia in Neonates
  • ​Full Guideline
Hyperkalaemia
  • ​SORT Guideline
Low Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')
Obesity in Children and Young People
  • Full Guideline
  • PEEER Youth Exercise Information for Patients/Families 
    • ​TikTok​
    • Instagram
Management of Sick Day Episodes in Children and Young People Treated with Regular Glucocorticoids
  • Full Guideline
​​Management of Neonates Born to Mothers with Thyroid Disease
  • Full Guideline
Peri-operative Management of Children and Young People taking regular corticosteroid therapy
  • Full Guideline

​National Links
  • Health Talk - Type 1 Diabetes
  • British Society for Paediatric Endocrinology and Diabetes​
ENT
​Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Lymphadenitis
  • Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information​
  • BSAC National Guideline
​Otitis Media
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
​Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
Gastroenterology
Constipation 
  • Healthier Together Safety Netting Documents
​​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
Nasal Bridle Insertion and Management
  • Full Guideline
Nasojejunal Tube Placement and Basic Care​
  • Full Guideline​​
​National Links
  • Coeliac UK - Information for Teenagers & Young Adults
  • Crohns & Colitis UK​​
Haematology
Sickle Cell Crisis
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Sickle Cell Crisis Flowchart
Sickle Cell Disease
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
​
​
National Links
  • ​The Haemophilia Society
  • ​Sickle Cell Society
  • ​UK Thalassaemia Society
  • ​The Haemophilia Society
  • Southern Haemophillia Network
Genetics
National Links
  • Wessex Genetics Lab
  • GeNotes - HEE guidance for making genomic decisions
Infant Feeding Guidelines
Wessex Infant Feeding Guidelines​
  • Introduction
  • Dietitians' Contacts in Wessex
  • Notes on Breast Feeding
  • Infant Formula Prescribing Guide
  • Managing the Unsettled Baby
  • References and Acknowledgements
​Infant Pathways
  • Cow's Milk Protein Allergy
  • ​Allergy-Focused History
  • Gastro-Oesophageal Reflux in Infancy
  • Preterm Infants
  • Faltering Growth in Infants
  • Secondary Lactose Intolerance
  • Infant Colic
Appendices​
  • Milk-Free Diet for Breast Feeding Mothers
  • Milk-Free Diet for Babies
  • Milk and Soya-Free Diet for Babies
  • Lactose-Free Diet for Babies
  • ​Milk-Free Recipes
  • Home Milk Challenge to Confirm CMPA
  • The Milk Ladder
  • What Can I Do If My Child Won't Eat?
  • High Energy Diet For Babies​
Infectious Disease
Antibiotic Therapy for Specific Childhood Infections
  • Full antibiotic guidance can also be found on the MicroGuide app or on the internet by clicking here​​
Ceftriaxone Administration in Children
  • Statement on Ceftriaxone Prescribing and Administration
Management of Congenital CMV
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
  • Full Guideline
Fever in babies less than 90 days old (The Hot Baby Pathway)
  • Full Guideline
Gentamicin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Infectious Disease Screening for Refugees and Asylum-Seekers
  • Link to Healthier Together
Kawasaki Disease
  • Full Guideline​
​​​Lyme Disease
  • Full Guideline
Management of Neonatal HSV
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Management of Paediatric Influenza
  • ​Full Guideline
Malaria in Children
  • Full Guideline​
​Management of Suspected Meningitis
  • Full Guideline​
​Management of Infants at Risk of Congenital Syphilis
  • Full Guideline
Management of Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​​Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
TB in Children - Managing Active and Latent Infection
  • Full Guideline
TB Testing in Children on Biologics
  • Full Guideline
Toxic Shock Syndrome
  • Full Guideline
Vancomycin Dosing in Children
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guidelines​ ​​

British Society for Antimicrobial Chemotherapy (BSAC) Paediatric Pathways
  • ​Cellulitis
  • Febrile Infant aged <90 days
  • Lymphadenitis/Lymph Node Abscess
  • ​Meningitis
  • ​Otitis Media/Mastoiditis
  • Petechial/Pupuric Rash
  • ​Pneumoina/Empyema
  • ​Pre-Septal and Orbital Cellulitis
  • ​Pyelonephritis
  • ​Tonsillitis and Quinsy

​​National Links​
  • Body & Soul - HIV Support
  • PID UK - Primary Immunodeficiency Support​
  • Meningitis Research Foundation
LTV
Guides to LTV Ventilators
Long Term Ventilation in Children and Young People Clinical Guideline - developed by TVW ODN. 

TVW Long Term Ventilation Quick Links - developed by TVW ODN.
Stellar 150
Nippy 4
Trilogy
Mental Health
Paediatric Rapid Tranquilisation Policy​
  • Full Guideline​
​​​
​National Links
  • Young Minds​
Metabolic Disorders
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
​
​
National Links
  • Climb
Neonatology
Neonatal Collapse
  • ​SORT Guideline
Nursing and Clinical Guidelines
  • Guidelines from the Neonatal Network
​Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
​Initial Management of a Baby with Atypical or Ambiguous Genitalia
  • Full Guideline
​Management of Congenital CMV
  • See Infectious Disease
Nephrology
Acute Kidney Injury - Prevention & Recognition
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
  • ​NICE Guideline
​​Antenatally Detected Uropathy Guidelines
  • Full Guideline
Autosomal Dominant Poly Cystic Kidney Disease
  • National Guideline
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Haematuria in Children
  • Full Guideline
Management of HSP in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Nephrotic Syndrome
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
  • ​Patient Record Book
​Pharmacological Management of Non-Neuropathic Overactive Bladder
  • Full Guideline
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Recognition & Follow up of Hypertension
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Stones (Nephrolithiasis & Nephrocalcinosis)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​Assessment of Daytime Urinary Incontinence
  • Full Guideline
UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​National Links
  • InfoKid
Neurology & Neurosurgery
Anticonvulsant use when Nil by Mouth
  • Full Guideline
Facial Nerve Palsy
  • ​Full Guideline
First Afebrile Seizure
  • Full Guideline​
  • Healthier Together Safety Netting and Parent Information​
The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Management of Hydrocephalus or Blocked Ventricular Shunt
  • Full Guideline
​Management of Suspected Encephalitis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Prolonged Seizure
  • ​SORT Guideline
​Stroke
  • RCPCH Guideline

​National Links
  • Young Epilepsy
  • ​Epilepsy Action
  • ​Syncope Trust And Reflex Anoxic Seizures (STARS)
  • ​Spina Bifida
  • ​Hydrocephalus
  • ​Neurofibromatosis
  • Tuberous Sclerosis
  • ​Muscular Dystrophy
Nursing Care Plans
Asthma
  • Care Plan
Bronchiolitis 
  • Care Plan
Fitting Child
  • Care Plan
Nephrotic Syndrome
  • Care Plan
Paracetamol Overdose 
  • Care Plan
Pyloric Stenosis
  • Care Plan
Sickle Cell Crisis 
  • Care Plan
Wheeze
  • Care Plan