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 - July 2020
​
Facial Nerve Palsy (Version 2) ​
​Pyloric Stenosis (Version 2)

Current number of
​PIER Guidelines
A-Z

A
Acute Kidney Injury - Prevention & Recognition ​​Acute Asthma Adrenal Crisis (new presentation or pre-existing adrenal insufficiency) Ambiguous Genitalia (Initial Management of a Baby) Anaphylaxis ​​Arrhythmia - Tachyarrhythmia with a Pulse Autosomal Dominant Poly Cystic Kidney Disease

B
Bruising Protocol
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​​Burns ​​Bronchiolitis

C
Ceftriaxone Administration in Children Central Venous Access Devices ​Chemotherapy Induced Nausea and Vomiting Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​Child Protection Companion ​​Child Death CMV (Congenital) Congenital Hypothyroidism (and raised neonatal bloodspot TSH) Cyanosed Infant with Systemic to Pulmonary Shunt (Blalock-Taussig or Sano shunt)

F
Fabricated and Induced Illness
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Protocol
​​​Facial Nerve Palsy Febrile Neutropaenia ​First Afebrile Seizure ​First Line Antibiotic Therapy for Specific Childhood Infections

G
Gentamicin Dosing in Children ​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients

H
Hypercyanotic Spells in Tetralogy of Fallot Hypertension (Oncology) Hypertension (Non-Oncology) Hypocalcaemia Hypoglycaemia HSP in Children HSV (Neonatal)

I
Infant Feeding Guidelines​
  • See full section for complete guideline
​​InfluenzaInvestigation of New Oncology Patients

K
Kawasaki Disease

M
Malaria in ChildrenMeningitisMetabolic Emergencies Mucositis

N
​​Nasal Humidified Oxygen (High Flow) Nasojejunal Tube Placement and Basic Care ​​Nausea and Vomiting Management (Oncology) Neonatal Collapse ​Neonatal Guidelines Nephrotic Syndrome Nutrition (Oncology)

P
​​Parent Held Oncology Records Palliative Care and Symptom Management Perioperative Fasting Guidelines ​​​​Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses ​​ Pseudomonas Treatment ​Psychology​​ ​Pyloric Stenosis

R
​​Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients ​Return of Spontaneous Circulation (ROSC) Management in Children

S
Sepsis Sickle Cell Crisis Sickle Cell Disease ​​​Seizure Spinal Cord Compression ​Starting TPN (Oncology) ​​​Steroids in Surgery for Children with Adrenal SuppressionStones (Nephrolithiasis & Nephrocalcinosis) Stroke Swollen Joints in Children ​Syphilis​ (Congenital)

T
​​TB Testing in Children on Biologics Transfusion and Coagulation (Oncology) Trauma Guideline Traumatic Brain Injury ​Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism) Typhilitis (Oncology)

U
​Undescended Testes

V
 ​Vancomycin Dosing in ChildrenVeno-Occlusive Disease (Oncology) Ventricular Shunt Problems Viral Infections, Viral Prophylaxis and Vaccinations (Oncology) Vitamin D
Emergency Medicine
​Burns​DrowningExtravasation​Return of Spontaneous Circulation (ROSC) Management in ChildrenTraumatic Brain Injury Wessex Children's Major Trauma Guideline
Endocrinology
Steroids in Surgery for Children with Adrenal SuppressionAdrenal Crisis (new presentation or pre-existing adrenal insufficiency) Acute Hypocalcaemia Atypical or Ambiguous Genitalia Congenital Hypothyroidism (and raised neonatal bloodspot TSH) Diabetes Diabetic Ketoacidosis​ ​Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
HypoglycaemiaLow Vitamin D Obesity in Children and Young People Sick Day Telephone Advice for Children Taking Regular Oral Steroids
​National Links
Gastroenterology
Nasojejunal Tube Placement and Basic Care
​National Links
Infectious Disease
Ceftriaxone Administration in Children First Line Antibiotic Therapy for Specific Childhood Infections Management of Congenital CMV Gentamicin Dosing in Children Kawasaki Disease
  • See Cardiology section
​​​Management of Neonatal HSV Management of Paediatric Influenza Management of Malaria in Children Management of Suspected Meningitis ​Management of Infants at Risk of Congenital Syphilis​ ​Management of Sepsis ​​Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses TB Testing in Children on Biologics Vancomycin Dosing in Children ​
​National Links
Mental Health
Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients
​National Links
Metabolic Disorders
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Metabolic Emergencies ​
​National Links
Nephrology
COVID-19 Specialty Information


Acute Kidney Injury - Prevention & Recognition ​Autosomal Dominant Poly Cystic Kidney Disease Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Management of HSP in Children Nephrotic Syndrome Recognition & Follow up of Hypertension Stones (Nephrolithiasis & Nephrocalcinosis) ​
​National Links
Oncology
COVID-19 Specialty Information
​Care and Management of Central Venous Access Devices ​Chemotherapy Induced Nausea and VomitingElectrolyte Replacement Febrile Neutropaenia ​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology PatientsHypertension Investigation of New Patients Mucositis Nausea and Vomiting Management Nutrition Off Treatment Surveillance Oncology Emergencies Parent Held Oncology Records Palliative Care and Symptom Management ​Spinal Cord Compression ​Starting TPN Transfusion and Coagulation  Typhilitis Viral Infections, Viral Prophylaxis and Vaccinations ​Veno-Occlusive Disease ​
​National Links
Psychology
Self Help Websites for Parents/Patients
Rheumatology
Kawasaki Disease Swollen Joints in Children ​
​National Links
Respiratory
Acute Asthma ​Bronchiolitis Empyema Nasal Humidified Oxygen (High Flow) Pseudomonas Treatment ​
​National Links
Surgery
Management of ​Pyloric Stenosis ​​ ​​Perioperative Fasting Guidelines ​​Steroids in Surgery for Children with Adrenal Suppression Undescended Testes​
Healthier Together Pathways & Safety Netting Documents
Abdominal Pain Acute Asthma/Wheeze Bronchiolitis Cellulitis Diarrhoea & Vomiting ​Fever ​Head Injury​​Lymphadenopathy
Lymphadenitis Mastoiditis Non-Traumatic Limp Otitis Media Periorbital Cellulitis Pneumonia Pyelonephritis Rash ​with a Fever ​Suspected UTI ​Tonsilitis