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.
Search all the PIER, SORT and Healthier Together Guidelines
New & Updated Guidelines - March 2025
​​
​
  • Chest Drain Insertion in a DGH setting (Thames Valley and Wessex ODN Guideline)
  • CCLG Chemotherapy-Induced Nausea and Vomiting (Updated National Guideline)
  • ​Paediatric Urticaria Pathways
  • ​Idiopathic Intracranial Hypertension in Children aged 1-18 years
  • ​​Pharmacological Management of Paediatric Obesity
Guidelines Coming Soon
​​
  • ​Tics
  • Community Acquired Pneumonia​
  • Infantile Spasms​​
  • Management of Paediatric Haemangiomas
  • Pineal Cyst Pathway​
  • Use of Intravenous Iron in the Treatment of Iron Deficiency Anaemia in Children
  • Use of Inhaled Methoxyflurane (Penthrox®) as an Analgesic for Acute Traumatic Pain and Painful Procedures
A-Z

A

Abdominal Pain
  • ​Pathway
  • Safety Netting Documents
  • Surgical Abdomen Referral Pathway (SORT)
Acute Kidney Injury - Prevention & Recognition 
  • NICE Guideline
  • ​Flow Chart
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Allergic Rhinitis Guideline
  • Full Guideline
Ambiguous Genitalia (Initial Management of a Baby)
  • Full Guideline
Anaphylaxis
  • Anaphylaxis Management Proforma
  • ​Anaphylaxis Patient Leaflet
  • 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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline​​
​​Arrhythmia - Bradyarrhythmia with a pulse
  • SORT Guideline​​
Asthma
  • ​​Regional Asthma and Wheeze Pathways​
  • SORT Guideline​
  • Supporting young people after an acute episode of asthma - Information Leaflet
  • ​​Pathway
  • Safety Netting Documents
​​ 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​
  • ​​Pathway
  • Safety Netting Documents​

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
  • Safety Netting Documents
Chemotherapy Induced Nausea and Vomiting
  • Full Guideline​
List of Approved Chemotherapy Regimes
  • Full Guideline
Chest Drain Insertion in a DGH Setting
  • Full Guideline (TVWODN Guideline)
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • 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)
  • Full Guideline ​​
Conjunctivitis in Children
  • Safety Netting Documents
Constipation 
  • Safety Netting Documents
Coughs and Colds
  • ​Safety Netting Documents
Croup
  • ​Pathway
  • Safety Netting Documents
Cyanosed Infant with Systemic to Pulmonary Shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline
Micturating Cystograms in Children
  • 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
  • Pathway
  • Safety Netting Documents​
Difficult Intravenous Access Pathway
  • Full Guideline
Drowning
  • SORT Guideline
Drug Infusion Guideline for SORT
  • SORT Guideline
​Drug Calculator
  • SORT Guidelines

E

Eating Disorders Medical Emergencies (MEED)​
  • Full Guideline
Eczema
  • ​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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
Fever
  • Pathway
  • Safety Netting 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
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
​​​Frameworks Explainer for Children and Young People with Mental Health Concerns
  • Full Document





G

Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
  • ​Gastrostomy Videos
GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
  • Full Guideline
Gentamicin Dosing in Children​​
  • Full Guideline
​Genetics - Acutely Unwell Children
  • R14 Genome Sequencing Flowchart
Genetics - Developmental Delay
  • Whole Genome Sequencing Flowchart
  • Whole Genome Sequencing Detailed Guide
​Genetics - General
  • National Genomics Test Directory
​​ Glucose Concentrations and Calculator
  • ​SORT Guideline
​Upper Gastrointestinal Bleeding
  • ​Full Guideline



H

Haematuria in Children
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
Head Injury
  • Pathway
  • Safety Netting Documents​
Hereditary Spherocytosis
  • Management of newborn infant where a parent has Hereditary Spherocytosis
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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​
Hydrocephalus/Blocked Ventricular Shunt
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
​​Hyperglycaemia (Steroid, Chemotherapy or Transplant Induced)
  • ACDC Guideline
Initial Assessment and Management of Congenital Hyperinsulinism 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
Hyperthyroidism and Thyrotoxicosis Management
  • Full Guideline
Hypoalbuminaemia
  • Full Guideline
Hypocalcaemia
  • Full Guideline
Hypoglycaemia
  • Full Guideline
Hypothyroidism (congenital) and raised neonatal bloodspot TSH
  • Full Guideline




I

Prescribing, Monitoring and Therapeutic drug monitoring of biologic therapies in IBD​
  • Full Guideline
Idiopathic Intracranial Hypertension in Children
  • Full Guideline
Ifosfamide Induced Encepahlopathy
  • Full Guideline
Infant Feeding Guidelines​
  • See full section for complete guideline
  • Pathway and Safety Netting Documents
​​Influenza
​
​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
Intubation Checklist
  • ​SORT Guideline
Assessment and Management of Acute Idiopathic Thrombocytopenia Purpura (ITP
  • Full 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
  • ​Pathway
  • Safety Netting Documents​

Long Term Ventilation
  • Paediatric Long Term Ventilation Collaborative Resources - FutureNHS Collaboration Platform
  • ​​Long Term Ventilation in Children and Young People Clinical Guideline - developed by TVW ODN. 
  • TVW Long Term Ventilation Quick Links - developed by TVW ODN.
  • ​Thames Valley and Wessex LTV Initiation and Ethics Pathway
  • ​Thames Valley and Wessex LTV Initiation and Ethics Pathway Feedback Form - (please complete each time the pathway is used)
  • LTV and Tracheostomy for HCP Competency document

Lymphadenopathy
  • ​​Pathway
  • Safety Netting Documents

​Lymphadenitis
  • BAPO Clinical Guideline for Investigation and Management
  • Safety Netting Documents
  • 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
  • ​Safety Netting Documents
  • BSAC National Guideline​
Meningitis
  • Full Guideline
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
Milk Re-introduction
  • Full Guideline
Micturating Cystograms in Children
  • Full Guideline​
​Mpox Royal College of Paediatrics & Child Health Guidance
  • Information page

N

Nasal Bridle Insertion and Management
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • 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
  • Dietetic Assessment and Management 
  • ​​​Pharmacological Management of Paediatric Obesity
  • 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 
  • ​Hyperleucocytosis Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • 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
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline



P

​​​Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
  • Full Guidance - via the Association of Paediatric Palliative Medicine Master Formulary
Paracetamol Overdose - SNAP Protocol
  • Full Guidance
Preorbital Cellulitis
  • ​Safety Netting Documents
Perinatal Ectopic Beats
  • Full Guideline
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​
Pertussis - Acute Management
  • Full Guideline
Petechial/Purpuric Rashes
  • BSAC Pathway
Prophylaxis of Pneumocystis Jirovecii Pneumonia (PJP) in Children with Solid Tumours​
  • ​Full Guideline
Pneumonia
  • Safety Netting Document
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
  • ​Safety Netting Document
Pyloric Stenosis
  • Full Guideline






R

​​Rapid Tranquilisation of Paediatric Patients
  • Full Guideline
Rash with a Fever
  • Pathway
  • Safety Netting Document
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline
Allergic Rhinitis Guideline
  • Full Guideline​

S

Sedation (Procedural) in the Emergency Department
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
Sedation Withdrawal and Weaning
  • ​SORT Guideline​
Sepsis
  • Sepsis Screening Tool
  • ​SORT Guideline​
Sickle Cell Crisis and Guideline
  • Wessex and Thames Valley Haemoglobinopathy Network
​​​Sick Day Steroid Doses
  • Full Guideline
Seizure
  • ​SORT Guideline
SNAP Protocol
  • The Management of Children and Young People with Paracetamol Overdose using 12 hour SNAP Protocol
Spinal Cord Compression
  • 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
STOPP Form (Safe Transfer of the Paediatric Patient)
  • Download the form
Stroke
  • RCPCH Guideline
Swollen Joints in Children
  • Full Guideline
​Syphilis​ (Congenital)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline




T

TB in Children - Managing Active and Latent Infection
  • Full Guideline
​​TB Testing in Children on Biologics
  • Full Guideline
Hyperthyroidism and Thyrotoxicosis Management
  • Full Guideline​
Tonsillitis
  • ​Safety Netting Documents
  • ​​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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline​
  • Level 1 Criteria
  • ​​Secondary Trauma Transfer Pathway
Traumatic Brain Injury
  • ​SORT Guideline
​Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism)
  • Full Guideline
Typhilitis (Oncology)
  • Flow Chart



U

​Undescended Testes
  • ​Full Guideline - Temporarily Unavailable pending review
Unsettled Baby
  • ​Pathway​
Upper Airway Obstruction
  • ​SORT Guideline
Urinary Incontinence
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Uropathy (Antenatally Detected) Guidelines
  • Full Guideline
Urticaria Pathways and Patient Information Leaflets
  • Full Guideline
UTI
  • ​Pathway
  • ​Safety Netting Documents



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 & Asthma Pathways
  • ​Full Guideline
​Recurrent Wheeze in <5 year old
  • Healthier Together Guideline​
Allergy
Paediatric Egg Allergy
  • Paediatric Egg Allergy Guidelines
Allergic Rhinitis Guideline
  • Full Guideline​
Anaphylaxis
  • Anaphylaxis Management Proforma 
  • ​Anaphylaxis Patient Leaflet 
Food Labelling and 'May Contain' Products
  • ​Patient Information Leaflet 
​Medicines for Allergic Conditions
  • Network Information Poster with QR codes
Milk Re-introduction
  • Full Guideline​
Urticaria Pathways and Patient Information Leaflets
  • Full Guideline​
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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • 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​
Perinatal Ectopic Beats
  • 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
  • Pathway
  • Safety Netting Documents
​​Rash with a Fever
  • Pathway
  • Safety Netting Document

​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
Eating Disorders
Eating Disorders Medical Emergencies (MEED)​
  • Full Guideline​
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
Chest Drain Insertion in a DGH Setting
  • Full Guideline
Debrief after a Difficult Event
  • Full Guideline
The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Difficult Intravenous Access Pathway
  • Full Guideline
Drowning
  • SORT Guideline
​Drug Calculator
  • SORT Guideline
Extravasation
  • ​SORT Guideline​​
​​​Eating Disorders Medical Emergencies (MEED)​
  • Full 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
  • Pathway
  • Safety Netting Documents​
Humidified High Flow in Children
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
Intubation Checklist
  • ​SORT Guideline
​​​​Mpox Royal College of Paediatrics & Child Health Guidance
  • Information page
Paracetamol Overdose - SNAP Protocol
  • Full Guidance
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
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline​ ​
  • Level 1 Criteria​​
  • ​​Secondary Trauma Transfer Pathway
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
Initial Assessment and Management of Congenital Hyperinsulinism in Neonates
  • ​​Full Guideline
Hyperkalaemia
  • ​SORT Guideline
Hyperthyroidism and Thyrotoxicosis Management
  • Full 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
  • ​Dietetic Assessment and Management 
  • ​​Pharmacological Management
  • 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
  • Pathway
  • Safety Netting Documents​
Lymphadenitis
  • Safety Netting Documents
  • BSAC National Guideline
Mastoiditis
  • ​Safety Netting Documents​
  • BSAC National Guideline
​Otitis Media
  • ​​Safety Netting Documents
  • BSAC National Guideline
​Tonsillitis
  • Safety Netting Documents
  • BSAC National Guideline
Gastroenterology
Constipation 
  • Safety Netting Documents
​​​Diarrhoea and Vomiting
  • Pathway
  • Safety Netting Documents
Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
IBD​
  • Full Guideline​
Nasal Bridle Insertion and Management
  • Full Guideline
Nasojejunal Tube Placement and Basic Care​
  • Full Guideline​​
Upper Gastrointestinal Bleeding
  • ​Full Guideline​

​National Links
  • Coeliac UK - Information for Teenagers & Young Adults
  • Crohns & Colitis UK​​
Genetics
Acutely Unwell Children
  • R14 Genome Sequencing Flowchart
Developmental Delay
  • Whole Genome Sequencing Flowchart
  • Whole Genome Sequencing Detailed Guide
National Links​
  • National Genomics Test Directory
  • Wessex Genetics Lab
  • GeNotes - HEE guidance for making genomic decisions
Haematology
Sickle Cell Crisis and Guideline
  • Wessex and Thames Valley Haemoglobinopathy Network
Assessment and Management of Acute Idiopathic Thrombocytopenia Purpura (ITP
  • Full Guideline
​Hereditary Spherocytosis
  • Management of newborn infant where a parent has Hereditary Spherocytosis
​​National Links
  • ​The Haemophilia Society
  • ​Sickle Cell Society
  • ​UK Thalassaemia Society
  • ​The Haemophilia Society
  • Southern Haemophillia Network
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
  • Full Guideline
Cervical Lymphadenitis (Non-Tuberculous Mycobacterial)
  • BAPO Guideline for Investigation and Clinical Management
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​
  • 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​
  • ​Pathway
​​​​Mpox Royal College of Paediatrics & Child Health Guidance
  • Information page
Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
Pertussis - Acute Management
  • Full Guideline
Petechial/Purpuric Rashes
  • BSAC Pathway
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
  • Bone and Joint Infections
  • ​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
  • Paediatric Long Term Ventilation Collaborative Resources - FutureNHS Collaboration Platform
  • Long Term Ventilation in Children and Young People Clinical Guideline - developed by TVW ODN.
  • TVW Long Term Ventilation Quick Links - developed by TVW ODN.
  • ​Thames Valley and Wessex LTV Initiation and Ethics Pathway
  • ​Thames Valley and Wessex LTV Initiation and Ethics Pathway Feedback Form - (please complete each time the pathway is used)
  • LTV and Tracheostomy for HCP Competency document

Guides to LTV Ventilators
Stellar 150

Trilogy

Nippy 4

Astral 150

​Link to the Astral Guides from the Pan Thames Paediatric Long Term Ventilation Network
Mental Health
Eating Disorders Medical Emergencies (MEED)​
  • Full Guideline
Paediatric Rapid Tranquilisation Policy​
  • Full Guideline​
​​Frameworks Explainer for Children and Young People with Mental Health Concerns
  • Full Document​
​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
Neonatal
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
Perinatal Ectopic Beats
  • Full Guideline​
Nephrology
Acute Kidney Injury - Prevention & Recognition
  • 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
Micturating Cystograms in Children
  • Full Guideline
Nephrotic Syndrome
  • 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
  • ​Pathway
  • ​Safety Netting Documents

​National Links
  • InfoKid


Neurology and Neurosurgery
Anticonvulsant use when Nil by Mouth
  • Full Guideline
Facial Nerve Palsy
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • ​Full Guideline
First Afebrile Seizure
  • Full Guideline​
  • Healthier Together Safety Netting and Parent Information​
Idiopathic Intracranial Hypertension in Children
  • Full Guideline

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
Oncology
​Care and Management of Central Venous Access Devices
  • ​Full Guideline
  • ​Management of Central lines video
​Chemotherapy Induced Nausea and Vomiting
  • Full Guideline
List of Approved Chemotherapy Regimes
  • Full Guideline
Electrolyte Replacement
  • 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
Extravasation of Chemotherapy
  • 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
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
  • Full Guideline
Hyperglycaemia (Steroid, Chemotherapy or Transplant Induced)​
  • ACDC Guideline
Hypertension
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Hypoalbuminaemia
  • Full Guideline
Ifosfamide Induced Encepahlopathy
  • Full Guideline​
Investigation of New Patients
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Nutrition
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​
Off Treatment Surveillance
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart 
  • Hyperleucocytosis Flow Chart
  • Spinal Cord Compression Flow Chart
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management​
  • Full Guidance - via the Association of Paediatric Palliative Medicine Master Formulary
Prophylaxis of Pneumocystis Jirovecii Pneumonia (PJP) in Children with Solid Tumours
  • Full Guideline
Spinal Cord Compression
  • Flow Chart
​Starting TPN
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Transfusion and Coagulation
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Typhilitis
  • Flow Chart
Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline​​
  • Re-vaccination Schedule for Patients Beginning 3 months After Completion of Standard Dose Chemotherapy
Viral Infections, Viral Prophylaxis and Vaccinations
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
  • Varicella Contact Flow Chart ​​​
​Veno-Occlusive Disease
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​
​National Links
  • ​Macmillan Teen & Young Adult Support
  • Teenage Cancer Trust
  • ​The Brain Tumour Charity
  • CLIC Sargent
  • Children's Cancer & Leukaemia Group













Ophthalmology
Preorbital Cellulitis
  • ​Safety Netting Documents​
Orthopaedics
Limp
  • ​Pathway
  • Safety Netting Documents​
​Femoral Fracture
  • ​Full Guideline
​Swollen Joints
  • Full Guideline
Respiratory
Asthma & Viral Wheeze​​
  • ​​Regional Asthma and Wheeze Pathways
  • SORT Guideline​
  • Supporting young people after an acute episode of asthma - Information Leaflet
  • ​​​Pathway
  • Safety Netting Documents​​
Bronchiolitis
  • SORT Guideline
  • ​​Pathway
  • Safety Netting Documents
Croup
  • ​Pathway
  • Safety Netting Documents​
Empyema
  • ​SORT Guideline
  • ​Chest Drain Insertion in a DGH setting (TVWODN Guideline)
Nasal Humidified Oxygen (High Flow)
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.​
  • Full Guideline
​​ Pneumonia
  • Healthier Together Safety Netting and Parent Information​
Pseudomonas Treatment
  • Flow Chart
Upper Airway Obstruction
  • ​SORT Guideline​​​
​​
Recurrent Wheeze in <5 year old
  • Healthier Together Guideline​

​National Links
  • Asthma UK - Living with Asthma
  • ​Cystic Fibrosis Trust




Rheumatology
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
  • Full Guideline
Kawasaki Disease
  • Full Guideline​
 Swollen Joints in Children
  • Full Guideline​
​
​National Links
  • Children's Chronic Arthritis Association
  • ​Health Talk - Arthritis
Surgery
Abdominal Pain
  • ​Pathway
  • Safety Netting Documents
  • ​​​Surgical Abdomen Referral Pathway (SORT)
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
Management of ​Pyloric Stenosis
  • Full Guideline
​​​​Naso-jejunal Tube Placement and Basic Care​
  • Full Guideline
Nasal Bridle Insertion and Management
  • Full Guideline
​​Perioperative Fasting Guidelines
  • Full Guideline
  • ​Advice for Parents/Patients
​​Peri-operative Management of Children and Young People taking regular corticosteroid therapy
  • Full Guideline​
Undescended Testes​
  • ​Full Guideline - Temporarily Unavailable pending review

Tools
  • Paediatric Sepsis Screening Tool​
  • ​Safe Transfer of the Paediatric Patient (STOPP) Tool
  • ​​SORT Drug Calculator
  • ​Standardised Paediatric Grab Bag Checklist
National Links
  • ​Healthier Together
  • ​Royal Children's Hospital Melbourne Clinical Guidelines
  • ​Kidsmed e-Learning Module and Resources (for helping children to take tablets)

Picture
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

Picture
Healthier Together Pathways & Safety Netting Documents
Abdominal Pain
  • ​Pathway
  • Safety Netting Documents
Acute Asthma/Wheeze
  • ​​Pathway
  • Safety Netting Documents
  • Asthma Action Plan
Bronchiolitis
  • ​​Pathway
  • Safety Netting Documents
Cellulitis
  • Safety Netting Documents
​Conjunctivitis in Children
  • Safety Netting Documents
Constipation
  • Safety Netting Documents
Coughs and Colds
  • ​Safety Netting Documents
Cow's Milk Protein Allergy
  • ​Pathway
  • Safety Netting Documents
Croup
  • ​Pathway
  • Safety Netting Documents
Diarrhoea & Vomiting
  • ​Pathway
  • Safety Netting Documents
​Eczema
  • ​Pathway
​Faltering Growth in Infants
  • ​Pathway
Fever
  • Pathway
  • Safety Netting Information
Fits, Faints and Funny Turns
  • ​Pathway
  • Safety Netting Documents
Gastroesophageal Reflux
  • ​Pathway
Head Injury
  • ​Pathway
  • Safety Netting Documents
​Jaundice In Babies
  • Safety Netting Documents
Limp
  • ​Pathway
  • Safety Netting Documents
Lymphadenopathy
  • ​​Pathway
  • Safety Netting Documents
Lymphadenitis
  • ​Safety Netting Documents
Mastoiditis
  • ​Safety Netting Documents
​ Otitis Media
  • ​Safety Netting Documents
Periorbital Cellulitis
  • ​Safety Netting Documents
Pneumonia
  • Safety Netting Document
Preterm Infant Feeding
  • ​Pathway
  • Safety Netting Documents
Pyelonephritis
  • Safety Netting Document
Rash ​with a Fever
  • Pathway
  • Safety Netting Document
​Rhinosinusitis
  • Safety Netting Documents
Secondary Lactose Intolerance
  • ​Pathway
  • Safety Netting Documents
Seizure
  • Safety Netting Documents
Sepsis
  • ​Pathway
  • Safety Netting Documents
​​Tonsilitis
  • Safety Netting Documents
​Unsettled Baby
  • ​Pathway
  • Safety Netting Documents
UTI
  • ​Pathway
  • ​Safety Netting Documents

Picture
Archives of Disease in Childhood Fifteen Minute Consultations
These useful resources from ADC have been collated by Olivia Falconer and will continue to be updated as new guides become available. Please note that the information contained in these resources has not been ratified by the PIER governance process and should be used at the clinicians discretion.
To search for a specific article:
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

  • The infant with a large head
  • Headache in children under 5 years of age
  • Troublesome crying in infancy
  • A structured approach to the management of hypermobility in a child
  • The infant with frequent infections
  • Congenital nasolacrimal duct obstruction
  • A structured approach to the management of recurrent oral ulceration in a child
  • Structured approach to management of a child with recurrent croup
  • The infant with a tongue tie
  • Tremor in children
  • The child with idiopathic intracranial hypertension
  • A structured approach to the management of a child or adolescent with back pain
  • Incidental findings on brain and spine imaging
  • Investigation and management of childhood epistaxis
  • Neuromuscular spinal deformity in disabled children
  • The child with short stature
  • Children ‘hearing voices’: when to worry and when to refer
  • A child with toe walking
  • When is a seizure not a seizure?
    • The younger child
    • The older child
  • A child not attending school: a structured approach to school refusal
  • Limiting investigations in the fainting child
  • Tics and Tourette syndrome
  • Medically unexplained symptoms
  • Approach to management of respiratory problems in children with neurodisability
  • Supporting bereaved parents at the time of a child's death
  • The child with systemic arterial hypertension
  • Investigation and management of an infant with stridor
  • Assessment of a child with suspected shunt problems
  • The child with pica
  • The management of microscopic haematuria
  • Challenges relating to sexuality and gender identity in children and young people
  • The child with a developmental disability: is there an ocular or visual abnormality?
  • Pain relief for children made simple — a pragmatic approach to prescribing oral analgesia in the post-codeine era
  • An evidence-based approach to the child with preschool wheeze
  • Communicating with young people — how to use HEEADSSS, a psychosocial interview for adolescents
  • The healthy child
    • Breast feeding
    • “My child is a fussy eater!”
    • Bowel habit in infants and children
    • Toilet training​
    • Sleep
  • A structured approach to the management of chronic cough in a child
  • Assessment, surveillance and management of hemihypertrophy
  • A child with a suspected drug allergy
  • An approach to the child with chronic headaches
  • Liver disease in children
  • The child with an incidental finding of low IgA
  • The child with an incidental finding of elevated aminotransferases
  • The angry child
  • Red flags for metabolic disease in routine bloods
  • Modern-day art and science of managing cerebral palsy
  • Management of the upper limb in unilateral cerebral palsy
  • Chickenpox vaccine — should parents immunise their children privately?
  • A general paediatrician’s guide to oncological abdominal masses
  • Polydipsia, polyuria or both
  • The limping child
  • History and examination in adolescent gynaecology
  • A practical approach to developmental regression in children
  • Managing a child with a new-onset squint
  • Recognising primary immune deficiencies in children
  • Safety netting effectively
  • How to use an interpreter in a medical consultation
  • Why and how do children get urinary tract infections?
  • Vaccine-hesitant parents
  • The infant with a neck lump
  • A guide to managing a child with a new finding of neutropenia
  • The EATERS method for the diagnosis of food allergies
  • Managing sleep problems in children and young people with ADHD
  • Epilepsy in the child with intellectual disabilities
    • Aetiology
    • The challenges
  • Efficient investigation of the child with early developmental impairment in the era of genomic sequencing
  • Assessing the child with persistent urticaria
  • A clinical approach to the management of the child with hypertonia

Disclaimer

The PIER guidelines have been created collaboratively with ratification through the relevant regional speciality clinical network. They represent the views of the relevant speciality clinical network and have been produced after consideration of the available evidence in conjunction with local expertise.

Guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the individual circumstances of their patients.

Governance and ratification of the PIER Guidelines is kindly performed by the Child Health Governance group at University Hospital Southampton. Overall management of the guidelines is performed by the PIER team.

PIER guidelines are subject to a 3 year review process which takes into account any changes in management or new research. Some guidelines may have reached or passed this review date. These guidelines are still available for use in clinical practice but should be used at the clinicians discretion with appropriate review of any new national guidelines that may be available. PIER does not hold any responsibility for the outcomes of the use for guidelines used outside of their review process.

​Resources contained within the Resource Hub as provided from Trusts within the Wessex and Thames Valley region for free use within the Network's Trusts. These resources are available for local adaptation and are not checked of ratified using the Guidelines governance procedures. Please use these resources at your discretion and with local governance protocols.

PIER Contact

[email protected]

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