New & Updated Guidelines - March 2025
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Guidelines Coming Soon
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A |
Abdominal Pain Acute Kidney Injury - Prevention & Recognition
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Arrhythmia - Tachyarrhythmia with a Pulse Arrhythmia - Bradyarrhythmia with a pulse Asthma
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B |
Blast Field Injury Blocked Ventricular Shunt/Hydrocephalus Brief Resolved Unexplained Event (BRUE) Burns Bronchiolitis
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C |
Care of the Ventilated Child Checklist (Awaiting SORT) Cardiac Arrest APLS Algorithm Ceftriaxone Administration in Children Central Venous Access Devices Cellulitis Chemotherapy Induced Nausea and Vomiting List of Approved Chemotherapy Regimes Chest Drain Insertion in a DGH Setting
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
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D |
Debrief after a Difficult Event Decreased Conscious Level RCPCH Guidelines Dermatology
Diabetes
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E |
Eating Disorders Medical Emergencies (MEED) EczemaEgg AllergyElectrolyte Replacement
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Extravasation |
F |
Fabricated and Induced Illness Facial Nerve Palsy Febrile Neutropaenia
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Femoral Fracture This guideline is due for review. Please check national guidance and use at your own clinical discretion. Fever Fever in babies less than 90 days old (The Hot Baby Pathway) First Afebrile Seizure Foreign Body Ingestion This guideline is due for review. Please check national guidance and use at your own clinical discretion. Frameworks Explainer for Children and Young People with Mental Health Concerns |
G |
Gastroesophageal Reflux Gastrostomy Interactive Toolkit
This guideline is due for review. Please check national guidance and use at your own clinical discretion. GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients Gentamicin Dosing in Children Genetics - Acutely Unwell Children Genetics - Developmental Delay Genetics - General Glucose Concentrations and Calculator Upper Gastrointestinal Bleeding |
H |
Haematuria in Children
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Head Injury Hereditary Spherocytosis HSP in Children This guideline is due for review. Please check national guidance and use at your own clinical discretion. HSV (Neonatal) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Humidified High Flow This guideline is due for review. Please check national guidance and use at your own clinical discretion. Hydrocephalus/Blocked Ventricular Shunt Hypercyanotic Spells in Tetralogy of Fallot Hyperglycaemia (Steroid, Chemotherapy or Transplant Induced) Initial Assessment and Management of Congenital Hyperinsulinism in Neonates Hypertension (Oncology) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Hypertension (Non-Oncology) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Hyperkalaemia Hyperthyroidism and Thyrotoxicosis Management Hypoalbuminaemia Hypocalcaemia Hypoglycaemia Hypothyroidism (congenital) and raised neonatal bloodspot TSH |
I |
Prescribing, Monitoring and Therapeutic drug monitoring of biologic therapies in IBD Idiopathic Intracranial Hypertension in Children Ifosfamide Induced Encepahlopathy Infant Feeding Guidelines
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Infectious Disease Screening for Refugees and Asylum-Seekers Intubation Checklist Assessment and Management of Acute Idiopathic Thrombocytopenia Purpura (ITP Investigation of New Oncology Patients This guideline is due for review. Please check national guidance and use at your own clinical discretion. |
J |
Jaundice in Babies
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K |
Kawasaki Disease
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L |
Limp
Long Term Ventilation
Lymphadenopathy Lymphadenitis
Lyme Disease |
M |
Malaria in Children MART - Maintenance and Reliever Therapy for Chronic Asthma in Young People >12 years of age Mastoiditis Meningitis Metabolic Emergencies Milk Re-introduction Micturating Cystograms in Children Mpox Royal College of Paediatrics & Child Health Guidance
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N |
Nasal Bridle Insertion and Management
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Nasojejunal Tube Placement and Basic Care Nausea and Vomiting Management (Oncology) Neonatal Collapse Neonatal Guidelines Nephrotic Syndrome This guideline is due for review. Please check national guidance and use at your own clinical discretion. Nursing Care Plans
This guideline is due for review. Please check national guidance and use at your own clinical discretion. |
O |
Obesity
This guideline is due for review. Please check national guidance and use at your own clinical discretion. |
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. Parent Held Oncology Records Palliative Care and Symptom Management Paracetamol Overdose - SNAP Protocol Preorbital Cellulitis Perinatal Ectopic Beats Perioperative Fasting Guidelines This guideline is due for review. Please check national guidance and use at your own clinical discretion. Peri-operative Management of Children and Young People taking regular corticosteroid therapy Pertussis - Acute Management Petechial/Purpuric RashesProphylaxis of Pneumocystis Jirovecii Pneumonia (PJP) in Children with Solid Tumours Pneumonia Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses Pseudomonas Treatment This guideline is due for review. Please check national guidance and use at your own clinical discretion. Pyelonephritis Pyloric Stenosis |
R |
Rapid Tranquilisation of Paediatric Patients Rash with a Fever Return of Spontaneous Circulation (ROSC) Management in ChildrenAllergic Rhinitis Guideline
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S |
Sedation (Procedural) in the Emergency Department
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Sedation Withdrawal and Weaning Sepsis Sickle Cell Crisis and Guideline Sick Day Steroid Doses Seizure SNAP Protocol Spinal Cord Compression Starting TPN (Oncology) Stones (Nephrolithiasis & Nephrocalcinosis) This guideline is due for review. Please check national guidance and use at your own clinical discretion. STOPP Form (Safe Transfer of the Paediatric Patient) Stroke Swollen Joints in Children Syphilis (Congenital) This guideline is due for review. Please check national guidance and use at your own clinical discretion. |
T |
TB in Children - Managing Active and Latent Infection TB Testing in Children on Biologics Hyperthyroidism and Thyrotoxicosis Management Tonsillitis Toxic Shock Syndrome Neonates Born to Mothers with Thyroid Disease Time Critical Transfer Checklist Transfusion and Coagulation (Oncology)
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Trauma Guideline This guideline is due for review. Please check national guidance and use at your own clinical discretion. Traumatic Brain Injury Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism) Typhilitis (Oncology) |
U |
Undescended Testes
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Uropathy (Antenatally Detected) Guidelines Urticaria Pathways and Patient Information LeafletsUTI |
V |
Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients Re-Vaccination Schedule for Patients After Completion of Standard Dose Chemotherapy Vancomycin Dosing in Children
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Veno-Occlusive Disease (Oncology) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Ventricular Shunt Problems Ventilation Initiation During StabilisationViral Infections, Viral Prophylaxis and Vaccinations (Oncology) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Vitamin D
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W |
Viral Induced Wheeze & Asthma Pathways
Recurrent Wheeze in <5 year old |
Allergy
Paediatric Egg AllergyAllergic Rhinitis Guideline Anaphylaxis Food Labelling and 'May Contain' Products Medicines for Allergic ConditionsMilk Re-introduction Urticaria Pathways and Patient Information LeafletsNational Links
Cardiology
Arrhythmia - Bradyarrhythmia with a pulse Arrhythmia - Tachyarrhythmia with a Pulse Dextrocardia This guideline is due for review. Please check national guidance and use at your own clinical discretion. Acute Management of a cyanosed Infant with systemic- to- pulmonary shunt (Blalock-Taussig or Sano shunt) presenting to primary care or ED/ Acute Paediatrics Hypercyanotic Spells in Tetralogy of FallotKawasaki DiseasePerinatal Ectopic Beats National Links
Child Safeguarding & Child Protection
Child Death
Dermatology
British Association of Dermatology Adult & Paediatric Handbook for Junior Doctors
National Links Diabetes
Diabetes
National Links Eating Disorders
Eating Disorders Medical Emergencies (MEED) Emergency Medicine
Anaesthesia for Emergencies Brief Resolved Unexplained Event (BRUE) Burns Cardiac Arrest APLS Algorithm Care of the Ventilated Child Checklist (Awaiting SORT) Chest Drain Insertion in a DGH Setting Debrief after a Difficult Event The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines Difficult Intravenous Access Pathway Drowning Drug Calculator Extravasation Eating Disorders Medical Emergencies (MEED) Femoral Fracture Fever in babies less than 90 days old (The Hot Baby Pathway) Foreign Body Ingestion Head Injury Humidified High Flow in Children This guideline is due for review. Please check national guidance and use at your own clinical discretion. Intubation Checklist Mpox Royal College of Paediatrics & Child Health Guidance Paracetamol Overdose - SNAP Protocol Procedural Sedation Return of Spontaneous Circulation (ROSC) Management in Children Traumatic Brain Injury Toxic Shock Syndrome Ventilation Initiation During Stabilisation Wessex Children's Major Trauma Guideline This guideline is due for review. Please check national guidance and use at your own clinical discretion. National Links Endocrinology
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency) Acute Hypocalcaemia Atypical or Ambiguous Genitalia Congenital Hypothyroidism (and raised neonatal bloodspot TSH) Electrolyte Replacement
National Links ENT
Lymphadenopathy Lymphadenitis Mastoiditis Otitis Media Tonsillitis Gastroenterology
Constipation Diarrhoea and Vomiting Gastroesophageal Reflux Gastrostomy Interactive Toolkit IBDNasal Bridle Insertion and Management Nasojejunal Tube Placement and Basic Care Upper Gastrointestinal Bleeding National Links Haematology
Sickle Cell Crisis and GuidelineAssessment and Management of Acute Idiopathic Thrombocytopenia Purpura (ITPHereditary SpherocytosisNational Links Infant Feeding Guidelines
Wessex Infant Feeding Guidelines
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Infectious Disease
Antibiotic Therapy for Specific Childhood Infections
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Management of Paediatric Influenza Malaria in Children Management of Suspected Meningitis Management of Infants at Risk of Congenital Syphilis Management of Sepsis Mpox Royal College of Paediatrics & Child Health Guidance Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS) Pertussis - Acute Management Petechial/Purpuric Rashes Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses TB in Children - Managing Active and Latent Infection TB Testing in Children on Biologics Toxic Shock Syndrome Vancomycin Dosing in Children This guideline is due for review. Please check national guidance and use at your own clinical discretion.
British Society for Antimicrobial Chemotherapy (BSAC) Paediatric Pathways
LTV
Guides to LTV Ventilators
Stellar 150
Trilogy
Nippy 4
Mental Health
Eating Disorders Medical Emergencies (MEED)Paediatric Rapid Tranquilisation Policy Frameworks Explainer for Children and Young People with Mental Health Concerns National Links Metabolic Disorders
Electrolyte Replacement
National Links Neonatal
Neonatal Collapse Nursing and Clinical Guidelines Congenital Hypothyroidism (and raised neonatal bloodspot TSH) Initial Management of a Baby with Atypical or Ambiguous Genitalia Management of Congenital CMV
Nephrology
Acute Kidney Injury - Prevention & Recognition Antenatally Detected Uropathy Guidelines Autosomal Dominant Poly Cystic Kidney Disease Electrolyte Replacement
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Micturating Cystograms in ChildrenNephrotic Syndrome Pharmacological Management of Non-Neuropathic Overactive Bladder Pyelonephritis Recognition & Follow up of Hypertension This guideline is due for review. Please check national guidance and use at your own clinical discretion. Stones (Nephrolithiasis & Nephrocalcinosis) This guideline is due for review. Please check national guidance and use at your own clinical discretion. Assessment of Daytime Urinary Incontinence UTI National Links Neurology and Neurosurgery
Anticonvulsant use when Nil by Mouth Facial Nerve Palsy This guideline is due for review. Please check national guidance and use at your own clinical discretion. First Afebrile Seizure Idiopathic Intracranial Hypertension in Children The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines Management of Hydrocephalus or Blocked Ventricular Shunt Management of Suspected Encephalitis This guideline is due for review. Please check national guidance and use at your own clinical discretion. Prolonged Seizure Stroke National Links
Oncology
Care and Management of Central Venous Access Devices Chemotherapy Induced Nausea and Vomiting List of Approved Chemotherapy Regimes Electrolyte Replacement
This guideline is due for review. Please check national guidance and use at your own clinical discretion. GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients Hyperglycaemia (Steroid, Chemotherapy or Transplant Induced) Hypertension This guideline is due for review. Please check national guidance and use at your own clinical discretion. Hypoalbuminaemia Ifosfamide Induced Encepahlopathy Investigation of New Patients This guideline is due for review. Please check national guidance and use at your own clinical discretion. Nutrition This guideline is due for review. Please check national guidance and use at your own clinical discretion. Off Treatment Surveillance This guideline is due for review. Please check national guidance and use at your own clinical discretion. Oncology Emergencies
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Transfusion and Coagulation This guideline is due for review. Please check national guidance and use at your own clinical discretion. Typhilitis Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Veno-Occlusive Disease This guideline is due for review. Please check national guidance and use at your own clinical discretion. National Links
Ophthalmology
Preorbital Cellulitis Orthopaedics
Limp Femoral Fracture Swollen Joints Respiratory
Asthma & Viral Wheeze
This guideline is due for review. Please check national guidance and use at your own clinical discretion. Pneumonia Pseudomonas Treatment Upper Airway Obstruction
Recurrent Wheeze in <5 year old National Links Rheumatology
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids Kawasaki Disease Swollen Joints in Children National Links
Surgery
Abdominal Pain Gastrostomy Interactive Toolkit Management of Pyloric Stenosis Naso-jejunal Tube Placement and Basic Care Nasal Bridle Insertion and Management Perioperative Fasting Guidelines Peri-operative Management of Children and Young People taking regular corticosteroid therapy Undescended Testes
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Healthier Together Pathways & Safety Netting Documents
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PIER Contact |
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