PIER Network Paediatric Clinical Guidelines

Featured Native Clinical Guidelines

• Severe Hyponatraemia in Children & Young People

  Introduction In children, a normal plasma sodium is 135-145mmol/L (though there may be regional variations in laboratory normal ranges of up to 2mmol/L). Hyp...

• Adrenal crisis (new presentation or with pre-existing adrenal insufficiency)

  Introduction Presentation with an adrenal crisis is a life-threatening emergency and needs to be managed promptly. An adrenal crisis may present in children ...

• Gastrostomy Toolkit

  Introduction Problems around surgically placed feeding tubes are common however many simple steps can be taken to reduce the impact this has on a child. The ...

• Kawasaki Disease

  Introduction This guideline applies to all paediatric patients (under 16 years) Kawasaki disease is the second most common systemic vasculitis in childhood a...

• Bedside Placement and Care of a Nasojejunal Tube

  Introduction The aim of this document is to provide a short summary guideline for the bedside placement of a Nasojejunal tube (NJ tube). A routine nasogastri...

• The Assessment and Management of Overweight and Obesity in Children and Young People

  Scope and Purpose This guideline was originally intended for Southampton/ Hampshire & Isle of Wight services. Since then the Complications of Excess Weig...

• Febrile Neutropaeina

  Introduction Febrile neutropenia (FN) remains one of the most critical oncological emergencies in paediatric practice. It is defined as a temperature of ≥38°...

• Management of Significant Upper Gastrointestinal Bleeding in Secondary Care

  Introduction Upper Gastrointestinal Bleeding is uncommon in children, affecting approximately 1-2 per 10000 each year. The majority are benign and self-limit...

• Infants and Pregnant Women Exposed to Chickenpox (Varicella)/Shingles (Zoster)

  Introduction Varicella zoster virus (VZV) causes chicken pox (varicella) and shingles (herpes zoster).  In pregnant women and neonates, VZV can result i...

• Asthma & Wheeze Pathway

  Introduction This guidance is designed to be used in practice to help diagnose and manage children with asthma and pre-school wheeze. Please select if you ar...

• Dietetic Assessment and Management of Childhood Obesity

  Scope and Purpose The scope of this guideline is to provide information on the process of dietetic assessment and management of childhood obesity.  This...

• Pharmacological Management of Obesity in Children and Young People

  Introduction Obesity now affects one in five children in the UK. The impact on the quality of life and mental health is dramatic, with long-term complication...

Clinical Disciplines & Guidance

Allergy • Cardiology • Child Protection • Dermatology • Emergency Medicine • Endocrinology • Gastroenterology • Haematology • Infection • Neonatology • Nephrology • Neurology • Oncology • Ophthalmology • Orthopaedics • Palliative Care • Respiratory • Surgery