Paediatric Guidelines by System

  

Paediatric Guidelines by System – Page Under Construction during 2025/26.

Below are a selection of Y&H PCC ODN, Embrace, Regional, and National Guidelines, along with guidelines from Leeds and Sheffield Children’s Hospitals.

Work is underway to align (wherever possible) guidelines from/pathways into each Children’s Hospital into mutually agreed ‘Regional Guidelines’.

Guidelines may only be accessible from NHS computers.

The PCC ODN does not own or manage all of the documents below, and therefore cannot accept responsibility for any out-of-date contents. Clinicians must accept individual responsibility for using this information, working outside of written guidelines under the guidance of Tertiary or Specialist Transport services, and practicing safely.

 

Overarching Regional Guideline

·       Y&H PCC ODN  2024 Network Clinical Guidelines (Exp Oct 27, Y&H PCC ODN)

·       Patient pathways (Exp Oct 27, Y&H PCC ODN)

• Y&H Regional Arterial Ischaemic Stroke (AIS) Pathway (Exp June 2029, Y&H PCC ODN)

Regional Paediatric Trauma

·       Yorkshire and Humber  Major Trauma Guideline (2024 edition, Y&H PCC ODN)

·       Yorkshire and Humber Major Trauma – Referral Pathway (2024 edition, Y&H PCC ODN)

·       Yorkshire and Humber Burns Pathway (Date TBC, Embrace)

Emergency Algorithms

·       Resuscitation Council UK – Emergency Algorithms and Resources (2025 edition, RCUK)

·       APLS Status Epilepticus Algorithm (edition 7e, Apr 2022, APLS)

·       Tracheostomy Emergency Algorithm ( review Jan 2027, NTSP)

Guidelines by System:

Airway

·       Difficult Airway Passport (Exp Oct 27, Sheffield Children’s Hospital)

·       Anaphylaxis (Exp Sept 27, Originators of External Guideline: NHS South Yorkshire Integrated Care Board)

Respiratory

·       High Flow Nasal Cannula Oxygen Therapy (HFNCT) (Exp Oct 27, Y&H PCC ODN)

   Continuous Positive Airway Pressure Therapy (Exp Jan 2029, Y&H PCC ODN)

·       Long-Term Ventilation Acute Illness and Injury  (Exp Jul 27, Y&H PCC ODN)

·       Bronchiolitis  (Exp Jun 26, Originators of External Guideline: NHS South Yorkshire Integrated Care Board)

·       Acute non-invasive ventilation (CPAP and BiPAP) (Exp Apr 27, Sheffield Children’s Hospital)

·       Pneumonia and Empyema (Exp Dec 2028, Y&H PCC ODN)

Cardiovascular

·       Dinoprostone in duct dependent congenital heart conditions (Exp Oct 28, Y&H CHD ODN)

·       Out of Hospital Cardiac Arrest (OOHCA) Guideline  (Exp Aug 27, Embrace/Leeds PICU)

·       Sepsis – Recognition & Treatment (Exp Oct 27, Y&H PCC ODN)

·       Hypertension and Hypertensive Emergencies (Exp Jun 28, Leeds Children’s Hospital)

·       Management of Pulmonary Hypertension and Chronic Lung Disease in the Ex-preterm Baby (Exp Feb 27, Leeds Children’s Hospital)

·       Pulmonary hypertension in chronic lung disease (Exp Nov 29, Sheffield Children’s Hospital)

·       Acute hypertensive crisis management (Exp Sept 2026, Sheffield Children’s Hospital)

•    Paediatric Myocarditis and Cardiomyopathy Guideline (Exp June 2030, Leeds Children’s Hospital)

Nervous System

·       Patients with known hydrocephalus presenting to ED (Date TBC, Leeds Children’s Hospital)

·       Convulsive status epilepticus (Exp Oct 27, Y&H PCC ODN)

·       Encephalopathy (Exp Feb 24, Sheffield Children’s Hospital)

·       2.7% Hypertonic Saline or 20% Mannitol for raised ICP (Exp Sept 27, Leeds Children’s Hospital)

·       Delirium (Exp Nov 30, Sheffield Children’s Hospital)

Drugs

·       Embrace Drug Chart (Version 3, 2023, Embrace)

·       Inotropes and Vasoactive Agents  (Exp Jun 28, Embrace)

·       Procedural sedation (ketamine, IN dexmedetomidine) (Exp Aug 28, Sheffield Children’s Hospital)

·       Pain management (Exp Nov 28, Sheffield Children’s Hospital)

Metabolic/Endocrine

·       BSPED Treatment of DKA guidelines (Nov 24 edition, BSPED)

·       BSPED DKA Calculator (2025 edition, BSPED)

·       Neonatal and Paediatric Hyperammonaemia Guideline (Exp 2028, Y&H PCC ODN)

Neonates

  Neonatal Collapse Guideline (Exp April 2029, Y&H PCC ODN)

Renal and Electrolytes

·       Acute Kidney Injury (Under review Nov 25, Leeds Children’s Hospital)

·       Acute Peritoneal Dialysis (Exp Jun 28, Leeds Children’s Hospital)

·       Replacement of Electrolytes (Bicarbonate, Calcium, Magnesium, Phosphate, Potassium) (Exp Jan 27, Sheffield Children’s Hospital)

·       Acid-base Balance, Blood Gas Interpretation (Exp July 25, Evelina London)

·       Hyperkalaemia (Exp Sept 30, Embrace)

Gastroenterology and Liver

·       Acute Liver Failure (Exp Oct 27, Leeds Children’s Hospital)

·       Acute Gastro-intestinal Bleed (Under review, Leeds Children’s Hospital)

Infection / Inflammation

·       Malaria (Exp Apr 29, Sheffield Children’s Hospital)

·       Pertussis (Exp Dec 25, Evelina London)

Procedures

·       Difficult Intravenous Access (Exp Jan 31, Sheffield Children’s Hospital)

·       Central Venous Catheter Care (Exp Oct 25, Sheffield Children’s Hospital)

Stabilisation & Transfer

·       Quick access to the Embrace Transport Service Webpage

·       Safe Transfer of Paediatric Patient (STOPP) tool (2023 edition, Embrace)

·       Time Critical Transfer (Exp Sep 28, Embrace)

·       Time Critical Transfers (non-trauma) into Leeds Children’s Hospital (Exp May 26, Leeds Children’s Hospital)

·       Sedation During Transport (Exp Nov 29, Embrace)

Other Trauma

·       Submersion Injury (Exp Dec 28, Evelina London)

End of Life & Post PICU Care

·       When a Child Dies – A Guide for Parents and Carers (2025 edition, National Child Mortality Database)

Other

·       Exception Reporting form (2025 edition, Y&H PCC ODN)

·       Yorkshire and Humber Children, Teenage and Young Adult Cancer Clinical Network – link for the clinical guidance and documentation page.

·       Yorkshire and Humber Congenital Heart Disease Network – link for the paediatric and neonatal clinical guidance page.