Paediatrics Pathways

NICE traffic light system for fever assessment in children under 5 — risk stratification

RSV bronchiolitis assessment and supportive management in children <2 years

BSPED protocol for paediatric DKA — fluid calculation, insulin infusion, and cerebral oedema alert

First seizure assessment and status epilepticus management in children

Acute wheeze management and chronic asthma step-up therapy for children

Assessment and management of faltering growth in children under 5

NICE threshold-based approach to neonatal jaundice — phototherapy and exchange transfusion decisions

NICE-based assessment and emergency management of bacterial meningitis and meningococcal disease in children

BTS age-stratified severity assessment and antibiotic selection for childhood CAP

NICE age-stratified UTI diagnosis, treatment, and imaging decision pathway for children

NICE dehydration assessment and ORS vs IV fluid decision pathway for childhood gastroenteritis

NICE PECARN-based CT head decision tool and observation criteria for childhood head injury

Age-based differential diagnosis and red-flag triage for acute abdominal pain in children

Febrile Convulsion clinical pathway.

Paediatric Respiratory Distress clinical pathway.

Paediatric Anaphylaxis clinical pathway.

Paediatric Constipation clinical pathway.

Paediatric Testicular Torsion clinical pathway.

Paediatric Supracondylar Fracture clinical pathway.

NICE NG143 / RCPCH — recognition with traffic light + paediatric sepsis 6, antibiotics within 1h, age-specific physiology, escalation triggers.

NICE CKS / Westley severity — single-dose oral dexamethasone for all, nebulised adrenaline for moderate–severe, recognise differentials.

RCPCH safeguarding pathway — recognise patterns, document, full skeletal survey, multidisciplinary referral, never accept inconsistent history.

NICE NG195 — early-onset (<72h, GBS / E coli / Listeria) vs late-onset (>72h, CONS / Staph aureus / Gram-negatives), risk factor assessment, antibiotics within 1h.

APLS algorithm — convulsive status >5 min: benzodiazepine, second benzodiazepine, levetiracetam/phenytoin, induction of anaesthesia.

Diagnostic criteria, IVIG + aspirin therapy, echo for coronary artery aneurysms, refractory disease management.

Sudden onset choking + cough/wheeze in a young child — recognition, basic life support manoeuvres, urgent bronchoscopy.

Projectile non-bilious vomiting in 2–8 week-old, hypochloraemic hypokalaemic metabolic alkalosis, USS diagnosis, fluid resuscitation, pyloromyotomy.

Intermittent colicky abdominal pain in 6 month – 2 year-old + drawing up of legs + redcurrant jelly stool — USS diagnosis, air-enema reduction, surgery if failed.

APLS-aligned <C>ABCDE primary survey, weight-based dosing, recognise compensation, low threshold for trauma team activation.

WHO analgesic ladder for children, age-appropriate pain assessment tools, weight-based dosing per BNFc, non-pharmacological measures.

RCPCH/BSH — recognition of vaso-occlusive crisis, fever in sickle (sepsis risk), acute chest syndrome, splenic sequestration, stroke.

Age-stratified differentials, Kocher criteria for septic arthritis, distinguish from transient synovitis, recognise SUFE / Perthes.