As you know part of assesses sing an infant is asking about how well it is feeding, especially in Bronchiolitis. However, our paediatric colleagues have noticed that many infants are over fed, and although their intake may have reduced it would still be considered adequate for normal growth.
The tables below give an indication of what a healthy intake is and should be used when assessing how well an infant is feeding. Read more
The Yorkshire & Humber Paediatric Critical Care ODN, has released some useful guidance about the Post-ROSC phase of care 
Night OWLS is a confidential support line for children, young people, their parents and carers who live in Bradford, Leeds, Calderdale, Kirklees and Wakefield. This is a pilot scheme funded till March 2022.
Read moreInHours: Direct dial from HRI 152539, From CRH 2539.
Out of Hours: On Call Ophthalmology
We should no-longer be completing Email referrals to ophthalmology – if ophthalmology are insisting please contact Ruth Lush via switch who will fed back to staff.
The first point of contact for urology advice and referral is the general surgical SHO. This is the on-call surgical SHO carrying the on-call bleep. Some of the on call general surgical SHO have a urology background.
If a time critical emergency such as torsion is presenting, then the first point of contact should be the urology registrar.
(agreed with both surgical and urological leads)
Urologist are happy to operate on patients over the age of 3 years old. Under the age of 3 if this on a urological emergency such as a torsion then this patient should be referred to Leeds paediatric urology services.
Any patent with a post op complication for up to 7 days form urological procedure – should be streamed directly to the urology team via the surgical SHO. If the patient is unwell and needs resuscitation and immediate management for example sepsis, then ED team needs to be involved in resuscitation measures and the urological registrar needs to be involved as well
Currently ALL Pyelonephritis should be admitted under the urology team. There is a conversation between urology and medical teams happening currently to see if that requires further rationalisation. However currently the position is all pyelonephritis patients who need admitting are done so under the urology team.
Appropriate Antibiotics should be prescribed using the current antibiotic guidelines.
CTKUB are now available 24/7.
Patient presenting >50 years old with a renal colic story, should have a ultrasound scan done at the bedside to ensure that there is no aortic aneurysm before being sent for a CT KUB.
Uncomplicated renal colic needs a non contrast CT scan. This should be organised by the ED
Uncomplicated renal colic patients can wait CT KUB for results on SDEC. (The case must be to be discussed with the surgical SHO on-call and accepted by them before transfer of the patient. SDEC closes at 6 pm)
All frank hematuria needs investigation
New catheters and catheter complications – follow current guidelines. Community nurses follow up for TWOC or other catheter care (HOUDINI team in Kirklees)
Hyperammonaemia is a TIME CRITICAL medical emergency with the risk of death and serious neurological damage.
In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP
Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes.
If patients are being discharged to the care of the police, we need to:
