RCPCH 0-18 Guides
HRI Paediatric Flow Chart

HRI Paediatric Flow Chart

There is now no on-site inpatient paediatric cover at HRI so this flow chart has been agreed to aid getting patients to the correct site or home as early as possible.

Critically Unwell

*For the purposes of this document a child is defined as from birth to 16years of age*

 

Process for assessment/management

  1. On recognition of a critically unwell child resuscitation will be commenced immediately, in line with appropriate APLS/NLS algorithms
  2. Patient will be moved to Resus as soon as practicable whilst maintain active resuscitation
  3. 2222 “Paediatric Resus” call will be placed this will include:
    • ICU On-Call (Con/MG)
    • ODP
    • Paediatric Consultant On-Call (who will attend HRI ED ASAP)
    • Trauma Team (as appropriate)

 

If additional Neonatal input required – remote assistance form Neonatal On-Call at CRH is available.

 

  1. EMBRACE should be called for transfer to definitive care, unless this is deemed inappropriate by the treating team
Paeds Surgical

Full guide – HERE

Appendix – PAS Score

Urology

0-12yrs WETFLAG

March 26, 2024

0-18yr: RCPCH Guides

June 6, 2024

Acute Flaccid Paralysis (AFP)/ Acute flaccid myelitis (AFM)

June 28, 2024

Alprostadil

June 28, 2018

Brief Resolved Unexplained Event (BRUE)

October 21, 2022

Button Battery Ingestion

April 13, 2023

Care of the Next Infant (CONI)

January 7, 2020

Diabetic Hyperglycaemia (Kids)

September 20, 2023

DKA in Kids

April 27, 2021

EMBRACE & Paediatric Critical Care

July 18, 2019

Head Injury

April 26, 2025

Hyperammonaemia – Paed

June 25, 2021

iNFANT – user guide

May 28, 2023

Infant Feed Volumes – what is expected?

September 10, 2021

Ingested Magnets

April 20, 2025

Injuries in Non-Mobile Children

May 28, 2023

Intranasal Fentanyl

May 12, 2022

Limping Child

June 10, 2023

Massive Transfusion Pathway

April 27, 2021

Measles

January 23, 2024

Minimal and Moderate Paediatric Sedation

August 31, 2023

Neonatal Resus

June 17, 2023

Neonatal Seizures

February 21, 2024

NightOWLS – Overnight Crisis

July 23, 2021

Non-Blanching Rash

October 17, 2023

Paediatric – Time Critical Transfers (non-trauma)

June 14, 2023

Paediatric Blast Injury

June 14, 2024

Paediatric ECG

November 6, 2024

Paediatric Hypoglycaemia

November 27, 2020

Paediatric Infections – School Exclusion/Isolation

April 26, 2023

Paediatric Ketamine Sedation

June 4, 2024

Paediatric Mental Health

October 26, 2023

Paediatric Sepsis Podcast (RCPCH)

June 10, 2019

Paediatric Surgical Pathway

June 27, 2024

Paeds Liaison Form – EPR

March 13, 2022

Paeds Post-ROSC guide

September 8, 2021

Purple Glove Syndrome – Case

September 23, 2018

Quick-Wee method

March 27, 2018

Rape & Sexual Assault

January 15, 2024

Rashes on Black & Brown Skin

October 7, 2023

Sickle Cell Crisis

June 7, 2023

SNAP (paracetamol toxicity)

July 20, 2024

Sore Throat and Group A Strep 2022

December 15, 2024

Status Epilepticus – APLS 2021

October 17, 2023

SUDIC – Sudden Unexpected Death In Child

March 13, 2018

Swallowed Foriegn Body

October 26, 2024

Underage Sexual Activity

April 5, 2024

Vaccination Schedules UK & International

March 27, 2024