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

Paeds Posts

0-12yrs WETFLAG

26-Mar-2024

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

28-Jun-2024

Alprostadil

28-Jun-2018

Brief Resolved Unexplained Event (BRUE)

21-Oct-2022

Button Battery Ingestion

13-Apr-2023

C-Spine Injury

26-Apr-2025

Care of the Next Infant (CONI)

07-Jan-2020

Diabetic Hyperglycaemia (Kids)

20-Sep-2023

DKA in Kids

27-Apr-2021

EMBRACE & Paediatric Critical Care

18-Jul-2019

Head Injury

26-Apr-2025

Hyperammonaemia – Paed

25-Jun-2021

iNFANT – user guide

28-May-2023

Infant Feed Volumes – what is expected?

10-Sep-2021

Ingested Magnets

20-Apr-2025

Injuries in Non-Mobile Children

28-May-2023

Intranasal Fentanyl

12-May-2022

Limping Child

10-Jun-2023

Massive Transfusion Pathway

27-Apr-2021

Measles

23-Jan-2024

Minimal and Moderate Paediatric Sedation

31-Aug-2023

Neonatal Resus

17-Jun-2023

Neonatal Seizures

21-Feb-2024

NightOWLS – Overnight Crisis

23-Jul-2021

Non-Blanching Rash

17-Oct-2023

Non-Fatal Strangulation/Hanging

27-Aug-2025

Paediatric – Time Critical Transfers (non-trauma)

14-Jun-2023

Paediatric afebrile seizure pathway

12-May-2025

Paediatric Blast Injury

14-Jun-2024

Paediatric ECG

06-Nov-2024

Paediatric Flow at HRI

22-Aug-2025

Paediatric Hypoglycaemia

27-Nov-2020

Paediatric Infections – School Exclusion/Isolation

26-Apr-2023

Paediatric Ketamine Sedation

04-Jun-2024

Paediatric Mental Health

26-Oct-2023

Paediatric Sepsis Podcast (RCPCH)

10-Jun-2019

Paediatric Surgical Pathway

27-Jun-2024

Paeds Liaison Form – EPR

13-Mar-2022

Paeds Post-ROSC guide

08-Sep-2021

Pre-Arrival Blood (O-ve)

13-Mar-2019

Purple Glove Syndrome – Case

23-Sep-2018

Quick-Wee method

27-Mar-2018

Rape & Sexual Assault

15-Jan-2024

Rashes on Black & Brown Skin

07-Oct-2023

Sickle Cell Crisis

07-Jun-2023

SNAP (paracetamol toxicity)

20-Jul-2024

Sore Throat and Group A Strep 2022

15-Dec-2024

Status Epilepticus – APLS 2021

17-Oct-2023

SUDIC – Sudden Unexpected Death In Child

13-Mar-2018

Swallowed Foriegn Body

26-Oct-2024

Underage Sexual Activity

05-Apr-2024

Vaccination Schedules UK & International

27-Mar-2024