Paediatrics Pathways
32 pathways
Work through 32 interactive paediatrics decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.
- Febrile Child Assessment (Traffic Light)NICE traffic light system for fever assessment in children under 5 — risk stratificationNICE CG160 2013
- Bronchiolitis ManagementRSV bronchiolitis assessment and supportive management in children <2 yearsNICE NG9 2015
- Paediatric DKABSPED protocol for paediatric DKA — fluid calculation, insulin infusion, and cerebral oedema alertBSPED 2020
- Seizure Management in ChildrenFirst seizure assessment and status epilepticus management in childrenNICE CG137 / APLS
- Wheeze and Asthma in ChildrenAcute wheeze management and chronic asthma step-up therapy for childrenBTS/SIGN 2019 / NICE NG80
- Failure to ThriveAssessment and management of faltering growth in children under 5NICE CG75 / RCPCH growth charts
- Neonatal JaundiceNICE threshold-based approach to neonatal jaundice — phototherapy and exchange transfusion decisionsNICE CG98 2016
- Bacterial Meningitis in ChildrenNICE-based assessment and emergency management of bacterial meningitis and meningococcal disease in childrenNICE CG102 2010 / NICE NG51 2016
- Paediatric Community-Acquired PneumoniaBTS age-stratified severity assessment and antibiotic selection for childhood CAPBTS CAP Guidelines 2011 / NICE NG143 2019
- Urinary Tract Infection in ChildrenNICE age-stratified UTI diagnosis, treatment, and imaging decision pathway for childrenNICE CG54 2007 (updated 2022)
- Paediatric Gastroenteritis & DehydrationNICE dehydration assessment and ORS vs IV fluid decision pathway for childhood gastroenteritisNICE CG84 2009 (updated 2023)
- Paediatric Head InjuryNICE PECARN-based CT head decision tool and observation criteria for childhood head injuryNICE CG176 2014 (updated 2023)
- Paediatric Acute Abdominal PainAge-based differential diagnosis and red-flag triage for acute abdominal pain in childrenNICE / APSA / Royal College of Surgeons
- Febrile ConvulsionFebrile Convulsion clinical pathway.NICE; RCPCH — CG102
- Paediatric Respiratory DistressPaediatric Respiratory Distress clinical pathway.RCPCH; RCEM — Best Practice
- Paediatric AnaphylaxisPaediatric Anaphylaxis clinical pathway.RCPCH; RCOA; NICE — CG134
- Paediatric ConstipationPaediatric Constipation clinical pathway.NICE; RCPCH — CG99
- Paediatric Testicular TorsionPaediatric Testicular Torsion clinical pathway.BAUS; RCPCH; RCEM — Best Practice
- Paediatric Supracondylar FracturePaediatric Supracondylar Fracture clinical pathway.BSCOS; RCPCH; RCEM — Best Practice
- Paediatric SepsisNICE NG143 / RCPCH — recognition with traffic light + paediatric sepsis 6, antibiotics within 1h, age-specific physiology, escalation triggers.NICE NG143; RCPCH/UK Sepsis Trust 2024; APLS 6th Ed
- Croup (Laryngotracheobronchitis)NICE CKS / Westley severity — single-dose oral dexamethasone for all, nebulised adrenaline for moderate–severe, recognise differentials.NICE CKS Croup; APLS
- Suspected Non-Accidental Injury / SafeguardingRCPCH safeguarding pathway — recognise patterns, document, full skeletal survey, multidisciplinary referral, never accept inconsistent history.RCPCH Safeguarding Children Toolkit 2023; HM Government 'Working Together' 2018
- Neonatal Sepsis (Early + Late)NICE NG195 — early-onset (<72h, GBS / E coli / Listeria) vs late-onset (>72h, CONS / Staph aureus / Gram-negatives), risk factor assessment, antibiotics within 1h.NICE NG195 (2021); BAPM
- Paediatric Status EpilepticusAPLS algorithm — convulsive status >5 min: benzodiazepine, second benzodiazepine, levetiracetam/phenytoin, induction of anaesthesia.APLS 6th Ed; NICE NG217 (epilepsies)
- Kawasaki DiseaseDiagnostic criteria, IVIG + aspirin therapy, echo for coronary artery aneurysms, refractory disease management.AHA 2017 Kawasaki; RCPCH
- Paediatric Foreign Body InhalationSudden onset choking + cough/wheeze in a young child — recognition, basic life support manoeuvres, urgent bronchoscopy.RCUK 2021 Paediatric Choking; ENT UK
- Hypertrophic Pyloric StenosisProjectile non-bilious vomiting in 2–8 week-old, hypochloraemic hypokalaemic metabolic alkalosis, USS diagnosis, fluid resuscitation, pyloromyotomy.BAPS / RCPCH
- IntussusceptionIntermittent colicky abdominal pain in 6 month – 2 year-old + drawing up of legs + redcurrant jelly stool — USS diagnosis, air-enema reduction, surgery if failed.BSPGHAN; APLS; RCPCH
- Paediatric Trauma Primary SurveyAPLS-aligned <C>ABCDE primary survey, weight-based dosing, recognise compensation, low threshold for trauma team activation.APLS 6th Ed; BOAST; ATLS-like adapted for paeds
- Paediatric Acute Pain ManagementWHO analgesic ladder for children, age-appropriate pain assessment tools, weight-based dosing per a children's formulary, non-pharmacological measures.WHO 2012; APAGBI; RCEM Best Practice 2017
- Paediatric Sickle Cell CrisisRCPCH/BSH — recognition of vaso-occlusive crisis, fever in sickle (sepsis risk), acute chest syndrome, splenic sequestration, stroke.BSH 2018; RCPCH
- Paediatric Limp / Septic Joint WorkupAge-stratified differentials, Kocher criteria for septic arthritis, distinguish from transient synovitis, recognise SUFE / Perthes.RCPCH; BOAST