New and updated Clinical Practice Guidelines

The Paediatric Improvement Collaborative has endorsed* a number of new and updated Clinical Practice Guidelines (CPGs): Eczema UPDATED Extravasation injuries UPDATED Foreign body ingestion UPDATED Positional plagiocephaly NEW Pyloric stenosis  UPDATED Trauma: Pelvic injuries UPDATED These CPGs are also available via the RCH CPG App (download from the App Store and Google play) * endorsed … Continued

New and updated Asthma Clinical Practice Guidelines

New CPG: Preschool asthma (1-5 years) New CPG: Asthma in primary school-aged children (6-11 years) Updated CPG: Acute Asthma Note change in title to CPG: Asthma in adolescents (12 years and over) previously Asthma preventer treatment in adolescents (12 years and over) This suite of Clinical Practice Guidelines (CPGs) has been developed/updated by the CPG … Continued

CPG: Non-IgE mediated food allergy

The Non-IgE mediated food allergy CPG is a new CPG developed in conjunction with Allergy specialists, together with the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This CPG provides a comprehensive overview of the approach to diagnosis and management of non-IgE-mediated food allergies in children, including Food Protein-Induced Allergic Proctocolitis and … Continued

Updated CPG: Altered conscious state  

The Altered conscious state CPG has been updated and reviewed by the CPG committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This CPG replaces the previous Coma CPG and it covers the continuum of altered conscious state, from disorientation and confusion to coma.   CPG key points   The aim of immediate management is to … Continued

Updated CPG: Acute red eye  

The Acute red eye CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). It has been updated to include a comprehensive condition specific management table with images to aid in assessment.   CPG key points  Conjunctivitis is the most common cause of acute red eyes  Adequate … Continued

Updated CPG: Acute eye injury  

The Acute eye injury CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This CPG provides more detail on examination and providing adequate analgesia to aid examination, condition specific management such as management on corneal abrasions and foreign bodies and has an updated acute eye … Continued

Updated CPG: Penetrating eye injury 

The Penetrating eye injury CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This CPG now includes signs suggestive of a globe perforation and images of penetrating eye injuries for reference.   CPG key points   An open globe, or penetrating eye injury is a serious threat … Continued

New CPG: Eye examination

The Eye examination CPG is a new CPG developed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). The CPG provides a step-by-step approach to examination of the eye for children with practical tips and important considerations. CPG key points Assessing visual acuity can be difficult but should be performed early … Continued

New CPG: Neonatal intravenous fluids

The Neonatal intravenous fluids CPG is a new CPG developed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). The CPG provides guidance on the prescription of intravenous fluids for neonates above 32 weeks and outside of a neonatal intensive care setting. It covers which fluids to use for resuscitation and … Continued

Updated CPG: Febrile child

The Febrile child CPG has been updated by the CPG committee, with review and input from clinicians in NSW, Qld and Victoria, and has been endorsed by the Paediatric Improvement Collaborative (Sept 2022).    CPG key points   Febrile neonates ≤28 days of corrected age require investigations (FBE, CRP, blood, urine and CSF cultures ± CXR) … Continued