Clinical Practice Guidelines (CPGs) endorsed by the Paediatric Improvement Collaborative (PIC) in 2025: 

• Adolescent gynaecology – heavy menstrual bleeding 
•  Adolescent gynaecology – lower abdominal pain  
•  Anaphylaxis  
•  Cough 
•  Dysmenorrhoea 
•  Engaging and assessing adolescents  
•  Gastroenteritis 
•  Hereditary angioedema 
•  Hyperleukocytosis 
•  Hypoglycaemia 
•  Infantile spasms 
•  Management of eating disorders in the Emergency Department 
•  Menstrual management in adolescents with disabilities 
•  Nasal fracture 
•  Nephrotic syndrome  
•  Post-streptococcal glomerulonephritis (PSGN) 
•  Prolonged fever 
•  Rhinitis and rhinosinusitis 
•  Seizures: acute management 
•  Suprapubic aspirate 
•  Recognition of the seriously unwell neonate and young infant 
•  Unsettled babies 
•  Vomiting 

Thank you to all involved in this work: Thank you for 2025 from the CPG Team 

The PIC CPGs are hosted on the RCH website and also on the RCH CPG App, available via the App Store and Google Play.