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

The Vulval ulcers CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). The CPG now includes a detailed table with the clinical features for differential diagnoses of vulval ulcers.   CPG key points  Most vulval ulcers in children are aphthous or secondary to a systemic infection, … Continued

The Vulval and vaginal conditions CPG is a new CPG developed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). Covering a range of conditions which cause vulval and vaginal pain and bleeding, including vulvodynia, this new CPG supersedes the previous Prepubescent gynaecology CPG.  CPG key points   Vulvovaginitis is common and … Continued

The Sexually transmitted infections CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This updated CPG now includes genital warts and herpes infection as well as other common sexually transmitted infections affecting young people.    CPG key points   Many STIs are asymptomatic, but can cause serious … Continued

The Cyanotic episodes in congenital heart disease CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022).   CPG key points  Most cyanotic episodes in children with congenital heart disease (CHD) are self-limiting  The child should be comforted by the parent, clinicians should use a minimal handling … Continued

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

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

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

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

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