As there are now no longer a paediatric clinical team at HRI, the paediatric surgical pathway is up-dating, this is the current provisional pathway, to ensure care falls inline with GIRFT report.

General Surgery – Suspected Appendicitis

PAS (Paediatric Appendicitis Score)

• 0-3: Unlikely  consider other diagnosis
• 4-6: Cannot exclude consider imaging
• 7-9: Likely Surgical review
  

***Children <5yrs, complex needs, or requires critical care refer to LGI pads Surgery (if on capacity Sheffield Children’s)***

Urology – Suspected Torsion

***Children <3yrs, complex needs, or requires critical care refer to LGI pads Surgery (if on capacity Sheffield Children’s)***