Source and scope
This summary is bounded to the recommendations, population and decisions covered by The community management of paediatric eating disorders. Apply it with the current provincial or territorial pathway where implementation differs.
sources for this section:CPS eating disorders
Source-attributed clinical priorities
- Assess eating behaviour, weight trajectory, medical instability, suicide risk and compensatory behaviours without relying on BMI alone.
- Use urgent hospital assessment for cardiovascular, electrolyte, dehydration or other source-defined instability.
- Coordinate family-inclusive, nutritional, psychological and medical care, with age-appropriate specialist referral.
- Rate of weight change and physiologic instability are clinically important even when weight is not low.
sources for this section:CPS eating disorders
Practical assessment and management workflow
1
Record restriction, bingeing, purging, exercise, fluid manipulation, menstrual or endocrine effects and weight trajectory.
2
Measure lying and standing pulse and blood pressure, temperature, hydration and indicated ECG and laboratory parameters.
3
Assess suicide risk, substance use, diabetes manipulation and family or social context.
4
Coordinate medical monitoring with nutrition and evidence-based psychological treatment and define escalation criteria.
sources for this section:CPS eating disorders
Safety, red flags and urgent escalation
- Bradycardia, hypotension, syncope, electrolyte disturbance, hypoglycemia, prolonged QT or acute food refusal may require admission.
- Treat refeeding risk with a monitored multidisciplinary plan rather than unstructured rapid nutrition.
- Do not reassure from BMI alone when vital signs, behaviours or rapid loss indicate serious risk.
sources for this section:CPS eating disorders
Confirm the local pathway before acting
The evidence source is pan-Canadian, but formularies, funded access, referral routes, public-health directions and service availability remain provincial or territorial.
sources for this section:CPS eating disorders
Source and implementation boundary
Read this educational summary with the linked source, current Canadian product information where medicines are involved, and the applicable provincial or territorial pathway. Local formularies, reporting duties, referral routes and service availability can differ.
sources for this section:CPS eating disorders
Source documents
Use the linked source documents for complete recommendations, evidence grading, exclusions and implementation detail.
- Canadian Paediatric SocietyThe community management of paediatric eating disordersaccessed 2026-08-20view source
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