Altered Level Of Consciousness: Evidence-Based Management In The Emergency Department.

Pediatric emergency medicine practice

PubMedID: 28027458

Song JL, Wang VJ. Altered Level Of Consciousness: Evidence-Based Management In The Emergency Department. Pediatr Emerg Med Pract. 2017;14(1):1-28.
A child who presents to the emergency department with an altered level of consciousness can be clinically unstable and can pose a great diagnostic challenge. The emergency clinician must quickly develop a wide differential of possible etiologies in order to administer potentially life-saving medications or interventions. The history, physical examination, and appropriate diagnostic tests can aid greatly in rapidly narrowing the differential diagnosis. Once initial stabilization, workup, and first-line interventions are completed, most patients who present with unresolved or unidentified altered level of consciousness should be admitted for further evaluation and close monitoring. This issue provides a review of the etiologies of altered level of consciousness as well as guidance for the management and disposition of patients with this condition.