PAEDIATRIC ALTERED CONSCIOUS LEVEL GUIDELINE
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DELPHI PROCESS

Round one

The following statements were presented to the Delphi panel for them to respond to on a nine-point scale of agreement. Click on the heading below to see the statements, the analysis of responses and the comments made by the Delphi panellists. (If you are confused that sometimes the percentage of agreement and disagreement does not reach 100% in all cases, this is because some panellists neither agreed or disagreed with the statements. Those who didn’t have any opinion and ticked the “Don’t know” box are not included in the analysis).

Summary analysis

Detailed analysis

1. Definition

2. Observations

3. Capillary glucose

4. History of illness

5. Airway assessment and protection

6. Breathing assessment

7. Identifying the causes of reduced consciousness in children

8. Shock

9. Sepsis

10. Trauma

11. Raised intracranial pressure

12. Intracranial infections

13. Metabolic illness

14. Prolonged convulsion

15. Post-convulsion state

16. No clinical clues to cause

17. Good practice points

18. Peri-arrest management