Level of Consciousness

Also written as GCS.

AVPU below A, or any alteration in the level of consciousness

What our notes say

AVPU below A, or any alteration in the level of consciousness (Paediatrics end of 2nd semester exam (MBPE 4300): 5 October 2021, 50 MCQs)
Shock gives a weak, fast pulse, cold hands, slow capillary refill (over 3 seconds) and a depressed level of consciousness. (Paediatrics end of fourth year special supplementary exam: August 2019, Paper On)
Assess level of consciousness, behaviour, speech/cry, posture, tone, power, symmetry, coordination and gait when age-appropriate. (Paediatric History Taking and Physical Examination)
Neurological Status: Assess level of consciousness, presence of seizures, and focal neurological deficits. (Malaria, including severe malaria)
| Physical exam – general | Level of consciousness, skin colour, temperature, capillary refill | Altered mental status reflects severe pH derangement; warm skin may suggest sepsis‑related lactic acidosis. | (Acid-base disorders)
| West‑Haven grade (1‑4) | Severity of encephalopathy | Grading correlates with level of consciousness and risk of mortality. | (Hepatic encephalopathy)