skip to main content

Altered consciousness – check glucose — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

EasyEmergencyAltered consciousness – check glucoseRACP Paediatrics

A child is brought to the ED after being found unresponsive. The first responder has confirmed breathing and a pulse are present. After ABCDE primary survey, what bedside investigation should be performed immediately in ANY child with altered consciousness?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Blood glucose check

Blood glucose measurement is an essential immediate investigation in ANY child with altered consciousness. Hypoglycaemia is a common, rapidly reversible cause of altered consciousness that can cause permanent brain damage if untreated. A bedside capillary glucose should be performed within the first few minutes of assessment, alongside the primary survey.

Reference: RCH Melbourne – 2023 – Altered Consciousness CPG; RACP Paediatric Curriculum – Emergency