AVPU – alert — RACP Paediatrics MCQ

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EasyEmergencyAVPU – alertRACP Paediatrics

A 2-year-old is brought to ED after a fall. He is crying and looking at his mother but not responding to the nurse's voice. He pushes away when an IV cannula is attempted. Using AVPU, what is his consciousness level?

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Correct answer: E — AVPU alert

AVPU: Alert = eyes open spontaneously, interacts with environment (even if distressed/crying). Voice = responds to verbal stimuli. Pain = responds only to painful stimuli. Unresponsive = no response. This child is crying and making eye contact = Alert. AVPU is the rapid initial assessment; GCS provides more detail.

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