Department of Paediatrics and Adolescent Medicine, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, N.T., Hong Kong, China
KC Chan (陳國超) FHKCPaed, FRCP(Edin), FRCPCH
Department of Paediatrics and Adolescent Medicine, Princess Margaret Hospital, 2-10 Princess Margaret Hospital, Lai Chi Kok, Kowloon, Hong Kong, China
NKC Tse (謝紀超) MBBS, FHKAM, FHKCPaed
Department of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, 23 Tsing Chung Koon Road, Tuen Mun, N.T., Hong Kong, China
SY Lam (林樹仁) MBBS(HK), MRCP(UK), FHKAM(Paed)
Department of Paediatrics and Adolescent Medicine, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong, China
LCK Leung (梁竹筠) FHKCPaed, FHKAM(Paed), FRCP (Edin)
Department of Paediatrics and Adolescent Medicine, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, N.T., Hong Kong, China
MC Yam (任文青) MBChB(CUHK), FHKAM(Paed)
Department of Paediatrics and Adolescent Medicine, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong, China
KL Siu (蕭僑樂) MBBS(HK), FHKAM(Paed), FHKAM(Paed)
Department of Paediatrics and Adolescent Medicine, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong, China
DCW Chan (陳振榮) MBBS(HK), FHKAM(Paed), FHKCPaed
Department of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong, China
SM Tai (戴淑梅) MBChB(CUHK), FHKAM(Paed), FHKCPaed
Duchess of Kent Children Hospital, 12 Sandy Bay Road, Pokfulam, Hong Kong, China
AWY Yung (楊穎欣) MBBS, MRCP, FHKAM
Correspondence to: Dr KC Chan
Received August 24, 2012
*Guideline reviewed by the Working Group on Guideline and Evidence Based Practice, QA Subcommittee, COC Paediatrics, Hospital Authority, Hong Kong
A child with decreased conscious level is a challenging medical problem to health care professionals. The present guideline was developed on an evidence based approach. It facilitate doctors in dealing the problem systemically. Easy to follow and detailed algorithms (Appendix A1-A7) were included to streamline the investigations and treatments. Latest literatures after the publication of the guideline were reviewed and no new evidence was found in subsequent reviews to justify any amendment of the original recommendations. Discussions on local adoptation are highlighted in the conclusion of the present paper.
