Original Publication
Open Access

Pediatric Altered Mental Status

Published: August 13, 2014 | 10.15766/mep_2374-8265.9868

Included in this publication:

  • Instructor's guide Altered MS.docx
  • Altered MS pretest blank.docx
  • Altered MS pretest ANSWER KEY.docx
  • Altered mental status module.pptx
  • Altered MS presenter's notes.docx
  • Altered mental status cases.docx
  • Altered mental status cases with answers.docx
  • Algorithm instructions.docx
  • Completed Algorithm.docx
  • Image directoryFinal.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: The purpose of this module is to teach health care professionals about the presentation, evaluation, and initial management of altered mental status in children. Altered mental status in a child is a potentially life-threatening condition with a broad differential including vascular, toxin-mediated, infectious, metabolic, and traumatic causes. Therefore, medical providers who care for children should be well versed in the identification and initial evaluation and management of these patients to ensure they can act quickly when necessary. Methods: This interactive learning module is designed to be used in a 1-hour classroom session. Included in the resource are an instructor’s guide, PowerPoint presentation with presenter notes, pretest, small-group activity, and other associated materials. This module has been used with pediatric residents, emergency medicine residents, and pediatric emergency medicine fellows. Results: Approximately 90 learners have completed this module during four separate sessions and the module has been modified based on their feedback. The mean score on the pretest was 60% with only 25% of learners being able to describe an initial approach to a child with altered mental status. In contrast, 94% of learners successfully created an algorithm for the initial management of a child with altered mental status at the conclusion of the module. Discussion: Altered mental status in a child is a potentially life-threatening condition with a broad differential including vascular, toxin-mediated, infectious, metabolic, and traumatic causes. We believe this is an effective module that will be useful for anyone involved in the acute care of children.


Educational Objectives

At the end of this module, learners should be able to:

  1. Explain the meaning of altered mental status.
  2. Identify causes of pediatric altered mental status.
  3. Develop and apply a systematic approach to a child with altered mental status.

Author Information

  • Margaret Wolff: University of Michigan Medical School
  • L Skaugset: University of Michigan Medical School
  • Jennifer Jachowski: University of Michigan Medical School
  • Alex Rogers: University of Michigan Medical School

Disclosures
None to report.

Funding/Support
None to report.



Citation

Wolff M, Skaugset L, Jachowski J, Rogers A. Pediatric altered mental status. MedEdPORTAL. 2014;10:9868. https://doi.org/10.15766/mep_2374-8265.9868