18-year-old (???) male, tonic clonic seizure >20 minutes. Unresponsive. Known cerebral palsy and epilepsy.

This week we look at decreased conscious levels in children; and how medical staff can maintain performance when they’re not at their physical best.

Status Epilepticus is generally defined as any single or multiple convulsions lasting 30 minutes or more.

A 2-year-old boy is brought to the ED by his mum with fast breathing and vomiting...

An unconscious 18-month-old child is brought to the ED by the babysitter who reveals she left a bottle of methadone in her bag…

A pre-alert is made for a 5-year-old boy who is screaming in pain complaining of a sudden onset headache. His GCS drops during assessment…

Working the ED can often be complicated, there can be distractions and developments that make even a simple case more complex than it should be.

"Terry (71) was out in the garden watering his potatoes, when he felt unwell and collapsed."

"A 2 week old baby boy is brought to the ED with concerns of poor feeding, vomiting and sleepiness."

A 6-month-old child is brought to the ED by her mum with a 3-day history of diarrhoea and vomiting.

Approx. 18 year old Male, witnessed to collapse and have a seizure in town. When he wakes up he tells you he is only 15!

An 8-month-old baby girl is carried into the ED by her mother after a reported fit at home.

"19 yr old female. Found unresponsive on university campus by passer by. No evidence of trauma."

21-year-old male with abdominal pain and vomiting for 48 hours.

15-year-old, self-presentation. 1-week history of vomiting and lethargy, feeling worse overnight, receptionist concerned patient looks unwell.