Decreased conscious level is a presenting feature of many conditions which affect children attending hospital. The extent of the altered state of consciousness varies ranging from confusion and agitation to coma. These children may be at grave risk of severe morbidity or even death if not managed in a timely and appropriate fashion.

The epidemiology surrounding decreased conscious level in children and young people is unclear because there is a dearth of data on the numbers who present to hospital with this condition. The Decreased Conscious Level in Children and Young People (DeCon) Multi-site Audit evaluated some of the recommendations are as follows: All health professionals should check a comprehensive clinical history in children and young people presenting to hospital with a decreased conscious level irrespective of the differential diagnosis. The clinical history documentation…