Pediatric Altered Mental Status

  • Tricia B. SwanEmail author


A quick chapter on the approach to pediatric altered mental status. The mnemonic AEIOU TIPS is a comprehensive heuristic to work through the possible etiology of the patient’s altered state. This chapter also includes some empiric bedside therapies for potentially reversible causes, as well as some pearls to remember in all cases.


Poor responsiveness Abnormal pupillary size AEIOU TIPS mnemonic Cerebrospinal fluid (CSF) Toxicology Comatose Obtunded Dextrose Naloxone Lead poisoning Reye syndrome Electroenchephalogram (EEG) Non-accidental trauma Ingestion 

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Pediatric Emergency MedicineUniversity of Florida, Department of Emergency MedicineGainesvilleUSA

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