Akute Bewusstseinsstörung im Kindesalter

Kernaussagen

• An erster Stelle bei der Versorgung von Kindern und Jugendlichen mit einer Bewusstseinsstörung stehen die ABC-Richtlinien.

• Die häufigsten Krankheitsbilder sind Infektionen, Intoxikationen, epileptische Anfälle und Stoffwechselentgleisungen, bei Letzteren v. a. diabetische Ketoazidose und Hypoglykämie.

• Der Quantifizierung der Bewusstseinsstörung dient die Glasgow Coma Scale oder alternativ die AVPU-Skala.

• Wichtige anamnestische Daten und ein Kurzbefund (meningitische Zeichen, Asymmetrien der Motorik und/oder Pupillen, Hirndruckzeichen, Körpertemperatur) vervollständigen die Notfalldiagnostik.

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