Altered Sensorium

Decision tree

AEIOU-TIPS / structured DDx for reduced GCS.

Step 1

Airway, breathing, circulation OK?

Red flags

  • • Pinpoint pupils + bradypnoea = opioid
  • • Neck stiffness + fever = meningitis
  • • Fluctuating GCS post head injury

Educational support only — not a substitute for clinical judgment or institutional protocols.

WardRound

WardRound

Clinical Decisions in Seconds