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Small children have low glycogen stores and utilize available glucose rapidly, making them prone to hypoglycaemia. BSL should be monitored regularly, and fluids should contain dextrose. Any child with a low GCS or seizure should have a BSL measured, and glucose administered (5ml/kg 10% dextrose), if found to be low.
It is important to take the age and developmental level of the child into account when assessing neurological status. There is a modified GCS for small children, however as much information can be gained from a single AVPU scale.
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