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Updated: Jun 14, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
How to ensure patient observations lead to effective management of altered consciousness
1Manor Hospital, Walsall.
Abstract:
Altered level of consciousness is common in critically ill patients and is associated with potentially life threatening airway compromise. As problems with airway, breathing or circulation can lead to an altered level of consciousness, the initial priorities are to ensure a clear airway, and that breathing and circulation are adequate. This article aims to outline the management of altered level of consciousness.
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