This episode covers an approach to children with altered level of consciousness. We present an approach to the initial management in these cases, with a focus on the ABC and DFG approach. Investigations and imaging are discussed. Some specific causes of altered LOC are covered. This episode was written by Peter MacPherson and Dr. Melanie Lewis. Peter is a medical student at the University of Alberta. Dr. Lewis is a general pediatrician and an Associate Professor of Pediatrics at the University of Alberta and Stollery Children's Hospital. She is also the Clerkship Director.