ASAM Pocket Guidelines and Patient Guide

Alcohol Withdrawal Management

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44 Alcohol Withdrawal Scales Abbreviation Scale Name Brief Description Primary Use LARS Luebeck Alcohol- Withdrawal Risk Scale 11 items 10 items Risk of severe withdrawal MINDS Minnesota Detoxification Scale 9 items Symptom Severity PAWSS Prediction of Alcohol Withdrawal Severity Scale 10 items Risk of severe withdrawal RASS Richmond Agitation-Sedation Scale One item. Scored on a continuum with +4 (combative), 0 (alert and calm), and -5 (unarousable) Sedation and agitation SAWS Short Alcohol Withdrawal Scale 10-items Scored 0–3 Designed to be self- administered Withdrawal severity SEWS Severity of Ethanol Withdrawal Scale 7 items Scored 0–3 Withdrawal severity SHOT Sweating, Hallucinations, Orientation, and Tremor 4-items Range 0–10 Withdrawal severity WAS Withdrawal Assessment Scale 18 Items Based on CIWA Withdrawal severity Flowcharts

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