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GMAWS: A New Alcohol Withdrawal Scale

Published on Nov 18, 2015

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PRESENTATION OUTLINE

1.

GMAWS

GLASGOW MODIFIED ALCOHOL WITHDRAWAL SCALE
Photo by Kuba Bożanowski
2.

ALCOHOLISM

  • Under-identified
  • Prevalent
  • Relevant even for non-related visits
  • ie: surgery, falls, strokes
3.

WITHDRAWAL

  • Under-treated
  • PREDICTABLE
  • is a contiuum
4.

OUTCOMES

  • seizures
  • increased length of stay
  • delerium tremens can be fatal
  • increased inpt and outpt resources utilization
5.

PREDICTION

  • "Gestalt" doesn't work
  • CAGE is inappropriate for inpt
  • Standardize to FAST AUDIT
6.

TREATMENT

  • should be standardized
  • Ad hoc increases morbidity
  • Should be simple
  • Choose a SPECIALIZED tool
7.

CIWA-AR

  • Clinical Institute Withdrawal Scale
  • A research tool from 1970
  • CUMBERSOME
  • "Standard practice"
  • ie: because we're too lazy to change
8.

GMAWS

  • Glasgow Modified Withdrawal Scale
  • A rational, real world response to CIWA
  • Validated to be equivalent
  • Faster
  • Easier

James Truong