Friday, May 13, 2022

PAWSS

Q: 54 years old male with previous history of Delirium Tremens (DT) is admitted to ICU with unknown amount of alcohol ingestion. At what level of "PAWSS" score the chances of clinically significant alcohol withdrawal becomes significant? (select one)

A) ≥ 4 
B) ≥ 8


Answer: A

Prediction of Alcohol Withdrawal Severity Scale (PAWSS) is considered as one of the reliable screening tool to predict clinically significant alcohol withdrawal symptoms. After the first triage question, scale consists of 10 questions. At score of ≥4 the chances of moderate to severe withdrawal becomes imminent, and can be averted with prophylaxis.


#toxicology


Reference: 

Maldonado JR, Sher Y, Ashouri JF, Hills-Evans K, Swendsen H, Lolak S, Miller AC. The "Prediction of Alcohol Withdrawal Severity Scale" (PAWSS): systematic literature review and pilot study of a new scale for the prediction of complicated alcohol withdrawal syndrome. Alcohol. 2014 Jun;48(4):375-90. doi: 10.1016/j.alcohol.2014.01.004. Epub 2014 Feb 19. PMID: 24657098.

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