ToolsCalculators
Glasgow Modified Alcohol Withdrawal Scale (GMAWS)
Glasgow Modified Alcohol Withdrawal Scale (GMAWS)
Tremor
Sweating
Hallucinations
Orientation
Agitation
Result0 points
Alcohol withdrawal severity (range 0-10). No diazepam; repeat score in 2 hours.
- Suggested action
- No diazepam; repeat score in 2 hours.
When to use
- Symptom-triggered assessment and benzodiazepine dosing in acute alcohol withdrawal.
Formula
Five items (tremor, sweating, hallucinations, orientation, agitation), each 0-2. Total 0-10. 0: reassess in 2 h; 1-3: diazepam 10 mg; 4-8: diazepam 20 mg; 9-10: diazepam 20 mg plus medical review.
Pearls and pitfalls
- Do not score an intoxicated patient; use only once at least 8 hours have passed since the last drink.