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psychiatry emergency

Glasgow Modified Alcohol Withdrawal Scale (GMAWS)

Validated 5-item scale for monitoring alcohol withdrawal severity. Developed at Glasgow Royal Infirmary. Simpler than CIWA-Ar and validated in UK acute settings. Score ≥2 = consider benzodiazepines.

Score interpretation

Mild 0–1

GMAWS 0–1 — mild or minimal withdrawal

→ Monitor, oral thiamine, oral fluid replacement; reassess hourly; PRN benzodiazepine only if symptomatic

Moderate 2–4

GMAWS 2–4 — moderate withdrawal

→ Administer benzodiazepine (diazepam or lorazepam per local protocol); thiamine supplementation; monitor 1-hourly; admit for observation

Severe 5–13

GMAWS ≥5 — severe withdrawal

→ Urgent medical review; IV diazepam titrated to effect; IV thiamine (Pabrinex); hourly observations; consider ITU/HDU; seizure management protocol

Interpretation bands for the GMAWS. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.