Brief Alcohol Withdrawal Scale (BAWS)Loading...TremorNo tremor0Not visible, but can be felt+1Moderate, with arms extended+2At rest, without arms extended+3DiaphoresisNo Sweats0Mild, barely visible+1Beads of sweat+2Drenching sweats+3AgitationAlert and calm, (RASS = 0)0Restless, anxious, apprehensive, movements not aggressive, (RASS = 1)+1Agitated, frequent non-purposeful movement (RASS = 2)+2Very agitated or combative, violent (RASS = 3 or 4)+3ConfusionOriented to person, place, time0Disoriented to time or place, but not both+1Disoriented to time and place+2Disoriented to person+3HallucinationsNone0Mild (vague report, reality testing intact)+1Moderate (more defined hallucinations)+2Severe (obviously responding to internal stimuli, poor reality testing)+3使用適応洞察と注意事項