Alcohol Withdrawal Monitoring Cushman Score Calculator

Sensory disorders

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Definition of Alcohol Withdrawal Monitoring Cushman Score

The Cushman score is an alcohol withdrawal monitoring score. To prevent delirium tremens, the patient is treated with benzodiazepines if the Cushman score is high.

The use of the Cushman grid falls directly within the framework of risk reduction:

• it quickly measures the severity of the withdrawal signs and allows the dosage to be adapted as closely as possible to the clinical signs.

• it ensures maximum comfort for the patient by avoiding overdoses while providing effective neuroprotection.

Alcohol withdrawal is a difficult phase for the patient. A sudden stop can lead to more or less severe symptoms that can go as far as death. These symptoms reach a peak between 24 and 48 hours, after three days, the worst is considered to be over.

Weaning induces:

• release of excitatory neurotransmission (NDMA system, glutamate)

• massive opening of postsynaptic calcium channels and neuronal death by intracellular hypercalcemia

For what pain? Pain justifying the administration of an opioid.

Interpretation of the result: Alcohol Withdrawal Monitoring Cushman Score

A score below 7 indicates a controlled clinical state. A score between 7 and 14 indicates a moderate clinical state, but whose evolution is uncertain. A score above 14 indicates severe withdrawal.

The hospitalization decision can only be based on this score, but on the whole of the clinic and the biology.

The score is not valid for an age below 18 years.