MDCalc

Confusion Assessment Method for the ICU (CAM-ICU)

Establishes ability to detect delirium in high risk settings.

Level of Consciousness

RASS ≥ -3
Or other scoring system shows sufficient level of consciousness

Result:

Please fill out required fields.
Management
  • When applied, the CAM-ICU will provide a qualitative result of “delirium present” or “delirium absent”.
  • Patients identified as suffering from delirium will be investigated and managed accordingly.
  • The CAM-ICU should continue to be used daily even in patients that are delirious in order to monitor for resolution of the condition.
Critical Actions
  • The management of delirium is an extensive topic that is beyond the scope of this discussion.
  • Screen all ICU patients daily for delirium using a validated clinical tool such as the CAM-ICU.
  • The screening is best performed by individuals trained in the proper usage of this method such as ICU nurses.