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Version August 2025
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Delirium Triage Screen
Delirium Triage Screen
RASS: Richmond Agitation Sedation Scale; DTS: Delirium Triage Screen; bCAM: Brief Confusion Assessment Method; ED: emergency department.
Reproduced with permission from: Dr. Jin H. Han, Vanderbilt University School of Medicine. Copyright © 2012. Previously published in: Han JH, Wilson A, Vasilevskis EE, et al. Diagnosing Delirium in Older Emergency Department Patients: Validity and Reliability of the Delirium Triage Screen and the Brief Confusion Assessment Method. Ann Emerg Med 2013; 62:457.
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