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EMS delirium checklist — Emergency medical services rapid delirium checklist

2013

A four-feature prehospital checklist for delirium signs observed by emergency medical services staff. The evaluation used a trained investigator's CAM-ICU assessment as the comparator rather than an independent expert DSM diagnosis.

Screening / case-findingUltra-brief bedside screenOne DTA study identifiedCore instrument family

What this tool is and how to interpret its evidence

Published in 2013, EMS delirium checklist is described here as screening / case-finding, ultra-brief bedside screen for adults aged 65 years or older transported by emergency medical services. The linked study examined it in Prehospital / emergency medical services, Emergency department. The recorded form contains 4 scored items or observations. The reported administration time is rapid EMS observation; exact completion time not reported in the abstract. The catalogue records the published scoring or threshold information as Positive if any of four features is present.

The linked source is Frisch A and colleagues, Diagnostic accuracy of a rapid checklist to identify delirium in older patients transported by EMS in Prehospital emergency care (2013); this catalogue treats it as original diagnostic-accuracy evaluation against trained-investigator CAM-ICU, not independent expert DSM diagnosis. For EMS delirium checklist, the evidence stage is one eligible diagnostic-accuracy study. The reconciled DTA dataset associates 1 eligible study with EMS delirium checklist.

Recorded limitations include moderate sensitivity and specificity; EMS observations were compared with CAM-ICU rather than an independent expert DSM assessment. The EMS delirium checklist case-finding role should be kept separate from a full clinical diagnosis and investigation of underlying causes. For EMS delirium checklist, no verified public instrument form is recorded; the source article documents the tool but is not a substitute administration form.

Evidence and practical details

63%
Sensitivity*
74%
Specificity*
n=259 patient/EMS dyads, including 24 delirium cases
Sample
Full name
Emergency medical services rapid delirium checklist
Also known as
rapid delirium checklist, EMS delirium checklist
Catalogue class
Core instrument family
Record type
core-family
Family
ems-rapid-delirium-checklist
Purpose
Screening / case-finding, Ultra-brief bedside screen
Population
Adult
Setting
Prehospital / emergency medical services, Emergency department
Items
4
Administration
rapid EMS observation; exact completion time not reported in the abstract
Evidence
One DTA study identified
Evidence maturity
single-comparative-study
Evidence stage
diagnostic-accuracy-single-study
DTA studies identified
1
Current audit status
provisional DTA identified
Reference type
Original diagnostic-accuracy evaluation against trained-investigator CAM-ICU, not independent expert DSM diagnosis
Reference standard
CAM-ICU administered by a trained investigator
Validation sample
n = 259 patient/EMS dyads, including 24 delirium cases
Cut-off / scoring
Positive if any of four features is present
Limitations
Moderate sensitivity and specificity; EMS observations were compared with CAM-ICU rather than an independent expert DSM assessment
Original/source citation
Frisch A, Miller T, Haag A, Martin-Gill C, Guyette FX, Suffoletto BP Diagnostic accuracy of a rapid checklist to identify delirium in older patients transported by EMS Prehospital emergency care. 2013;17(2):230-4. PMID 23281619

Format and clearly labelled links

A four-feature prehospital checklist covering acute change or fluctuation, inattention, disorganised thinking and altered level of consciousness assessed with RASS. The study treated any reported feature as positive. Use the source for the exact feature definitions; no separate public clinical form has been verified.

Rights, version and permission record

Instrument access state
No verified public instrument form
Instrument host
No verified instrument host
Current instrument/version note
No version verified
Rights holder
Not yet verified
Licence / rights basis
No licence verified
Rights checked
2026-07-19
Rights-holder contact
Not yet verified

Permission scope recorded at the last check

  • Clinical use: Not verified; obtain the current authorised instrument and follow its terms.
  • Research use: Not verified; check with the developer or rights holder.
  • Web republication: Not verified; do not reproduce the form or item wording.
  • Translation/adaptation: Not verified; written permission may be required.
  • EHR/software integration: Not verified; check before implementation.
  • Commercial use: Not verified; check before use.

Site-text licence boundary: the CC BY 4.0 notice for original deliriumtools.com editorial text does not cover third-party instruments, item wording, forms, article text, logos, screenshots or linked material.

Page record and review status

Page version
3.1.0
Last factual/source check
2026-07-19
Last rights/link check
2026-07-19
Curator and responsible editor
Professor Alasdair M J MacLullich — Curator factual and source review complete (not an independent external reviewer)
Independent external clinical review
Not yet completed. No independent external reviewer, consortium endorsement or institutional endorsement is claimed.

Corrections and rights-holder notices can be submitted through the contribute and corrections page.

* Where shown, sensitivity/specificity are from the cited evaluation and are not pooled estimates. “DTA studies identified” describes the current audit, not a completed systematic-review count. Citation metadata checked against PubMed or a publisher record does not imply validation, study quality, endorsement or suitability for a setting. See Methodology.