EMS delirium checklist — Emergency medical services rapid delirium checklist
2013A 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.
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
- 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.