4AT score ☺️ Flashcards
1
Q
What are the 4 steps
A
Alertness
AMT4
Acute change
Attention
2
Q
How would you assess and score alertness
A
Alert, responds to commands 0
Woken up from sleep, initially drowsy but then alert 0
Clearly abnormal 4
3
Q
How would you do the AMT4
A
PADY
No mistakes 0
1 mistake 1
2+ mistakes, untestable 2
4
Q
How would you assess attention
A
Months of the year backwards
7+ correct 0
Less than 7 correct, refuses to start 1
Untestable 2
5
Q
How would you test acute change
A
Evidence of significant change/fluctuations in alertness, cognition over last 2 weeks
Still evident in last 24 hours
Yes 4
No 0
6
Q
How would you interpret the score
A
0 delirium unlikely
1-3 cognitive impairment possible
4+ delirium possible with cognitive impairment
