Excited delirium syndrome cause of death and prevention

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Over the past decade, the excited delirium syndrome ExDS has raised continued controversy regarding the cause and manner of death of some highly agitated persons held in police custody, restrained or incapacitated by electrical devices. At autopsy, medical examiners have difficulty in identifying an anatomic cause of death, but frequently cite psychostimulant intoxication as a contributing factor. The characteristic symptoms of ExDS include bizarre and aggressive behavior, shouting, paranoia, panic, violence toward others, unexpected physical strength, and hyperthermia. Throughout the United States and Canada, these cases are most frequently associated with cocaine, methamphetamine, and designer cathinone abuse. Acute exhaustive mania and sudden death presents with behavioral symptoms that are identical to what is described for ExDS in psychostimulant abusers.

During a routine investigation, a suspect turns hostile. The officers on the scene spring into action and get the suspect under control by handcuffing him. Though the suspect has been successfully subdued he dies shortly thereafter A psychiatric patient suddenly becomes violent. The hospital staff struggles to control the patient. Read more Read less. No customer reviews.

Clinical Scenario You are working a shift in an Emergency Department ED , and you receive a call from prehospital providers requesting advice in management of a violent and incoherent patient with strength far in excess of expected for his size.
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