excited delirium & positional asphyxia

Definition of Excited Delirium & Positional Asphyxia

A state of extreme mental and physiological excitement, characterized by extreme agitation, hyperthermia, hostility, exceptional strength and endurance without apparent fatigue

What are the indicators(know a few)

• Extremely aggressive or violent behaviour

• Constant or near constant physical activity

• Does not respond to Police presence

• Attracted to/destructive of glass/reflective objects

• Naked/inadequately clothed

• Attempted "self-cooling" or hot to touch

• Rapid breathing

• Profuse sweating

• Keening (unintelligible animal-like noises)

• Insensitive to/extremely tolerant of pain
  Excessive strength (out of proportion)

• Does not tire despite heavy exertion.

True or false Excited delirium is a "medical emergency"

True

True or false There can be no medical treatment without restraint

True

True or false you don’t have to get control of the subject

False you need to get control

True or false Remove subject from the prone position as soon as possible after control is established

True

Do you need to inform EMS of circumstances

Yes Inform EMS of circumstances

What are some steps you should take?

Identify

• Observe, record, and communicate the indicators, handle as a medical emergency

Control

• Control subject as soon as possible to reduce risks

• Utilize pre-contact strategies where possible

Sedate

• Administer sedation as soon as possible & consider calming measures

Transport

• Take to hospital ASAP for full medical assessment and/or treatment

Is it necessary or not necessary to tie a half hitch when restraining someone

It is necessary

True or false A subject experiencing excited Excited delirium will comply with pain compliance techniques

False

A subject experiencing excited delirium will Usually not Display an increase of physical strength

False