MM

Carotid Neck Restraint and Excited Delirium Notes

Carotid Neck Restraint

  • How it works:

    • Pressure is applied across the arteries.

    • Global blood supply is suppressed.

    • Tissues are deprived of oxygen.

    • Unconsciousness occurs.

  • Mechanism:

    • Oxygen is carried by the blood.

    • Red blood cells are important to transport oxygen.

  • When to apply the carotid neck restraint:

    • To establish control of an assaulted subject.

    • When an officer perceives other use of force options as inappropriate.

    • When lethal force is not required.

  • Reasons to avoid the arm bar choke hold:

    • Can cause damage to the trachea, hyoid, and thyroid, leading to death.

    • Can cause pain, involuntary resistance, and swelling.

    • Causes strangulation.

    • Not as effective at rendering a subject unconscious.

  • Time to unconsciousness (average person):

    • 5-15 seconds.

  • Time to regain consciousness (average person):

    • 20-30 minutes.

  • Alcohol and unconsciousness:

    • Alcohol can shorten the time it takes to be rendered unconscious by the carotid neck restraint. (True)

  • Must a person be rendered unconscious once the carotid neck restraint is applied?

    • False.

  • Steps after subject is rendered unconscious:

    • Apply back.

    • Notify.

  • Age restriction for carotid neck restraint:

    • Can be applied to a person over the age of 60 or under the age of 14.

Excited Delirium

  • Compliance with pain-compliant techniques:

    • A subject experiencing excited delirium will usually NOT comply with pain-compliant techniques.

  • Physical strength:

    • A subject experiencing excited delirium will usually display increased physical strength.

  • Excited delirium as a medical emergency:

    • Excited delirium IS a medical emergency.

  • Treatment without restraint:

    • There can be NO treatment without restraint. (True)

  • Uses of the modified or restrained strap include securing the:

    • Ankles

    • Knees

    • Arms

    • All of the above.

  • Behavior of subjects experiencing excited delirium:

    • Actions are bizarre, illogical, and possibly violent.