EXCITED DELIRIUM SYNDROME (EXDS): DEFINING BASED ON A REVIEW OF THE LITERATURE

Title

EXCITED DELIRIUM SYNDROME (EXDS): DEFINING BASED ON A REVIEW OF THE LITERATURE

Creator

Vilke G M; DeBard M L; Chan T C; Ho J D; Dawes D M; Hall C; Curtis M D; Costello M W; Mash D C; Coffman S R; McMullen M J; Metzger J C; Roberts J R; Sztajnkrcer M D; Henderson S O; Adler J; Czarnecki F; Heck J; Bozeman W P

Publisher

Journal of Emergency Medicine

Date

2012
2012-11

Description

Background: Patients present to police, Emergency Medical Services, and the emergency department with aggressive behavior, altered sensorium, and a host of other signs that may include hyperthermia, "superhuman'' strength, diaphoresis, and lack of willingness to yield to overwhelming force. Acertain percentage of these individuals will go on to expire from a sudden cardiac arrest and death, despite optimal therapy. Traditionally, the forensic community would often classify these as "Excited Delirium'' deaths. Objectives: This article will review selected examples of the literature on this topic to determine if it is definable as a discrete medical entity, has a recognizable history, epidemiology, clinical presentation, pathophysiology, and treatment recommendations. Discussion: Excited delirium syndrome is characterized by delirium, agitation, acidosis, and hyperadrenergic autonomic dysfunction, typically in the setting of acute-on-chronic drug abuse or serious mental illness or a combination of both. Conclusions: Based upon available evidence, it is the consensus of an American College of Emergency Physicians Task Force that Excited Delirium Syndrome is a real syndrome with uncertain, likely multiple, etiologies. (C) 2012 Elsevier Inc.

Subject

acidosis; agitated delirium; cardiac-arrest; cocaine users; custody; Emergency Medicine; excited delirium; in-custody death; intoxication; patient; psychosis; restraint; sudden death; sudden death; TASER

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

897-905

Issue

5

Volume

43

Citation

Vilke G M; DeBard M L; Chan T C; Ho J D; Dawes D M; Hall C; Curtis M D; Costello M W; Mash D C; Coffman S R; McMullen M J; Metzger J C; Roberts J R; Sztajnkrcer M D; Henderson S O; Adler J; Czarnecki F; Heck J; Bozeman W P, “EXCITED DELIRIUM SYNDROME (EXDS): DEFINING BASED ON A REVIEW OF THE LITERATURE,” NEOMED Bibliography Database, accessed March 4, 2021, https://neomed.omeka.net/items/show/7408.

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