Psychological
-- Psychogenic death
Pharmacological
-- Chronic stimulant abuse -- stimulants include: cocaine, methamphetamine, PCP, and combinations
-- Cocaine excited delirum syndrome
-- Excited delirium syndome (e.g. stimulants, neuroleptic medications, organic brain disease)
-- Neuroleptic malignant syndrome
Physiological
-- Various types of asphyxia
-- Metabolic acidosis
-- Cardiomyopathy
-- Catecholamine damage
-- Environmental
For more information about these subjects please refer to the Institute's workbooks and training materials.
New outlook on excited delirium events
It is the philosophy and teaching of the IPICD, as well as the philosophy of leading medical professionals who are knowledgeable in excited delirium behaviors and causes that individuals who are experiencing excited delirium should many times be viewed as being in a "medical crisis" rather than a criminal apprehension, too further support this philosophy Dr. Michael Curtis has developed the following mnemonic: "NOT A CRIME." Dr. Curtis has licenced the IPICD to share this with you:
• Naked = stripping off clothing and sweating profusely
• Objects = recall violence against objects, especially glass, shiny objects
• Tough = the person is very strong, unstoppable, seemingly endless endurance, and a diminished pain or insensitivity to pain
• Acute onset = You are told the person “just snapped”
• Confused = The person is unsure who (s)he is, where (s)he is located, why (s)he is there, and lacks perception
• Resistant = The person cannot or refuses to follow commands to stop
his or her behavior.
• Incoherent speech = The person is shouting; bizarre content
• Mental health issues or Makes you feel uncomfortable
• Early EMS request, back-up request, and supervisor request. |
