Excited delirium syndrome. (2nd March 2022)

• Record Type: Journal Article
• Authors: Sengstock, Brian; Curtis, Janet
• Is Part Of: Journal of paramedic practice. Volume 14:Number 3(2022)
• Page Start: 105
• Page End: 111
• Publication Date: 2022-03-02
• Subjects: Excited delirium syndrome -- Violent behaviour -- Extreme agitation -- Acute drug use -- Restraint -- Dual response; Emergency medicine -- Periodicals; Emergency medical technicians -- Periodicals; 616.025
• DOI: 10.12968/jpar.2022.14.3.105
• Languages: English
• ISSNs: 1759-1376

Abstract

Abstract : Excited delirium syndrome involves extreme agitation and aggression in a patient with an altered mental status; around one in ten cases ends in cardiac arrest. It has two main triggers: acute drug use and psychiatric illness. Patients display violent behaviour, increased pain tolerance and great strength; they pose significant risks to themselves and those around them. Maintaining safety on scene is paramount, which can be supported by a dual response by paramedics and law enforcement officers, and the patient is likely to need restraining or sedation. Treatment is non-specific and involves managing symptoms and complications such as hyperthermia, acidosis and rhabdomyolysis.