| Excited Delirium Syndrome (ExDS): Defining Based on a Review of the Literature. | |
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MedLine Citation:
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PMID: 21440403 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. A certain 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. |
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Authors:
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Gary M Vilke; Mark L Debard; Theodore C Chan; Jeffrey D Ho; Donald M Dawes; Christine Hall; Michael D Curtis; Melissa Wysong Costello; Deborah C Mash; Stewart R Coffman; Mary Jo McMullen; Jeffery C Metzger; James R Roberts; Matthew D Sztajnkrcer; Sean O Henderson; Jason Adler; Fabrice Czarnecki; Joseph Heck; William P Bozeman |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-24 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: - ISSN: 0736-4679 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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University of California at San Diego Medical Center, San Diego, California. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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