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Editorial
ACMT Position Statement: End the Use of the Term "Excited Delirium"
Journal of medical toxicology, v 19(3), pp 310-312
Jul 2023
PMID: 37349654
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The position of the American College of Medical Toxicology (ACMT) is as follows: Medical toxicologists are experts in clinical pharmacology and the management of critically ill undifferentiated patients who may be intoxicated with psychoactive substances. We also have expertise in the selection and interpretation of drug testing in the medicolegal death investigation. The term “excited delirium” was first used to describe agitated patients with cocaine toxicity and later as a cause of death in hyperactive individuals where autopsy failed to identify a more specific lethal medical or traumatic cause. Because the term “excited delirium” is used in multiple distinct contexts with various underlying causes, and has become associated with racism, it is time to discontinue the use of this term. The term “hyperactive delirium with agitation” more accurately describes the undifferentiated presentation of patients with disorientation who appear aggressive or have vital signs suggestive of excessive adrenergic activity. When possible, the underlying cause of death should be listed on the death certificate.
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Details
- Title
- ACMT Position Statement: End the Use of the Term "Excited Delirium"
- Creators
- Andrew I Stolbach - Johns Hopkins UniversityPaul I Dargan - Guy's and St Thomas' NHS Foundation TrustHoward A Greller - University Hospital, NewarkRichard J Hamilton - Drexel UniversityKelly Johnson-Arbor - MedStar Georgetown University HospitalBrian Patrick Murray - Wright State UniversityDaniel Ovakim - University of British ColumbiaLaura Tormoehlen - Indiana University – Purdue University IndianapolisLewis S Nelson - University Hospital, Newark
- Publication Details
- Journal of medical toxicology, v 19(3), pp 310-312
- Publisher
- Springer Nature
- Number of pages
- 3
- Resource Type
- Editorial
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001011877100001
- Scopus ID
- 2-s2.0-85163144310
- Other Identifier
- 991020627813504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Toxicology