Journal article
Excited Delirium Syndrome (ExDS): Defining Based on a Review of the Literature
The Journal of emergency medicine, v 43(5), pp 897-905
Nov 2012
PMID: 21440403
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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.
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.
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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Details
- Title
- Excited Delirium Syndrome (ExDS): Defining Based on a Review of the Literature
- Creators
- Gary M. Vilke - University of California, San DiegoMark L. DeBard - The Ohio State UniversityTheodore C. Chan - University of California, San DiegoJeffrey D. Ho - Hennepin County Medical CenterDonald M. Dawes - University of Louisville HospitalChristine Hall - University of British ColumbiaMichael D. Curtis - St Michael’s HospitalMelissa Wysong Costello - University of South AlabamaDeborah C. Mash - University of Miami*Stewart R. Coffman - The University of Texas at AustinMary Jo McMullen - Ohio UniversityJeffery C. Metzger - The University of Texas at DallasJames R. Roberts - Drexel UniversityMatthew D. Sztajnkrcer - Mayo School of Medicine, Rochester, MinnesotaSean O. Henderson - University of Southern CaliforniaJason Adler - University of Maryland, BaltimoreFabrice Czarnecki - St. Joseph's Medical CenterJoseph Heck - Touro University NevadaWilliam P. Bozeman - Wake Forest University
- Publication Details
- The Journal of emergency medicine, v 43(5), pp 897-905
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Emergency Medicine
- Web of Science ID
- WOS:000311034400048
- Scopus ID
- 2-s2.0-84869090430
- Other Identifier
- 991019168905704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Emergency Medicine