Pathophysiologic changes due to TASER® devices versus excited delirium: Potential relevance to deaths-in-custody?

Jauchem, James R.

doi:10.1016/j.jflm.2011.01.014

Cited by 21 publications

(26 citation statements)

References 128 publications

(120 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,4 Although none of these conditions invariably develops into a lethal state, some have suggested that a ''perfect storm'' may exist in fatal circumstances involving underlying medical conditions, severe acidosis and other toxic and metabolic abnormalities, a severe hyperactive stress response, and a restriction of normal compensatory mechanisms during a restraint position. 7 The frequent use of conducted energy weapons in these cases has also been investigated for its contribution to the metabolic abnormalities and potential lethality. 7 To our knowledge, the only other reported case of survival after ExDS-related cardiopulmonary arrest occurred in an ED.…”

Section: Discussionmentioning

confidence: 99%

“…7 The frequent use of conducted energy weapons in these cases has also been investigated for its contribution to the metabolic abnormalities and potential lethality. 7 To our knowledge, the only other reported case of survival after ExDS-related cardiopulmonary arrest occurred in an ED. 8 As in the case we report, this involved a patient with severe acidosis who responded shortly after intravenous sodium bicarbonate administration.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prehospital resuscitation of a man with excited delirium and cardiopulmonary arrest

Maher

Walsh²,

Burns³

et al. 2014

CJEM

View full text Add to dashboard Cite

Features consistent with the syndrome known as excited delirium (ExDS) have been associated with law enforcement restraint-related death. The pathophysiology and exact causative factors of restraint-related death associated with ExDS remain unclear. We present a case of successful field resuscitation of a man with ExDS who experienced cardiopulmonary arrest while being restrained by law enforcement officers. Despite the presence of a severe lactic acidosis on emergency department admission, the patient recovered following prehospital treatment with advanced cardiac life support measures and intravenous sodium bicarbonate, likely in part due to early recognition of the disease process. RÉ SUMÉLes manifestations cadrant avec le syndrome appelé dé lire actif (DA) sont associé es à des dé cè s attribuables à l'application de moyens de contrainte par les forces policiè res. On ne connaît pas trè s bien la physiopathologie et les facteurs causaux exacts de la mort associé e à l'application de ces moyens dans le contexte du DA. Il sera ici question d'un cas de ré animation, ré alisé e sur place et couronné e de succè s, d'un homme en é tat de dé lire actif, qui a subi un arrê t cardiorespiratoire pendant qu'il é tait maîtrisé par les policiers. Malgré la pré sence d'une forte acidose lactique à l'arrivé e au service des urgences, le patient a é té ré animé à la suite d'un traitement pré hospitalier comportant des moyens é nergiques de maintien des fonctions vitales et l'administration de bicarbonate de sodium par voie intraveineuse; l'intervention a probablement ré ussi grâ ce en partie à la reconnaissance pré coce du processus morbide.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prehospital resuscitation of a man with excited delirium and cardiopulmonary arrest

Maher

Walsh²,

Burns³

et al. 2014

CJEM

View full text Add to dashboard Cite

show abstract

“…Drug toxicity or postural hypoxia or anoxia has been appropriately suggested as contributing to death in many of these individuals. The presence of increased body temperature is said to be an important differentiator of excited delirium from other causes of death 48 ; however, "the exact signs and symptoms [of excited delirium] are difficult to define precisely,…" 49 thus hampering an accurate diagnosis. It is possible that excited delirium is a form of takotsubo syndrome, 50,51 which might be a cause of some in-custody deaths.…”

Section: Excited Deliriummentioning

confidence: 99%

TASER Electronic Control Devices Can Cause Cardiac Arrest in Humans

Zipes

2014

Circulation

View full text Add to dashboard Cite

“…recently published in the Journal of Forensic and Legal Medicine. 1 In his introduction, the author comments that "four components are usually considered to be necessary for a definition of the excited delirium syndrome: a) delirium with agitation, b) respiratory arrest, c) hyperthermia, and d) death". He later goes on to comment that "Excited delirium can be considered a heterogeneous condition, with multiple variant types that could differ in both presentation and clinical course".…”

Section: Dear Editormentioning

confidence: 99%