The article explores a comparison study on restraint related deaths (RRD) and excited delirium syndrome (ExDS) covering two time frames. The time frames used in the study were 1988-1995 and 2004-2011.
Excited delirium syndrome is defined as a condition that discerns itself with symptoms such as extreme agitation, hallucinations, violent and bizarre behaviour, insensitivity to pain and feats of great strength (Mental Health Daily). The study looks at the use of restraints on people while in this state and specifically the effects on those that presented signs of ExDS.
ln the years between 1988 and 1995 there was an almost equal number of deaths of people who suffered from psychiatric illness and drug induced persons who presented with ExDS …show more content…
Looking at the data it is clear that there was a considerable drop in the deaths of people exhibiting ExDS co-morbidly with psychiatric problems in the 2OO4-2O11 study. This drop is attributed to better education about ExDS to those most responsible for interactions with these people that had lead to those deaths, mainly police. (Canadian Police
Knowledge Network). Many Coroner 's inquests were held in causes of death during the time period 1988-1995 and recommendations were handed out and upheld by law enforcement and emergency services. More crisis intervention training and de-escalation techniques have been implemented as a result of Coroner 's inquests and this has resulted in fewer deaths of people with psychiatric illness who presented signs of ExDS (Alan Michaud, MD.) These coroner 's recommendations also resulted in less need for restraint use.
"Every year, there are more than 200 sudden and unexpected deaths following police restraint. Excited Delirium Syndrome (ExDS), a condition identified by medical experts, accounts for the majority of custody related deaths" (Canadian Police Knowledge Network). Although there was a drop in deaths related to psychiatric persons, the statistics still showed a growing number …show more content…
ln Ontario, changes have been made since 1995, for first responders to recognize the signs of symptoms of ExDS and recognize that death can result with restraint use.
First responders have implemented a policy which prohibits the placing of persons in the prone position if exhibiting ExDS (Alan Michaud, MD).
There is a further examination in the article about why there was little or no change in the death rate from those persons under the influence of drugs with ExDS. This rise of cases due to drug inducement has led to controversy about whether or not death would have occurred because of the pathophysiology of the effects of overdose drug use on the human body and whether the drugs alone would have caused the death with or without restraint use (Alan Michaud). Although this study does not draw any concrete conclusions, it does give insight into some facts as they relate to restraint use (Alan Michaud). These facts are as followed:
1. RRD has occurred in a small percentage of people without exhibiting signs of ExDS.
2. No clear conclusion can be made between whether restraint use was a contributing factor in person under the influence of drugs and exhibiting
Excited delirium syndrome is defined as a condition that discerns itself with symptoms such as extreme agitation, hallucinations, violent and bizarre behaviour, insensitivity to pain and feats of great strength (Mental Health Daily). The study looks at the use of restraints on people while in this state and specifically the effects on those that presented signs of ExDS.
ln the years between 1988 and 1995 there was an almost equal number of deaths of people who suffered from psychiatric illness and drug induced persons who presented with ExDS …show more content…
Looking at the data it is clear that there was a considerable drop in the deaths of people exhibiting ExDS co-morbidly with psychiatric problems in the 2OO4-2O11 study. This drop is attributed to better education about ExDS to those most responsible for interactions with these people that had lead to those deaths, mainly police. (Canadian Police
Knowledge Network). Many Coroner 's inquests were held in causes of death during the time period 1988-1995 and recommendations were handed out and upheld by law enforcement and emergency services. More crisis intervention training and de-escalation techniques have been implemented as a result of Coroner 's inquests and this has resulted in fewer deaths of people with psychiatric illness who presented signs of ExDS (Alan Michaud, MD.) These coroner 's recommendations also resulted in less need for restraint use.
"Every year, there are more than 200 sudden and unexpected deaths following police restraint. Excited Delirium Syndrome (ExDS), a condition identified by medical experts, accounts for the majority of custody related deaths" (Canadian Police Knowledge Network). Although there was a drop in deaths related to psychiatric persons, the statistics still showed a growing number …show more content…
ln Ontario, changes have been made since 1995, for first responders to recognize the signs of symptoms of ExDS and recognize that death can result with restraint use.
First responders have implemented a policy which prohibits the placing of persons in the prone position if exhibiting ExDS (Alan Michaud, MD).
There is a further examination in the article about why there was little or no change in the death rate from those persons under the influence of drugs with ExDS. This rise of cases due to drug inducement has led to controversy about whether or not death would have occurred because of the pathophysiology of the effects of overdose drug use on the human body and whether the drugs alone would have caused the death with or without restraint use (Alan Michaud). Although this study does not draw any concrete conclusions, it does give insight into some facts as they relate to restraint use (Alan Michaud). These facts are as followed:
1. RRD has occurred in a small percentage of people without exhibiting signs of ExDS.
2. No clear conclusion can be made between whether restraint use was a contributing factor in person under the influence of drugs and exhibiting