Excited Delirium: Symptoms, Risk Factors, and Observations

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11 Questions

Extreme emotions do not play a role in the development of excited delirium.

False

Excited delirium is only characterized by confusion and disorientation.

False

Excited delirium does not involve any physical symptoms.

False

Aggressive behavior is not a common symptom of excited delirium.

False

Excited delirium cannot lead to cardiac arrest or death.

False

Drug abuse is not mentioned as a potential cause of excited delirium.

False

Primary prevention strategies for excited delirium involve addressing substance abuse.

True

Education about drug risks is not a helpful approach in preventing excited delirium.

False

Prevention of excited delirium includes providing access to mental health resources.

True

Law enforcement responses should prioritize physical force over de-escalation techniques in excited delirium cases.

False

Increasing awareness among medical professionals can help improve response times for individuals experiencing excited delirium.

True

Study Notes

Excited Delirium

Excited delirium is a condition characterized by bizarre behavior, agitation, irritability, confusion, disorientation, psychosis, hallucinations, overheating, tachycardia, hypertension, hyperthermia, seizures, rhabdomyolysis, renal failure, arrhythmias, pulmonary edema, respiratory distress, cardiac arrest, and death. This condition has been observed after excessive alcohol consumption, drug abuse, epilepsy, mental illness, dementia, sleep deprivation, stroke, hypoglycemia, electrolyte imbalances, head trauma, high fever, physical exertion, extreme emotions, drowning, near-drowning, lightning strikes, electric shock, wilderness exposure, scuba diving accidents, and infections such as Lyme disease.

Symptoms of Excited Delirium

The symptoms of excited delirium can vary widely, but they often include:

  • Agitation and irrationality
  • Hyperactivity and aggressive behavior
  • Psychomotor agitation (involuntary body movements)
  • Disoriented thinking and perception
  • Tactile hallucinations (feeling bugs crawling under the skin)

Risk Factors for Excited Delirium

Several factors may increase the likelihood of developing excited delirium:

Mental Health Conditions

Mental health conditions like schizophrenia, bipolar disorder, depression, posttraumatic stress disorder, and other psychiatric diagnoses have been associated with higher rates of excited delirium.

Alcohol Consumption and Drug Abuse

Alcohol consumption and drug abuse, particularly cocaine, methamphetamines, heroin, MDMA, and ketamine, have also been linked to cases of excited delirium.

Environmental Stressors

Environmental stressors such as heat exhaustion, drowning, and suffocation have contributed to cases of excited delirium.

Physical Conditions and Age

Physical conditions like hypothermia, dehydration, hypoglycemia, hyponatremia, hypocalcaemia, and sepsis can trigger excited delirium. Age and severe physical illnesses also heighten the risk.

Learn about the symptoms, risk factors, and observations associated with excited delirium, a condition characterized by bizarre behavior, agitation, confusion, hallucinations, and potential fatal outcomes.

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