Excited Delirium

Question 1

Definition

Answer 1

A state of mental and physiological excitement,
characterized by extreme agitation, hostility, exceptional
strength and endurance without apparent fatigue.
Formerly referred to as “excited delirium.”

Question 2

Causes

Answer 2

This condition is often associated with stimulant drug
use and mental health disorders such as schizophrenia.
A similar presentation may occur in cases of
hypoglycemia, head trauma, metabolic disorders.

Question 3

Presentation

Answer 3

-Bizarre, erratic, combative, uncooperative behavior
-Tachycardia, hypertension, hyperthermia
-Stripping off of clothing, or no clothing
-Paranoia, hallucinations, or panic
-Shouting or unintelligible noises

Question 4

Care/Triage

Answer 4

-Suspected acute behavioral disturbance is an ALS
response
-Care and disposition of these patients is informed by
primary and secondary exam as well as glucose and
pulse oximetry whenever possible.

Question 5

Concerns

Answer 5

The primary concern regarding these patients is the liklihood of harm to themselves or others by uncontrolled erratic behavior, as well as the physiological strain/stress from a severely agitated state. Unrecognized cases have led to in-custody deaths