Excited Delirium and Agitated Chaotic Events: Recognizing, Responding, and Preventing Sudden, In-Custody Deaths

Excited Delirium and Agitated Chaotic Events: Recognizing, Responding, and Preventing Sudden, In-Custody Deaths
Duration: 60 Minutes
Module 1 Resources
Recorded on: 2018-12-12
Unit 1 Slide Deck: Excited Delirium and Agitated Chaotic Events
Unit 2 Recording: Excited Delirium and Agitated Chaotic Events
Unit 3 Workbook: Excited Delirium and Agitated Chaotic Events

Calls for service for law enforcement can get totally random and unexpected. There are slow days when it’s just the typical infractions and misdemeanors. Then there are those instances when law enforcement is faced with the most unexpected and precarious situations where their training and knowledge will be tested.

John G. Peters is the president, and chief learning officer of the Henderson, Nevada-based Institute for the Prevention of In-Custody Deaths, Inc. He’s had a prolific career in law enforcement and conducting law enforcement training across the globe since 1979. He is a specialist in police liability, corrections liability, campus law enforcement, and served as an expert witness who testified in international, federal, and state courts on cases related to sudden deaths and excited delirium.

On today’s course, John focuses on the concept of excited delirium and agitated chaotic events, uncovering the characteristics of each phenomenon and responding to them. Topics he discussed during the webinar include:

  • The importance of understanding the concepts of use of force, medical care and the Americans with Disabilities Act when talking about excited delirium and agitated chaotic events.
  • Distinguishing arrest-related death from in-custody death.
  • Understanding the scope and limitations of the term disability and the American Disabilities Act.
  • What delirium means, what happens in one, and the four primary causes of excited delirium
  • A brief history of the usage of the term excited delirium that goes as far back as 1798.
  • The definition and distinguishing characteristics of excited delirium.
  • Pre-disposing factors that could lead to excited delirium.
  • Physical symptoms that characterize excited delirium.
  • Behavioral cues that may serve as red flags to excited delirium.
  • The concept of agitated chaotic events and how the term is used to describe potential excited delirium cases.
  • Best practices expected to be incorporated in training to handle excited delirium and agitated chaotic events.
  • The importance of detailed reports and the critical skill of report writing in excited delirium and agitated chaotic events cases to paint a picture of what actually transpired.
  • Understanding the difference between transition and de-escalate, and force options and force standards.
  • Some of the topics raised during the Q&A segment are on:
    • Stats on in-custody deaths.
    • Special considerations when transporting those exhibiting excited delirium.
    • How excited delirium is classified by health professionals.
    • Excited delirium and positional asphyxia.
    • Use of vascular neck restraint to control an excited delirium subject.
    • Dealing with people with disabilities and other special considerations in possible arrests.
    • Including force options in reports.
Additional Resources
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