Excited Delirium
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Excited Delirium
Excited delirium (ExDS), also known as agitated delirium (AgDS), is a controversial diagnosis sometimes characterized as a potentially fatal state of extreme agitation and delirium. It is typically diagnosed postmortem in young adult males, disproportionally black men, who were physically restrained at the time of death, most often by law enforcement personnel. Symptoms are said to include aggressive behavior, extreme physical strength and hyperthermia. It is not listed in the Diagnostic and Statistical Manual of Mental Disorders or the ICD-10, International Classification of Diseases, and is not recognized by the World Health Organization, the American Psychiatric Association, the American Medical Association, or the American Academy of Emergency Medicine. It is accepted primarily by the American College of Emergency Physicians. Excited delirium is particularly associated with taser use. A 2017 investigative report by ''Reuters'' found that excited delirium had been listed as a f ...
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Delirium
Delirium (also known as acute confusional state) is an organically caused decline from a previous baseline of mental function that develops over a short period of time, typically hours to days. Delirium is a syndrome encompassing disturbances in attention, consciousness, and cognition. It may also involve other neurological deficits, such as psychomotor disturbances (e.g. hyperactive, hypoactive, or mixed), impaired sleep-wake cycle, emotional disturbances, and perceptual disturbances (e.g. hallucinations and delusions), although these features are not required for diagnosis. Delirium is caused by an acute organic process, which is a physically identifiable structural, functional, or chemical problem in the brain that may arise from a disease process ''outside'' the brain that nonetheless affects the brain. It may result from an underlying disease process (e.g. infection, hypoxia), side effect of a medication, withdrawal from drugs, over-consumption of alcohol, usage of hall ...
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Acute Behavioural Disturbance
Acute behavioral disturbance (ABD) is an umbrella term referring to various conditions of medical emergency where a person behaves in a manner that may put themselves or others at risk. It is not a formal diagnosis. Another controversial term, ''excited delirium'', is sometimes used interchangeably with ABD (although according to definitions adopted by the Faculty of Forensic and Legal Medicine of the Royal College of Physicians in England, "only about one-third of cases of ABD present as excited delirium"). According to the Faculty of Forensic and Legal Medicine, ABD can be caused by a number of conditions including psychosis (potentially due to bipolar disorder or schizophrenia), substance abuse, hypoglycemia, akathisia, hypoxia, head injury as well as other conditions. Treatment generally consists of verbal deescalation, voluntary sedation with antipsychotics or benzodiazepine, or involuntary treatment with antipsychotics, benzodiazepines or ketamine through intramuscular inje ...
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Mania
Mania, also known as manic syndrome, is a mental and behavioral disorder defined as a state of abnormally elevated arousal, affect, and energy level, or "a state of heightened overall activation with enhanced affective expression together with lability of affect." During a manic episode, an individual will experience rapidly changing emotions and moods, highly influenced by surrounding stimuli. Although mania is often conceived as a "mirror image" to depression, the heightened mood can be either euphoric or dysphoric. As the mania intensifies, irritability can be more pronounced and result in anxiety or anger. The symptoms of mania include elevated mood (either euphoric or irritable), flight of ideas and pressure of speech, increased energy, decreased need and desire for sleep, and hyperactivity. They are most plainly evident in fully developed hypomanic states. However, in full-blown mania, they undergo progressively severe exacerbations and become more and more obscured by ...
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Luther Bell
Luther Vose Bell, M.D. (1806 – February 11, 1862) was one of the thirteen mental hospital superintendents who met in Philadelphia in 1844 to organize the Association of Medical Superintendents of American Institutions for the Insane (AMSAII), now the American Psychiatric Association, and the first medical specialty society in the United States. He was also Superintendent of the McLean Asylum near Boston, from 1837 to 1855. Early life Bell was born in Francestown, New Hampshire, son of state governor and two-term U.S. Senator Samuel Bell. With his younger brother John, Bell attended Phillips Academy in Andover, Massachusetts, for a year. He then entered Bowdoin College at age 12, and graduated in 1823. He moved to New York to study medicine under his older brother, John, and later received a medical degree from Dartmouth College in 1826. Because of his youth, he worked in New York in business until 1831, when he returned to Derry, New Hampshire, to establish his medical pr ...
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Pub Med
PubMed is a free search engine accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintain the database as part of the Entrez system of information retrieval. From 1971 to 1997, online access to the MEDLINE database had been primarily through institutional facilities, such as university libraries. PubMed, first released in January 1996, ushered in the era of private, free, home- and office-based MEDLINE searching. The PubMed system was offered free to the public starting in June 1997. Content In addition to MEDLINE, PubMed provides access to: * older references from the print version of ''Index Medicus'', back to 1951 and earlier * references to some journals before they were indexed in Index Medicus and MEDLINE, for instance ''Science'', ''BMJ'', and ''Annals of Surgery'' * very recent entries to records for an article before it ...
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Charles Victor Wetli
Charles Victor Wetli (August 27, 1943 – July 28, 2020) was an American forensic pathologist. He is best remembered for identifying all of the victims of the Trans World Airlines Flight 800 crash in 1996 as the Suffolk County, New York medical examiner. Though he faced considerable criticism from contemporaries for his handling of the investigation into the crash, he was later praised for his ability to identify every victim's body. According to Christine Negroni, Wetli "...should be remembered as a pioneering forensic physician who assembled an array of dentists, X-ray technicians, pathologists and tiny samples of DNA to put a name on every bit of human remains recovered." He is also noted for proposing the controversial concept of "excited delirium" in a 1985 paper that he co-authored describing seven sudden deaths among female black sex workers who had recently used cocaine. He claimed that the deaths could not have been due to homicide, though they were subsequently found t ...
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Dade County (FL)
Miami-Dade County is a county located in the southeastern part of the U.S. state of Florida. The county had a population of 2,701,767 as of the 2020 census, making it the most populous county in Florida and the seventh-most populous county in the United States. It is also Florida's third largest county in terms of land area, with . The county seat is Miami, the core of the nation's ninth largest and world's 34th largest metropolitan area with a 2020 population of 6.138 million people. Miami-Dade County is heavily Hispanic, and was the most populous majority-Hispanic county in the nation as of 2020. It is home to 34 incorporated cities and many unincorporated areas. The northern, central and eastern portions of the county are heavily urbanized with many high-rise buildings along the coastline, including Miami's Central Business District in Downtown Miami. Southern Miami-Dade County includes the Redland and Homestead areas, which make up the agricultural economy of the count ...
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Medical Examiner
The medical examiner is an appointed official in some American jurisdictions who is trained in pathology that investigates deaths that occur under unusual or suspicious circumstances, to perform post-mortem examinations, and in some jurisdictions to initiate inquests. In the US, there are two death investigation systems, the coroner system based on English law, and the medical examiner system, which evolved from the coroner system during the latter half of the 19th century. The type of system varies from municipality to municipality and from state to state, with over 2,000 separate jurisdictions for investigating unnatural deaths. In 2002, 22 states had a medical examiner system, 11 states had a coroner system, and 18 states had a mixed system. Since the 1940s, the medical examiner system has gradually replaced the coroner system, and serves about 48% of the US population. The coroner is not necessarily a medical doctor, but a lawyer, or even a layperson. In the 19th century, ...
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Journal Of Forensic Sciences
The ''Journal of Forensic Sciences'' (''JFS'') is a bimonthly peer-reviewed scientific journal is the official publication of the American Academy of Forensic Sciences, published by Wiley-Blackwell. It covers all aspects of forensic science. The mission of the JFS is to advance forensic science research, education and practice by publishing peer-reviewed manuscripts of the highest quality. These publications will strengthen the scientific foundation of forensic science in legal and regulatory communities around the world. Abstracting and indexing The journal is abstracted and indexed in: According to the ''Journal Citation Reports'', the journal has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 1.832. References External links * English-language jou ...
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Police Brutality
Police brutality is the excessive and unwarranted use of force by law enforcement against an individual or a group. It is an extreme form of police misconduct and is a civil rights violation. Police brutality includes, but is not limited to, beatings, shootings, "improper takedowns, and unwarranted use of tasers." History The origin of modern policing can be traced back to 18th century France. By the 19th and early 20th centuries, many nations had established Police#History, modern police departments. Early records suggest that labor strikes were the first large-scale incidents of police brutality in the United States, including events like the Great Railroad Strike of 1877, the Pullman Strike of 1894, the Lawrence textile strike, Lawrence Textile Strike of 1912, the Ludlow massacre, Ludlow Massacre of 1914, the Steel strike of 1919, Great Steel Strike of 1919, and the Hanapepe massacre, Hanapepe Massacre of 1924. The term "police brutality" was first used in Britain in th ...
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Brookings Institution
The Brookings Institution, often stylized as simply Brookings, is an American research group founded in 1916. Located on Think Tank Row in Washington, D.C., the organization conducts research and education in the social sciences, primarily in economics (and tax policy), metropolitan policy, governance, foreign policy, global economy, and economic development. Its stated mission is to "provide innovative and practical recommendations that advance three broad goals: strengthen American democracy; foster the economic and social welfare, security and opportunity of all Americans; and secure a more open, safe, prosperous, and cooperative international system." Brookings has five research programs at its Washington campus: Economic Studies, Foreign Policy, Governance Studies, Global Economy and Development, and Metropolitan Policy. It also established and operated three international centers in Doha, Qatar (Brookings Doha Center); Beijing, China (Brookings-Tsinghua Center for Public P ...
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Positional Asphyxia
Positional asphyxia, also known as postural asphyxia, is a form of asphyxia which occurs when someone's position prevents the person from breathing adequately. People may die from positional asphyxia accidentally, when the mouth and nose are blocked, or where the chest may be unable to fully expand. Background A 1992 article in ''The American Journal of Forensic Medicine and Pathology'' and a 2000 article in ''The American Journal of Forensic Medicine and Pathology'' said that multiple cases have been associated with the hogtie or hobble prone restraint position. The New York Police Department’s guidelines, explaining protocols for mitigating in-custody deaths, were published in a 1995 Department of Justice bulletin on "positional asphyxia." The NYPD recommended that, “ soon as the subject is handcuffed, get him off his stomach. Turn him on his side or place him in a seated position." A 1996 FBI bulletin said that many law enforcement and health personnel were being taught ...
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