CJEM. 2014 Jan;16(1):80-3. doi: 10.2310/8000.2013.130824.
Features consistent with the syndrome known as excited delirium (ExDS) have been associated with law enforcement restraint-related death. The pathophysiology and exact causative factors of restraint-related death associated with ExDS remain unclear. We present a case of successful field resuscitation of a man with ExDS who experienced cardiopulmonary arrest while being restrained by law enforcement officers. Despite the presence of a severe lactic acidosis on emergency department admission, the patient recovered following prehospital treatment with advanced cardiac life support measures and intravenous sodium bicarbonate, likely in part due to early recognition of the disease process.
与被称为兴奋谵妄（ExDS）的综合征一致的特征与执法人员相关的约束死亡有关。与 ExDS 相关的约束死亡的病理生理学和确切的因果因素仍不清楚。我们报告了一例 ExDS 患者的成功现场复苏病例，该患者在被执法人员约束时发生心肺骤停。尽管在急诊入院时存在严重的乳酸酸中毒，但患者在接受高级心脏生命支持措施和静脉内碳酸氢钠的院前治疗后恢复，可能部分原因是早期识别疾病过程。
