Physical Control in Care Training Manual - Independent Advisory ...

PHYSICAL CONTROL IN CARE• Prolonged use of illicit drugs (particularly cocaine, ‘crack’,methamphetamine and amphetamine)• It has been associated with an abnormality which interferes withregulation of chemicals (dopamine) in the brain. 11• Psychiatric illness (Bi-polar Disorder and Schizophrenia)The young person’s underlying medical condition may beexacerbated by the psychological stress of being confronted orrestrained.Recognising a victim of Excited DeliriumDifferentiating someone in excited delirium from someone who issimply violent is often difficult. People suffering from excited deliriummay display the following symptoms:• Elevated body temperature 8 (shedding clothes - sign of overheating)• Agitation or hyperactivity• Hostility and violence• Exhibit bizarre behaviour (paranoia or panic)• Exhibit bizarre speech (incoherent shouting or grunting)• Disorientation and impaired thinking• Responding to hallucinations• Unexpected strength and endurance, apparently without fatigue• Insensitivity to pain• Foaming at the mouth (drooling)• Sudden passivity after frenzied activityThe shedding of clothes and raised body temperature are keysymptoms to look out for.Managing a victim of Excited Delirium11 Mash, D.C., Duque, L., Pablo, J., Qin, Y., Adi, N., Hearn, W.L., Hyma, B.A., Karch, S.B,, Druid,H., Wetli, C.V. (2009) 'Brain biomarkers for identifying excited delirium as a cause of suddendeath.' Forensic Science International 190(1-3):e13-9. Epub 2009 Jun 21© National Offender Management Service National Tactical Response GroupJuly 201037