Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories

The pathophysiology of sudden death during apprehension remains largely unclear. The most frequently discussed mechanisms are excited delirium, positional asphyxia, metabolic acidosis, acute and chronic drug abuse, and autonomic instability. As in most areas of forensic medicine, much of the knowled...

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Bibliographic Details
Main Authors: Tamsen Fredrik, Thiblin Ingemar
Format: Article
Language:English
Published: Sciendo 2014-06-01
Series:Scandinavian Journal of Forensic Science
Subjects:
Online Access:https://doi.org/10.2478/sjfs-2013-0006
Description
Summary:The pathophysiology of sudden death during apprehension remains largely unclear. The most frequently discussed mechanisms are excited delirium, positional asphyxia, metabolic acidosis, acute and chronic drug abuse, and autonomic instability. As in most areas of forensic medicine, much of the knowledge comes from case reports, which are of little use in understanding causality. Experimental studies of some aspects have been performed, and they show somewhat divergent results and interpretations. The aim of this review is to summarize the different proposed theories, and to point out important issues for further research.
ISSN:2353-0707