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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Main Authors:	Tamsen Fredrik, Thiblin Ingemar
Format:	Article
Language:	English
Published:	Sciendo 2014-06-01
Series:	Scandinavian Journal of Forensic Science
Subjects:	excited delirium positional asphyxia acidosis sudden death
Online Access:	https://doi.org/10.2478/sjfs-2013-0006

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spelling	doaj-741cdc0cb20e4865932fbd2c948bdd1d2021-09-05T14:01:57ZengSciendoScandinavian Journal of Forensic Science2353-07072014-06-012013810.2478/sjfs-2013-0006sjfs-2013-0006Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theoriesTamsen Fredrik0Thiblin Ingemar1Forensic Medicine, Department of Surgical Sciences, Uppsala University, Box 1024, 751 40 Uppsala, SwedenForensic Medicine, Department of Surgical Sciences, Uppsala University, Box 1024, 751 40 Uppsala, SwedenThe 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.https://doi.org/10.2478/sjfs-2013-0006excited deliriumpositional asphyxiaacidosissudden death
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Tamsen Fredrik Thiblin Ingemar
spellingShingle	Tamsen Fredrik Thiblin Ingemar Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories Scandinavian Journal of Forensic Science excited delirium positional asphyxia acidosis sudden death
author_facet	Tamsen Fredrik Thiblin Ingemar
author_sort	Tamsen Fredrik
title	Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories
title_short	Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories
title_full	Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories
title_fullStr	Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories
title_full_unstemmed	Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories
title_sort	deaths during apprehensions of agitated persons. a review of proposed pathophysiological theories
publisher	Sciendo
series	Scandinavian Journal of Forensic Science
issn	2353-0707
publishDate	2014-06-01
description	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.
topic	excited delirium positional asphyxia acidosis sudden death
url	https://doi.org/10.2478/sjfs-2013-0006
work_keys_str_mv	AT tamsenfredrik deathsduringapprehensionsofagitatedpersonsareviewofproposedpathophysiologicaltheories AT thibliningemar deathsduringapprehensionsofagitatedpersonsareviewofproposedpathophysiologicaltheories
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Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories

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