Excited Delirium, Agitated Chaotic Events, Non-Firearm Arrest-Related and In-Custody Deaths Instructor Program Training

Program Description

The media and others have called Excited Delirium “racist” and a “label” used to cover-up police brutality. These are only two examples illustrating the post-George Floyd societal culture that has forever changed the law enforcement landscape. Of greater concern are the higher numbers of Peace Officers being criminally prosecuted and convicted, a trend that shows no signs of slowing. California enacted a statute that can hold Peace Officers criminally accountable for individuals who die from asphyxiation, if they cause a subject’s respiratory airway to be compressed or if they impair a person’s breathing or respiratory capacity, which includes application of pressure or body weight to a person’s neck, torso, or back. This includes restraint methods.

One or more states have passed legislation classifying “excited delirium” as not being a “medical emergency,” which impacts the use of the sedatives on active, combative, and/or agitated individuals. Similar measures, including restrictions on law enforcement officer tactical responses to Agitated Chaotic Events, have been adopted or proposed in other states that may impact law enforcement and first responder actions. This instructor program will help you and your governmental entity to minimize and/or eliminate potential liability through a proactive risk management educational and training strategy.

Thoughtfully revised and updated using video, animation, case study, and demonstration, this IPICD Instructor program is based upon scientific, medical, experiential, and legal research including evidence-based practices, and is the most current and comprehensive multidisciplinary program available on the subject. The disputed term “Excited Delirium” is discussed using scientific and evidence-based findings that include the official position of the American Psychological Association (APA), the American College of Emergency Physicians (ACEP), and the International Association of Chiefs of Police (IACP). Diagnostic criteria for delirium and agitation are discussed and shown how they mirror the behaviors of a person in an Excited Delirium mental and physical state.

TOPICS (Version 7.0)
Post-George Floyd culture

• Societal demands: accountability and transparency
• Criminal prosecution of officers
• Capture, not combat: The changing paradigm
• Force use frequency by officers in the United States (statistical summary)
• Critical thinking basics for first responders

Arrest-Related Deaths vs. In-Custody Deaths
• Legal definitions
• Medical definitions

Factors Increasing Mortality Risk for Sudden Cardiac Death
• History of sudden death
• Who is at risk?
• Immutable (Gender and Race)
• Health (Pre-disposing and current)
• Genetic
• Incident Activity
• Substances (licit and illicit)
• Sickle cell trait

Restraint Concerns
• Restraint Methods (including Restraint Chairs and Spit Restraint Devices)
• Positional Restraint and Sudden Death
• Subject Positioning: New research findings

Abnormal Breathing: An Overview
• Normal vs. impaired breathing
• Respiration vs. ventilation
• Asphyxia vs. Asphyxiated vs. Asphyxiation (8 categories)
• Identifying breathing distress signs in humans

Behavioral Cues
• Definition and Application
• Psychological
• Communication
• Physiological

Agitated Chaotic Events (ACE): Causes and Intervention Evidence-Based Practices
• History and definition
• Alcohol withdrawal (causes, behaviors & responses)
• Autism (causes, behaviors, & responses)
• Energy Drinks: New Research findings
• Epilepsy (SUDEP, behaviors, & responses)
• Diabetes (categories, behaviors, & responses)
• Delirium: (history back to 500 B.C., causes, including Excited Delirium history back to 1789)
• Dementia (types, causes, behaviors, & responses)
• Hyponatremia (causes, behaviors, & responses)
• Mental Illness and Disorders: Mind-Body Disconnect
• Licit and Illicit Drugs (includes synthetic marijuana; poly-drug combinations)
• 9-1-1 Call-Taker and/or Dispatcher Roles and Responses
• Transport Issues and Concerns

Select Law Enforcement Devices and Mechanism of Effect on Temporal Sudden Death
• Defensive Sprays (primary, secondary, tactical, and operational risks)
• Distraction Devices (primary, secondary, tactical, and operational risks)
• Electronic Control Weapons (primary, secondary, tactical, and operational risks)
• Impact Tools (primary, secondary, tactical, and operational risks)
• Spit Restraint Devices (primary, secondary, tactical, and operational risks)
• Restraint Equipment (primary, secondary, tactical, and operational risks)

Suicide and Suicide-by-Cop
• Definitions
• Research findings and their impact on agency policy
• Response parameters

The Ultimate Focus: Causation
• Scientific vs. Legal vs. Medical Causation
• Role of Medical Examiners and Coroners
• Significance of Physical Autopsy and Findings
• Significance of Psychological Autopsy and Findings
• Significance of Jury Instructions

Americans With Disabilities Act (ADA)
• Definitions of disability
• Applying ADA on the street, in the jail, and in your classroom
• Invisible and Visible Disabilities
• Reasonable Accommodations

Investigation Guidelines
• Body-worn camera video and audio
• Surveillance video
• Cellular telephone video and audio
• Scientific Role of the Incident Report
• Investigation Checklist

Developing and Teaching a User-Level program

A. David Berman, CLS, M.S. and/or John G. Peters, Jr., CLS, Ph.D. are the scheduled instructors. Backgrounds of the instructors can be reviewed at www.ipicd.com .

$495 per person. Materials include Lesson Guide, Learner Companion study aids, sample User-Level PowerPoint® slide deck, articles, table-top exercises, authorized access to the IPICD website supplemental pages to stay current with new research and analyses, assessment, certificate, and more.​

Upon successful completion of the instruction and an assessment, you will receive an instructor certificate. Successful completion of this IPICD 16-hour instructional program qualifies you as an instructor to teach a User-Level program to your colleagues and others to save lives, to save careers, to minimize governmental entity liability, and to minimize officer liability.

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