Wednesday, June 03, 2020

Floyd died of Fentanyl and Excited Delirium Syndrome

OFFICERS from the US police force responsible for the killing of George Floyd received training in restraint techniques and anti-terror tactics from Israeli law-enforcement officers. notes:
From the charging documents on Officer Derek Chauvin we hear, for the first time the issue of excited delirium.

We know Chauvin was concerned about it and that was the reason Floyd was subdued. We will know more when the body camera footage is released but oddly, that has not been done. Frankly, it makes us wonder what the footage shows and whether it supports the evidence of excited delirium.

The Western Journal of Emergency Medicine says that “Excited delirium is characterized by agitation, aggression, acute distress and sudden death, often in the pre-hospital care setting. It is typically associated with the use of drugs Subjects typically die from a heart attack and the majority of the patients die before hospital arrival.”

“All accounts describe almost the exact same sequence of events: delirium with agitation (fear, panic, shouting, violence and hyperactivity), sudden cessation of struggle, respiratory arrest and death.”

Once again, the body camera footage showing the initial encounter, discussions among officers and the call to paramedics about the issue of excited delirium will be a major factor in this case.

While much has been said about Officer Chauvin’s knee to Floyd’s neck, the medical examiner’s autopsy showed that Floyd did not die from from strangulation or asphyxiation. In fact, the autopsy showed no trauma to the body.
Sounds like exactly what happened. In which case, Chauvin may have been acting according to his training.

Did you know that the second autopsy was fake?
And before you respond with Michael Baden’s “independent” autopsy as reported by the media, understand that Baden is a hired man that also believed Michael Brown was shot in the back after looking at a diagram and that O.J. Simpson was innocent. Two specific items were noticed in his press conference that the media is not reporting.

He never said it was his “expert” opinion but rather his opinion. This is to protect his integrity as an expert witness.
Most importantly, Baden didn’t do an autopsy. He formed his opinion from watching the video and speaking to the family of Mr. Floyd.

Nothing he said can be brought into a criminal proceeding. It’s simply done to sway public opinion but we will get to him in another article. Back to the actual facts…….

According to the autopsy, Mr. Floyd had two specific drugs in his system, methamphetamine and fentanyl.

A narcotic that is 50 to 100 times stronger than heroin, fentanyl is associated with more drug overdoses than any other opioid.

And combined with methamphetamine, studies indicate that fentanyl has a higher chance of inducing fatal hyperthermia. And it just so happens that hyperthermia has a direct correlation with excited delirium.

Fentanyl is also unique among the opioids in its ability to cause muscle rigidity of the chest wall, diaphragm, and larynx. Known as “wooden chest syndrome,” it’s safe to say that the combination of this drug is a recipe for heart stoppage.

Combining the deadly effects of this drug combination along with the officer’s reaction to observing signs of excited delirium very likely paints the picture as to why Mr. Floyd ended up on the ground.

The American College of Emergency Physicians’ White Paper Report on Excited Delirium Syndrome recommends two specific responses by law enforcement if they observe signs of excited delirium.

Stating that “Deescalation does not have a high likelihood of changing outcomes significantly”

“The subjects require physical restraint (this is because if they continue to struggle it accelerates the death) combined with emergent sedation.”

“Once the decision to do this has been made, action needs to be swift and efficient, and performed with all responders present when feasible.”
I had never heard of Excited Delirium Syndrome (ExDS)
While not universally fatal, it is clear that a propor-tion ofpatients with ExDSprogress to cardiac arrestand death. It is impossibleat presentto know how many patients receive a therapeutic intervention that stops the terminal progression of this syn-drome. ...

It is important for LEOs to recognize that ExDS sub-jects are persons with an acute, potentially life-threatening medical condition. LEOs must also be aware that remorse, normal fear and understanding of surroundings, and rational thoughts for safety are absent in such subjects. ExDS subjects are known to be irrational, often vio-lent and relatively impervious to pain. Unfortunate-ly, almost everything taught to LEOs about control of subjects relies on a suspect to either be rational, appropriate, or to comply with painful stimuli.
So if you hear an expert on TV, and he does not mention fentanyl and ExDS, then he is either ignorant or lying. And if he fails to mention that the autopsy showed no bruises or other trauma to the neck, then he is definitely distorting the evidence.

If it turns out that George Floyd died of a neck injury, then I will have to revise my opinion. But it is appears that the police officers followed their training.

Update: The autopsy showed that Floyd tested positive for COVID-19, and even Baden admitted that Floyd had enough fentanyl in his system to kill him. Either condition could explain his difficulties breathing, as could the heart attack.

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