title: Prehospital chemical restraint of a noncommunicative autistic minor by law enforcement.
abstract: When responders are dealing with an agitated patient in the field, safety for all involved may sometimes only be accomplished with physical or chemical restraints. While experiences using chemical restraint in the prehospital setting are found in the medical literature, the use of this by law enforcement as a first-response restraint has not previously been described. We report a case of successful law enforcement-administered sedation of a noncommunicative, autistic, and violent minor using intramuscular droperidol and diphenhydramine. Although this case has some unique characteristics that allowed chemical restraint to be given by the law enforcement agency, it calls attention to some specific prehospital issues that need to be addressed when dealing with autistic patients with extreme agitation.
authors.affiliation: Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota 55415, USA. hoxxx010@umn.edu
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Ho
authors.forename: Paul C
authors.initials: PC
authors.lastname: Nystrom
authors.forename: Darryl V
authors.initials: DV
authors.lastname: Calvo
authors.forename: Marc S
authors.initials: MS
authors.lastname: Berris
authors.forename: Jeffrey F
authors.initials: JF
authors.lastname: Norlin
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Clinton
mesh_terms: D000293:Adolescent; D001321:Autistic Disorder; D016292:Procedural Sedation; D004155:Diphenhydramine / Q000008:administration & dosage / Q000627:therapeutic use; D018492:Dopamine Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D004329:Droperidol / Q000008:administration & dosage / Q000627:therapeutic use; D004632:Emergency Medical Services; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000627:therapeutic use*; D035846:Law Enforcement; D008297:Male; D008910:Minnesota
chemical_list: D018492:Dopamine Antagonists; D006993:Hypnotics and Sedatives; D004155:Diphenhydramine; D004329:Droperidol