Forensics in the EDSudden In-Custody Death SyndromeRobison, Debra RN, SANE-A, CEN; Hunt, Shelby MHA, RN, CEN Author Information Emergency Department, Saint Mary's Regional Medical Center, Reno, Nev. Corresponding authors: Debra Robison, RN, SANE-A, CEN, and Shelby Hunt, MHA, RN, CEN, Emergency Department, Saint Mary's Regional Medical Center, 235 W Sixth St, Reno, NV 89503 (e-mail: [email protected] and [email protected]). Special thanks to Diane Nicholson, Undersheriff, Washoe County Sheriffs Department, Donna Alexander, MLS, Medial Librarian, Saint Mary's Regional Medical Center, Tim Mayes, Reno Police Department, Mary Harcinske, MBA, RN, and Matt Robison, restrained subject. Topics in Emergency Medicine 27(1):p 36-43, January 2005. Buy Abstract This article discusses the existence of excited delirium in combination with other factors such as alcohol/drug use, physical condition of subject/patient, and the use of physical or mechanical restraints that could lead to a potentially fatal condition known as sudden in-custody death syndrome. The article reviews predisposing factors in combination with potentially hazardous actions by law enforcement and healthcare providers that have led to sudden in-custody death syndrome. It is up to those coming in contact with these subjects/patients who exhibit excited delirium states to be aware of the behaviors and further assess for other precipitating risk factors that may require further medical attention. © 2005 Lippincott Williams & Wilkins, Inc.