Ankle sprains are one of the most common traumatic injuries encountered in the Emergency Department. The pathophysiology of an ankle sprain occurs when there is abnormal movement of the talus within the ankle mortise leading to disruption of the surrounding ligaments.
Excited delirium syndrome is a pathophysiologic progression that Emergency Medicine physicians are exposed to daily. While the initial management often takes place in the pre-hospital setting, these patients are at high risk of respiratory and cardiac arrest if proper management is not continued after hitting our doors. Despite a growing awareness of excited delirium syndrome and it's associated increased risk of death, the majority of the 250 annual deaths from this entity occur while in police custody.