01-03 Persons in Custody

Question 1

01-03 Persons in Custody - Supervision

Answer 1

 Officer in Charge notification mandatory:
 when transporting a prisoner who requires priority in booking
 when a person in custody requires medical attention
 upon arrival at a police station with a person in custody
 when entering or leaving a detention facility with a person in custody
 when receiving a person for lodging in police cells
 when in doubt regarding the contents of the medication container, or if the prisoner requests medication
in excess of the prescribed dosage, or if the prisoner exhibits signs of alcohol or drug consumption
 if Booking Hall System (BHS) or Detention Area Monitoring System (DAMS) equipment malfunctions

Question 2

Alcohol Withdrawal Syndrome (AWS) is characterized by physical and mental symptoms that can occur after a person
discontinues consuming high doses of alcohol.

Answer 2

Symptoms of AWS may appear within six (6) to twelve (12) hours after
a person’s last consumption of alcohol. AWS more commonly affects those with a history of alcoholism and/or those
who have experienced problems with alcohol withdrawal in the past.
Symptoms can depend upon the amount of alcohol consumed, frequency of consumption, and the duration of
consumption prior to discontinuance. Determining a “time-stamp” as to a person’s last consumption of alcohol is
important in assessing the onset of AWS

Question 3

AWS.
Symptoms can range from mild to severe and include:

Answer 3

Mild Symptoms
 tremors (trembling or quivering)
 anxiety
 sleep disturbance (insomnia)
 sweating (diaphoresis)
 over responsive reflexes (hyperreflexia)
 nausea/vomiting
Mild symptoms can occur within twenty four (24) hours after discontinuance and should subside within forty eight (48)
hours.
Moderate Symptoms
 intensified Mild Symptoms
 rapid breathing (tachypnea)
 racing heart rate (tachycardia)
 agitation
Moderate symptoms can occur within twenty four (24) to thirty six (36) hours after discontinuance and should subside
within forty eight (48) hours.
Severe Symptoms
 severely intensified Mild and/or Moderate Symptoms
 hallucinations
 seizures
 disorientation
 abnormally high fever (hyperthermia)
Severe symptoms can occur within forty eight (48) hours after discontinuance and/or after a decrease in consumption
of alcohol and can cause a person’s condition to deteriorate to a very serious condition known as delirium tremens
(DTs).
Symptoms of DTs usually occur forty eight (48) to seventy two (72) hours after discontinuance and include:
 profoundly intensified Mild, Moderate, and/or Severe Symptoms
If left untreated, DTs can result in death

Question 4

The time frames for the onset of AWS symptoms have been generalized.

Answer 4

Symptoms
occurring outside of the time frames (before and after) must still be considered (e.g.
Seizures may present between twelve (12) to sixty (60) hours after a person’s last
consumption of alcohol).