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Looking more deeply into the medical rationale behind excited delirium syndrome, the chapter focuses on how other medical examiners like Vincent Di Maio, who cowrote a book on the syndrome, also worked to justify the violence of police restraint asphyxiation. It examines the application of painful and dangerous techniques like hog-tying, choke holds, and pileups of officers, and the alarming trend of medical examiners using excited delirium syndrome diagnoses to absolve law enforcement from responsibility when restraint-related deaths occur. By examining the intergenerational role and history of medical examiners in deployment of this defense strategy, the chapter exposes a long-standing collusion aimed at covering up police violence.

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