I understand what you're saying, but I don't think that's what happens. You're almost implying an additive effect. Part of what you're saying is that because you touched that electrical source, your adrenalin levels are high. If someone came into the room and said “boo” or scared you, because of the increased adrenalin levels, could you have an arrhythmia and potentially die? I think, quite frankly, that is a possibility. I think it's a very slim possibility, but it's possible.
The thing we always have to bear in mind with these patients in excited delirium is that their adrenalin levels are absolutely through the roof. I don't think they could possibly go any higher. It doesn't matter what we do to them restraint-wise, it's putting them at greater risk, and yet to get them the medical help they need, we have to restrain them. That's why I kind of like the words “conundrum” or “catch 22” that were used. You're darned if you do and darned if you don't.