In which scenario is positional asphyxia commonly observed?

Positional asphyxia occurs when an individual's position prevents them from breathing adequately, often happening when they are restrained in a way that compromises their ability to breathe. This is particularly relevant in scenarios involving excited delirium, where individuals may exhibit extreme agitation and abnormal behavior, leading to the use of physical restraints.

In the case of excited delirium, hog-tying—where an individual's limbs are bound together—can place them in a position that restricts chest movement and hinders normal respiratory function. Therefore, the risk of positional asphyxia becomes higher when someone is in a state of excited delirium and is subjected to such restraining techniques. This aspect of restraint highlights the need for law enforcement personnel to be trained in recognizing the signs of excited delirium and in applying safe restraint techniques to prevent fatal outcomes.

While positional asphyxia may potentially occur in other scenarios, such as during undercover operations or in high-stress situations like vehicular pursuits, the connection with excited delirium combined with specific restraint methods makes the correct choice particularly relevant and significant when discussing the risks associated with positional asphyxia.