A teen who collapsed after bingeing on cocaine and vodka on his 18th birthday violently lashed out at medics who were trying to treat him in hospital.
Christopher Simpson bit a staff member on the hand, threw punches and spat at medics during the hospital rampage, telling them he planned to slit their throats.
On Wednesday, Simpson, now 19, was ordered to carry out a further 50 hours unpaid work in the community after a court heard he had already engaged with a young offenders rehabilitation programme.
Perth Sheriff Court was told Simpson wreaked havoc in A&E at Perth Royal Infirmary after collapsing at home as a result of an 18th birthday cocaine and alcohol bender.
Fiscal depute Sean Maher told the court: "An ambulance was requested in response to a male requiring medical attention. They were advised he had taken cocaine and vodka.
"On arrival at Perth Royal Infirmary he was calm and was left with hospital staff. A member of staff went to take his blood pressure and he became aggressive and kicked the member of staff to the shoulder."
When another staff member came to help, Simpson sat up and shouted: "Do you want a square go?"
Mr Maher said: "He has then thrown two punches in the direction of their head, resulting in the staff member's glasses being knocked off and damaged.
"Three members of staff tried to restrain him ad thereafter he started to spit. Attempts were made to place a face mask on him. He has then bitten a member of staff to the hand."
As staff battled to bring Simpson under control, he shouted: "I will slit all your throats."
Simpson, from Perth, admitted three charges of assault under the Emergency Workers Act, as well as acting in a threatening or abusive manner in the hospital on 30 May.
The teenager also admitted attacking a stranger in the city's Bank Bar on 25 July after mistakenly believing they were laughing at him.
Mr Maher said: "He was laughing at a joke made by a friend when Mr Simpson began shouting at him."
Simpson called his victim "an English c**t" before punching him and bursting his nose.
Sheriff Neil Bowie described it as "an appalling course of conduct" and told the teenager: "You should be - and I'm sure your family are - thoroughly ashamed of your behaviour.
"You were taken to hospital because of your own conduct. Nurses who were there to help you at the height of their busy working conditions were subjected to your disgraceful behaviour.
"You were punching, biting and spitting at care professionals trying to help you. It was not an isolated incident, because only two months later you had another outburst of anger in a pub and carried out an unprovoked assault on a man.
"You have previous convictions prior to this and you had been on a Restriction of Liberty Order which had finished not long before this incident in May."
Simpson had previously been ordered to carry out 225 hours unpaid work and complete the Right Track project for young offenders. The court was told he had engaged with the project and Sheriff Bowie added 50 hours unpaid work to complete his sentence yesterday.
Solicitor Billy Somerville, defending, said: "He is genuinely embarrassed, ashamed, feels bad and wishes it had never happened. He has no recollection whatsoever.
"He recognises the consequences on the victims and on society in general. He has a drink problem. When he is not drunk he is pleasant and polite.
"When he takes drink, as well as misusing drugs, he becomes something different like a Jekyll and Hyde character. It does appear he had collapsed and was in need of treatment."
