Physiological effects of a conducted electrical weapon on human subjects

被引:64
作者
Vilke, Gary M.
Sloane, Christian M.
Bouton, Katie D.
Kolkhorst, Fred W.
Levine, Saul D.
Neuman, Tom S.
Castillo, Edward M.
Chan, Theodore C.
机构
[1] Univ Calif San Diego, San Diego Med Ctr, Dept Emergency Med, San Diego, CA 92103 USA
[2] San Diego State Univ, Dept Exercise & Nutr Sci, San Diego, CA 92182 USA
关键词
D O I
10.1016/j.annemergmed.2007.05.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Study objective: Sudden death after a conducted electrical weapon exposure has not been well studied. We examine the effects of a single Taser exposure on markers of physiologic stress in healthy humans. Methods: This is a prospective trial investigating the effects of a single Taser exposure. As part of their police training, 32 healthy law enforcement officers received a 5-second Taser electrical discharge. Measures before and for 60 minutes after an exposure included minute ventilation; tidal volume; respiratory rate (RR); end-tidal PCO2; oxygen saturation, pulse rate; blood pressure (systolic blood pressure/diastolic blood pressure); arterialized blood for pH, PO2 , PCO2, and lactate; and venous blood for bicarbonate and electrolytes. Troponin I was measured at 6 hours. Data were analyzed using a repeated-measures ANOVA and paired t tests. Results: At 1 minute postexposure, minute ventilation increased from a mean of 16 to 29 L/minute, tidal volume increased from 0.9 to 1.4 L, and RR increased from 19 to 23 breaths/min, all returning to baseline at 10 min. Pulse rate of 102 beats/min and systolic blood pressure of 139 mm Hg were higher before Taser exposure than at anytime afterward. Blood lactate increased from 1.4 mmol/L at baseline to 2.8 mmol/L at 1 minute, returning to baseline at 30 minutes. pH And bicarbonate decreased, respectively, by 0.03 and 1.2 mEq/L at 1 minute, returning to baseline at 30 minutes. All troponin I values were normal and there were no EKG changes. Ventilation was not interrupted, and there was no hypoxemia or hypercarbia. Conclusion: A 5-second exposure of a Taser X26 to healthy law enforcement personnel does not result in clinically significant changes of physiologic stress.
引用
收藏
页码:569 / 575
页数:7
相关论文
共 25 条
[1]  
ALLEN TB, 1991, J FORENSIC SCI, V36, P434
[2]  
*AMN INT, AMN INT CONT CONC LA
[3]  
ANGLEN R, 2006, ARIZONA REPUBLI 0501
[4]   Electrocardiographic manifestations following electric injury [J].
Arya, KR ;
Taori, GK ;
Khanna, SS .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1996, 57 (01) :100-101
[5]  
Barnes DG, 2006, ANN EMERG MED, V48, pS102
[6]   Introduction of the Taser into British policing. Implications for UK emergency departments: an overview of electronic weaponry [J].
Bleetman, A ;
Steyn, R ;
Lee, C .
EMERGENCY MEDICINE JOURNAL, 2004, 21 (02) :136-140
[7]  
*CALEA, 2006, LESS LETH TECHN WORK
[8]   CLINICAL PREDICTORS OF MYOCARDIAL DAMAGE AFTER HIGH-VOLTAGE ELECTRICAL INJURY [J].
CHANDRA, NC ;
SIU, CO ;
MUNSTER, AM .
CRITICAL CARE MEDICINE, 1990, 18 (03) :293-297
[9]  
EDERHEIMER JA, 2005, PRESENTATION CRITICA
[10]  
FORREST FC, 1992, J ROY SOC MED, V85, P642