With the advent of the Advanced TASER® M26 followed soon after by the X26 conducted electrical weapons (CEWs), initial concern for any possible physiologic damage was centered in the area of the cardiac conduction system. While this concern has been theoretical, it makes sense from the standpoint that a large number of people, including educated professionals, do not understand the basics of electrical current except what they were taught by their guardian growing up (e.g., don’t stick your finger in the electrical socket or you will kill yourself) or what they have gleaned over the years from literal experience or mass media advertisement (e.g., be careful when working on your roof not to come into contact with the overhead electrical power lines or you will electrocute yourself). What all of these scenarios have in common is that if sudden death from electrical current comes, it arrives in the form of a cardiac arrhythmia. Because of this, the initial focus of research into whether CEWs are causally connected to sudden custodial death was in the cardiac rhythm arena.
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Notes
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* Jeffrey D. Ho reports serving as an expert research consultant and medical expert consultant to TASER International, Inc. and reports as a personal shareholder of TASER International stock. No other potential conflict of interest relevant to this chapter was reported.
References
Bell L. On a form of disease resembling some advanced stages of mania and fever, but so contradistinguished from any ordinary observed or described combination of symptoms as to render it probable that it may be overlooked and hitherto unrecorded malady. Am J Insanity, 1849;6:97–127.
Di Maio TG and VJM Di Maio. Excited delirium syndrome cause of death and prevention. 1st ed. Boca Raton, FL: Taylor & Francis Group, 2006.
American Civil Liberties Union of Southern California. “Pepper spray update: more fatalities, more questions.” Pepper Spray Update, June, 1995. (Accessed November 1, 2005 at http://www.aclu-sc.org/attachments/p/Pepper_Spray_New_Questions.pdf).
Stratton SJ, Rogers C, Brickett K, and G Gruzinski. Factors associated with sudden death of individuals requiring restraint for excited delirium. Am J Emerg Med, 2001;21:187–91.
Eckart RE, Scoville SL, Campbell CL, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Int Med, 2004;141:829–35.
Maron BJ, Roberts WC, and SE Epstein. Sudden death in hypertrophic cardiomyopathy: a profile of 78 patients. Circulation, 1982;65:1388–94.
Ross DL. Factors associated with excited delirium deaths in police custody. Mod Pathol, 1998;11:1127–37.
Reay DT, Fligner CL, Stilwell AD, and J Arnold. Positional asphyxia during law enforcement transport. Am J Foren Med Pathol, 1992;13:90–7.
O’Halloran RL and LV Lewman. Restraint asphyxia in excited delirium. Am J Foren Med Pathol, 1993;13:289–95.
O’Halloran RL and JG Frank. Restraint asphyxia. Am J Foren Med Pathol, 2000;21:420–22.
O’Halloran RL and JG Frank. Asphyxial death during prone restraint revisited: a report of 21 cases. Am J Foren Med Pathol, 2000;21:39–52.
Wetli CV, Mash D, and SB Karch. Cocaine-associated agitated delirium and the neuroleptic malignant syndrome. Am J Emerg Med, 1996;14:425–8.
Karch SB and BG Stephens. Drug abusers who die during arrest or in custody. J R Soc Med, 1999;92:110–3.
Pestaner JP and PE Southall. Sudden death during arrest and phencyclidine intoxication. Am J Foren Med Pathol, 2003;24:119–22.
Ruttenber AJ, Lawler-Heavner J, Yin M, Wetli CV, Hearn WL, and DC Mash. Fatal excited delirium following cocaine use: epidemiologic findings provide new evidence for mechanisms of cocaine toxicity. J Forensic Sci, 1997;42:25–31.
United States Department of Justice, Office of Justice Programs, National Institute of Justice. “The effective ness and safety of pepper spray.” Research for Practice, April, 2003. (Accessed June 10, 2008 at http://www.ncjrs.gov/pdffiles1/nij/195739.pdf).
Chan TC, Vilke GM, Clausen J, et al. The effect of oleoresin capsicum “pepper” spray inhalation on respiratory function. J Foren Sci, 2002;47:299–304.
Chan TC, Vilke GM, Neuman T, and JL Clausen. Restraint position and positional asphyxia. Ann Emerg Med, 1998;32:116–8.
Chan TC, Vilke GM, and T Neuman. Reexamination of custody restraint position and positional asphyxia. Am J Foren Med Pathol, 1998;19:201–5.
Chan TC, Neuman T, Clausen J, Eisele J, and GM Vilke. Weight force during prone restraint and respiratory function. Am J Foren Med Pathol, 2004;25:185–9.
Kornblum RN and SK Reddy. Effects of the TASER in fatalities involving police confrontation. J Foren Sci, 1992;37:956–8
Glatter K and SB Karch. Positional asphyxia: inadequate oxygen, or inadequate theory? Foren Sci Int, 2004;141:201–2.
Anonymous. “Taser packs potent but brief punch of electricity.” USA Today 3 June 2005, sec A:13.
Will JA, Wu JY, Sun H, et al. Can TASERs directly cause ventricular fibrillation? Presented at the meeting of Experimental Biology, April, 2006.
Nanthakumar K, Billingsley IM, Masse S, et al. Cardiac electrophysiological consequences of neuromuscular incapacitating device discharges. J Am Coll Cardiol, 2006;48:798–804.
Dennis AJ, Valentino DJ, Walter RJ, et al. Acute effects of TASER X26 discharges in a swine model. J Trauma, 2007;63:581–90.
Walter RJ, Dennis AJ, Valentino DJ, et al. TASER X26 discharges in swine produce potentially fatal ventricular arrhythmias. Acad Emerg Med, 2008;15: 66–73.
McDaniel WC, Stratbucker RA, Nerheim M, and JE Brewer. Cardiac safety of neuromuscular incapacitating defensive devices. PACE, 2005;28(supplement): S284–7.
United Press International. “Police use stun gun on 6 year old.” The Washington Times, November 12, 2004. (Accessed November 1, 2005 at http://washingtontimes.com/upi-breaking/20041112-111756-3329r.htm.)
Anonymous. Police review policy after tasers used on kids. CNN, November 15, 2004. (Accessed November 1, 2005 at http://www.cnn.com/2004/US/11/14/children.tasers/.)
Taser International. Deadly Rhetoric: How the ACLU of Northern California’s Fight Against Law Enforcement Control Tools Endangers Communities. Taser International, 16 February 2006. Available at: http://www.taser.com/savinglives/documents/Deadly%20Rhetoric%20V11.pdf.
TASER International website, Physician FAQ section (monitoring). Accessed on June 9, 2008 at: http://taser.com/research/statistics/Pages/FieldUseandStatistics.aspx.
Wright RK. Electrical Injures. eMedicine. J Balantine, F Talavera, E Legome, J Halamka, and B Brenner (eds.), 2005. (Accessed June 10, 2008 at http://www.emedicine.com/emerg/topic162.htm.)
Ho JD, Reardon RF, and WG Heegaard. Deaths in police custody: an 8 month surveillance study. Annals Emerg Med, 2005;46(suppl):S94.
Levine SD, Sloane CM, Chan TC, et al. Cardiac monitoring of human subjects exposed to the TASER. J Emerg Med, 2007;33:113–7.
Vilke GM, Sloane S, Levine S, et al. Twelve-lead electrocardiogram monitoring of subjects before and after voluntary exposure to the TASER X26. Am J Emerg Med, 2007;26:1–4.
Ho JD, Miner JR, Lakireddy DR, et al. Cardiovascular and physiologic effects of conducted electrical weapon discharge in resting adults. Acad Emerg Med, 2006;13:589–95.
Ho J, Dawes D, Calkins H, and M Johnson. Absence of electrocardiographic change following prolonged application of a conducted electrical weapon in physically exhausted adults. Acad Emerg Med, 2007(supplement 1);14:S128–9.
Kim PJ and WH Franklin. Ventricular fibrillation after stun-gun discharge. NEJM, 2005;353:958–9.
Wu J, Sun H, O'Rourke A, Huebner S, Rahko P, Will J, Webster J. Taser dart-to-heart distance that causes ventricular fibrillation in pigs. IEEE Trans Biomed Eng, 2007;54:503–8.
Lakkireddy D, Kowalewski W, Wallick A, Verma A, Martin K, Ryschon J, Butany J, Natale A, and P Tchou. Cardiovascular safety profile of electrical stun guns (TASER®): Impact of point of delivery on ventricular fibrillation thresholds. Heart Rhythm 2006;3:S249.
Wu JY, et al. Taser blunt dart-to-heart distance causing ventricular fibrillation in pigs. IEEE TBME under review 2007.
Ho JD, Dawes DM, Reardon RF, et al. Echocardiographic evaluation of a TASER-X26 application in the ideal human cardiac axis. Acad Emerg Med, 2008;15:838–844.
Nanthakumar K, Billingsley IM, Masse S, et al. Cardiac electrophysiological consequences of neuromuscular incapacitating device discharges. J Am Coll Cardiol, 2006;48:798–804.
National Institute of Health. “Epinephrine Injection”. US National Library of Medicine, April 1, 2003. (Accessed June 10, 2008 at http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a603002.html).
Dorian P and K Nanthakumar. Reply (to the letter: Electronic control devices and the clinical milieu). J Am Coll Cardiol, 2007;49:732–3.
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Ho, J.D. (2009). Electrocardiographic Effects of the CEW. In: Ho, J., Kroll, M. (eds) TASER® Conducted Electrical Weapons: Physiology, Pathology, and Law. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-85475-5_10
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