Cardiovascular Evaluation of Electronic Control Device Exposure in Law Enforcement Trainees: A Multisite Study

VanMeenen, Kirsten M.; Cherniack, Neil S.; Bergen, Michael T.; Gleason, Lisa A.; Teichman, Ronald; Servatius, Richard J.

doi:10.1097/jom.0b013e3181cc58ba

Cited by 24 publications

(13 citation statements)

References 22 publications

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“…Similar to a study by Ho et al examining the effects of the TASER X26, we found clinically unimportant changes in sodium, potassium, or glucose immediately after the TASER X3 exposure [7]. Other authors have reported similar results [8,9].…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device

Dawes

Reardon

et al. 2011

Forensic Science International

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Section: Discussionsupporting

confidence: 89%

“…The CK at 24 h was 242.3 U/L, with a range of 52-909 [7]. Van Meenen et al had a mean baseline CK of 174.1 U/L and a 24-h mean CK of 181.4 [9]. In our study, the median baseline CK was 143 U/L, with a range of 12-651.…”

Section: Discussionmentioning

confidence: 50%

The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device

Dawes

Reardon

et al. 2011

Forensic Science International

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“…There was a change in pH from 7.45 to 7.42 at 1-minute after the 5-second discharge in this study, and lactate increased from 1.4 to 2.8 [9]. Other studies have shown no evidence of cardiac injury or arrhythmias based on troponin and surface electrocardiogram [10][11][12][13][14][15]. In a study by Ho et al a 15-second TASER X26 exposure led to a pH change from a baseline of 7.37-7.35 immediately after the exposure, having a trough of 7.33 at 2 min.…”

Section: Discussionmentioning

confidence: 43%

The cardiovascular, respiratory, and metabolic effects of a long duration electronic control device exposure in human volunteers

Dawes

Reardon

et al. 2010

Forensic Sci Med Pathol

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Electronic control devices (ECD) have become popular in law enforcement because they have filled a gap left by other law enforcement devices, tactics, or tools and have been shown to reduce officer and suspect injuries. Civilians are using the same technology for defensive purposes. TASER C2 is the latest generation civilian-marketed device from the manufacturer. Unlike the law enforcement devices, the device discharges for 30 s continuously. This study is the first to look at the cardiovascular, respiratory, and metabolic effects of this device on human subjects. This was a prospective, observational study of human subjects involved in a training course. Subjects were exposed for 30 s on the anterior thorax. Vital signs, ECG, troponin I, pH, lactate, and creatine kinase (CK) were measured before and immediately after the exposure. Troponin I, pH, lactate, and CK were measured again 24 h after the exposure. Continuous spirometry was used to evaluate the respiratory effects. Echocardiography was also performed before, during, and immediately after the exposure to determine heart rate and rhythm. Eleven subjects completed the study. There were no clinically important electrocardiogram changes and no positive troponins. Spirometry showed an increase in minute ventilation during the exposure. There was no important change in CK at 24 h. Lactate was slightly higher and pH was slightly lower after the exposure, but similar to the effects of physical exertion. Echocardiography was performed in 6 subjects. In half of these subjects, the rhythm was determined to be "sinus" and in the other half the rhythm was indeterminant. In our study, the civilian device caused a mild lactic acidosis. No other important physiologic effects were found.

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“…Ho et al 21 reported that all types of troponins measured were <0.2 ng/ml immediately, 8 h, and 24 h after TASER X26 "drive stun" applications in human volunteers. VanMeenen et al 57 also found no detectable levels of cardiac troponin I, in a group of 99 lawenforcement officers and trainees, 24 h after 5-s X26 ECD exposures.…”

Section: Ecdsmentioning

confidence: 91%

Pathophysiologic changes due to TASER® devices versus excited delirium: Potential relevance to deaths-in-custody?

Jauchem

2011

Journal of Forensic and Legal Medicine

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Cardiovascular Evaluation of Electronic Control Device Exposure in Law Enforcement Trainees: A Multisite Study

Abstract: The results from this large, multisite study suggest that, for most trainees, ECD exposure does not represent a significant health risk. Further investigation is warranted for cardiac vulnerability and potential interactions with ECD exposure.

Cited by 24 publications

References 22 publications

The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device

The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device

The cardiovascular, respiratory, and metabolic effects of a long duration electronic control device exposure in human volunteers

Pathophysiologic changes due to TASER® devices versus excited delirium: Potential relevance to deaths-in-custody?

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