Skip to main content
Erschienen in: Forensic Science, Medicine and Pathology 3/2018

28.06.2018 | Review

Cardiac and skeletal muscle effects of electrical weapons

A review of human and animal studies

verfasst von: Sebastian N. Kunz, Hugh Calkins, Jiri Adamec, Mark W. Kroll

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

Conducted Electrical Weapons (CEWs) are being used as the preferred non-lethal force option for police and special forces worldwide. This new technology challenges an exposed opponent similarly to the way they would be challenged by physical exercise combined with emotional stress. While adrenergic and metabolic effects have been meta-analyzed and reviewed, there has been no systematic review of the effects of CEWs on skeletal and cardiac muscle. A systematic and careful search of the MedLine database was performed to find publications describing pathophysiological cardiac and skeletal muscle effects of CEWs. For skeletal muscle effects, we analyzed all publications providing changes in creatine kinase, myoglobin and potassium. For cardiac effects, we analyzed reported troponin changes and arrhythmias related to short dart-to-heart-distances. Conducted electrical weapons satisfy all relevant electrical safety standards and there are, to date, no proven electrocution incidents caused by CEWs. A potential cardiovascular risk has been recognized by some of the experimental animal data. The effects on the heart appear to be limited to instances when there is a short dart-to-heart-distance. The effect on the skeletal muscle system appears to be negligible. A responsible use of a CEW on a healthy adult, within the guidelines proposed by the manufacturer, does not imply a significant health risk for that healthy adult.
Literatur
1.
Zurück zum Zitat Koscove EM. The Taser weapon: a new emergency medicine problem. Ann Emerg Med. 1985;14:1205–8.CrossRefPubMed Koscove EM. The Taser weapon: a new emergency medicine problem. Ann Emerg Med. 1985;14:1205–8.CrossRefPubMed
2.
Zurück zum Zitat Stopyra JP, Winslow JE, Fitzgerald DM, Bozeman WP. Intracardiac electrocardiographic assessment of precordial TASER shocks in human subjects: a pilot study. J Forensic Legal Med. 2017;52:70–4.CrossRef Stopyra JP, Winslow JE, Fitzgerald DM, Bozeman WP. Intracardiac electrocardiographic assessment of precordial TASER shocks in human subjects: a pilot study. J Forensic Legal Med. 2017;52:70–4.CrossRef
3.
Zurück zum Zitat Underwriters Laboratories. UL standard for electric fence controllers. In: Laboratories U, UL69, vol UL 69, 10th ed. Northbrook: Underwriters Laboratories; 2009. Underwriters Laboratories. UL standard for electric fence controllers. In: Laboratories U, UL69, vol UL 69, 10th ed. Northbrook: Underwriters Laboratories; 2009.
4.
5.
Zurück zum Zitat International Electrotechnical Commission. Household and similar electrical appliances – Safety – IEC 60335-2-76: Particular requirements for electric fence energizers. 2.1 ed: IEC, Geneva, Switzerland; 2006. International Electrotechnical Commission. Household and similar electrical appliances – Safety – IEC 60335-2-76: Particular requirements for electric fence energizers. 2.1 ed: IEC, Geneva, Switzerland; 2006.
6.
Zurück zum Zitat Nanthakumar K, Billingsley IM, Masse S, Dorian P, Cmeron D, Chauhan VS, et al. Cardiac electrophysiological consequences of neuromuscular incapacitating device discharges. J Am Coll Cardiol. 2006;48:798–804.CrossRefPubMed Nanthakumar K, Billingsley IM, Masse S, Dorian P, Cmeron D, Chauhan VS, et al. Cardiac electrophysiological consequences of neuromuscular incapacitating device discharges. J Am Coll Cardiol. 2006;48:798–804.CrossRefPubMed
7.
Zurück zum Zitat Walcott GP, Kroll MW, Ideker RE. Ventricular fibrillation threshold of rapid short pulses. Conf Proc IEEE EMBC. 2011;33:255–8. Walcott GP, Kroll MW, Ideker RE. Ventricular fibrillation threshold of rapid short pulses. Conf Proc IEEE EMBC. 2011;33:255–8.
8.
Zurück zum Zitat Rahko PS. Evaluation of the skin-to-heart distance in the standing adult by two-dimensional echocardiography. J Am Soc Echocardiogr. 2008;21:761–4.CrossRefPubMed Rahko PS. Evaluation of the skin-to-heart distance in the standing adult by two-dimensional echocardiography. J Am Soc Echocardiogr. 2008;21:761–4.CrossRefPubMed
9.
Zurück zum Zitat Horowitz LN, Spear JF, Moore EN. Relation of the endocardial and epicardial ventricular fibrillation thresholds of the right and left ventricle. Am J Cardiol. 1981;48:698–701.CrossRefPubMed Horowitz LN, Spear JF, Moore EN. Relation of the endocardial and epicardial ventricular fibrillation thresholds of the right and left ventricle. Am J Cardiol. 1981;48:698–701.CrossRefPubMed
10.
Zurück zum Zitat Horowitz LN, Spear JF, Moore EN. Relationship of the endocardial and epicardial ventricular fibrillation thresholds of the right and left ventricle. Am J Cardiol. 1981;48:698–701.CrossRefPubMed Horowitz LN, Spear JF, Moore EN. Relationship of the endocardial and epicardial ventricular fibrillation thresholds of the right and left ventricle. Am J Cardiol. 1981;48:698–701.CrossRefPubMed
11.
Zurück zum Zitat Horowitz LN, Spear JF, Josephson ME, Kastor JA, Moore EN. The effects of coronary artery disease on the ventricular fibrillation threshold in man. Circulation. 1979;60:792–7.CrossRefPubMed Horowitz LN, Spear JF, Josephson ME, Kastor JA, Moore EN. The effects of coronary artery disease on the ventricular fibrillation threshold in man. Circulation. 1979;60:792–7.CrossRefPubMed
12.
Zurück zum Zitat Allison JS, Qin H, Dosdall DJ, Huang J, Newton JC, Smith WM, et al. The transmural activation sequence in porcine and canine left ventricle is markedly different during long-duration ventricular fibrillation. J Cardiovasc Electrophysiol. 2007;18:1306–12.CrossRefPubMed Allison JS, Qin H, Dosdall DJ, Huang J, Newton JC, Smith WM, et al. The transmural activation sequence in porcine and canine left ventricle is markedly different during long-duration ventricular fibrillation. J Cardiovasc Electrophysiol. 2007;18:1306–12.CrossRefPubMed
13.
Zurück zum Zitat Brave MA, Lakkireddy DR, Kroll MW. Validity of the small swine model for human electrical safety risks. Conf Proc IEEE EMBC. 2016;38:2343–8. Brave MA, Lakkireddy DR, Kroll MW. Validity of the small swine model for human electrical safety risks. Conf Proc IEEE EMBC. 2016;38:2343–8.
14.
Zurück zum Zitat Hamlin RL, Burton RR, Leverett SD, Burns JW. Ventricular activation process in minipigs. J Electrocardiol. 1975;8:113–6.CrossRefPubMed Hamlin RL, Burton RR, Leverett SD, Burns JW. Ventricular activation process in minipigs. J Electrocardiol. 1975;8:113–6.CrossRefPubMed
15.
Zurück zum Zitat Kano M, Toyoshi T, Iwasaki S, Kato M, Shimizu M, Ota T. QT PRODACT: usability of miniature pigs in safety pharmacology studies: assessment for drug-induced QT interval prolongation. J Pharmacol Sci. 2005;99:501–11.CrossRefPubMed Kano M, Toyoshi T, Iwasaki S, Kato M, Shimizu M, Ota T. QT PRODACT: usability of miniature pigs in safety pharmacology studies: assessment for drug-induced QT interval prolongation. J Pharmacol Sci. 2005;99:501–11.CrossRefPubMed
16.
Zurück zum Zitat Walcott GP, Kroll MW, Ideker RE. Ventricular fibrillation: are swine a sensitive species? J Interv Card Electrophysiol. 2015;42:83–9.CrossRefPubMed Walcott GP, Kroll MW, Ideker RE. Ventricular fibrillation: are swine a sensitive species? J Interv Card Electrophysiol. 2015;42:83–9.CrossRefPubMed
17.
Zurück zum Zitat Valentino DJ, Walter RJ, Dennis AJ, Margeta B, Starr F, Nagy KK, et al. Taser X26 discharges in swine: ventricular rhythm capture is dependent on discharge vector. J Trauma. 2008;65:1478–85. discussion 1485-77CrossRefPubMed Valentino DJ, Walter RJ, Dennis AJ, Margeta B, Starr F, Nagy KK, et al. Taser X26 discharges in swine: ventricular rhythm capture is dependent on discharge vector. J Trauma. 2008;65:1478–85. discussion 1485-77CrossRefPubMed
18.
Zurück zum Zitat Geddes LA, Cabler P, Moore AG, Rosborough J, Tacker WA. Threshold 60-Hz current required for ventricular fibrillation in subjects of various body weights. IEEE Trans Biomed Eng. 1973;20:465–8.CrossRefPubMed Geddes LA, Cabler P, Moore AG, Rosborough J, Tacker WA. Threshold 60-Hz current required for ventricular fibrillation in subjects of various body weights. IEEE Trans Biomed Eng. 1973;20:465–8.CrossRefPubMed
19.
Zurück zum Zitat Han J, Garciadejalon P, Moe GK. Adrenergic effects on ventricular vulnerability. Circ Res. 1964;14:516–24.CrossRefPubMed Han J, Garciadejalon P, Moe GK. Adrenergic effects on ventricular vulnerability. Circ Res. 1964;14:516–24.CrossRefPubMed
20.
Zurück zum Zitat Papp JG, Szekeres L. Analysis of the mechanism of adrenergic actions on ventricular vulnerability. Eur J Pharmacol. 1968;3:15–26.CrossRefPubMed Papp JG, Szekeres L. Analysis of the mechanism of adrenergic actions on ventricular vulnerability. Eur J Pharmacol. 1968;3:15–26.CrossRefPubMed
21.
Zurück zum Zitat Wu JY, Sun H, O'Rourke AP, Huebner SM, Rahko PS, Will JA, et al. Taser blunt probe dart-to-heart distance causing ventricular fibrillation in pigs. IEEE Trans Biomed Eng. 2008;55:2768–7.CrossRefPubMed Wu JY, Sun H, O'Rourke AP, Huebner SM, Rahko PS, Will JA, et al. Taser blunt probe dart-to-heart distance causing ventricular fibrillation in pigs. IEEE Trans Biomed Eng. 2008;55:2768–7.CrossRefPubMed
22.
Zurück zum Zitat Lakkireddy D, Wallick D, Verma A, Ryschon K, Kowalewski W, Wazni O, et al. Cardiac effects of electrical stun guns: does position of barbs contact make a difference? Pacing Clin Electrophysiol. 2008;31:398–408.CrossRefPubMed Lakkireddy D, Wallick D, Verma A, Ryschon K, Kowalewski W, Wazni O, et al. Cardiac effects of electrical stun guns: does position of barbs contact make a difference? Pacing Clin Electrophysiol. 2008;31:398–408.CrossRefPubMed
23.
Zurück zum Zitat Lakkireddy D, Wallick D, Ryschon K, Chung MK, Butany J, Martin D, et al. Effects of cocaine intoxication on the threshold for stun gun induction of ventricular fibrillation. J Am Coll Cardiol. 2006;48:805–11.CrossRefPubMed Lakkireddy D, Wallick D, Ryschon K, Chung MK, Butany J, Martin D, et al. Effects of cocaine intoxication on the threshold for stun gun induction of ventricular fibrillation. J Am Coll Cardiol. 2006;48:805–11.CrossRefPubMed
24.
Zurück zum Zitat Kroll MW, Lakkireddy D, Rahko PS, Panescu D. Ventricular fibrillation risk estimation for conducted electrical weapons: critical convolutions. Conf Proc IEEE Eng Med Biol Soc. 2011;33:271–7. Kroll MW, Lakkireddy D, Rahko PS, Panescu D. Ventricular fibrillation risk estimation for conducted electrical weapons: critical convolutions. Conf Proc IEEE Eng Med Biol Soc. 2011;33:271–7.
25.
Zurück zum Zitat Walcott GP, Kroll M, Ideker RE. Relationship of the swine to the human ventricular fibrillation threshold. J Interv Card Electrophysiol. 2015;42:83–9.CrossRefPubMed Walcott GP, Kroll M, Ideker RE. Relationship of the swine to the human ventricular fibrillation threshold. J Interv Card Electrophysiol. 2015;42:83–9.CrossRefPubMed
26.
Zurück zum Zitat Panescu D, Kroll M, Brave M. Cardiac fibrillation risks with TASER conducted electrical weapons. Conf Proc IEEE EMBC. 2015;37:323–9. Panescu D, Kroll M, Brave M. Cardiac fibrillation risks with TASER conducted electrical weapons. Conf Proc IEEE EMBC. 2015;37:323–9.
27.
Zurück zum Zitat Kunz SN, Aronshtam J, Trankler HR, Kraus S, Graw M, Peschel O. Cardiac changes due to electronic control devices? A computer-based analysis of electrical effects at the human heart caused by an ECD pulse applied to the body's exterior. J Forensic Sci. 2014;59:659–64.CrossRefPubMed Kunz SN, Aronshtam J, Trankler HR, Kraus S, Graw M, Peschel O. Cardiac changes due to electronic control devices? A computer-based analysis of electrical effects at the human heart caused by an ECD pulse applied to the body's exterior. J Forensic Sci. 2014;59:659–64.CrossRefPubMed
28.
Zurück zum Zitat Sun H, Haemmerich D, Rahko PS, Webster JG. Estimating the probability that the Taser directly causes human ventricular fibrillation. J Med Eng Technol. 2010;34:178–91.CrossRefPubMed Sun H, Haemmerich D, Rahko PS, Webster JG. Estimating the probability that the Taser directly causes human ventricular fibrillation. J Med Eng Technol. 2010;34:178–91.CrossRefPubMed
29.
Zurück zum Zitat Panescu D, Kroll MW, Efimov IR, Sweeney JD. Finite element modeling of electric field effects of TASER devices on nerve and muscle. Conf Proc IEEE EMBC. 2006;28:1277–9. Panescu D, Kroll MW, Efimov IR, Sweeney JD. Finite element modeling of electric field effects of TASER devices on nerve and muscle. Conf Proc IEEE EMBC. 2006;28:1277–9.
30.
Zurück zum Zitat Stratbucker RA, Kroll MW, McDaniel W, Panescu D. Cardiac current density distribution by electrical pulses from TASER devices. Conf Proc IEEE EMBC. 2006;28:6305–7. Stratbucker RA, Kroll MW, McDaniel W, Panescu D. Cardiac current density distribution by electrical pulses from TASER devices. Conf Proc IEEE EMBC. 2006;28:6305–7.
31.
Zurück zum Zitat Panescu D, Kroll MW, Stratbucker RA. Theoretical possibility of ventricular fibrillation during use of TASER neuromuscular incapacitation devices. Conf Proc IEEE EMBC. 2008;30:5671–4. Panescu D, Kroll MW, Stratbucker RA. Theoretical possibility of ventricular fibrillation during use of TASER neuromuscular incapacitation devices. Conf Proc IEEE EMBC. 2008;30:5671–4.
32.
Zurück zum Zitat Leitgeb N, Niedermayr F, Neubauer R, Loos G. Numerically simulated cardiac exposure to electric current densities induced by TASER X-26 pulses in adult men. Phys Med Biol. 2010;55:6187–95.CrossRefPubMed Leitgeb N, Niedermayr F, Neubauer R, Loos G. Numerically simulated cardiac exposure to electric current densities induced by TASER X-26 pulses in adult men. Phys Med Biol. 2010;55:6187–95.CrossRefPubMed
33.
Zurück zum Zitat Dawes DM, Ho JD, Reardon RF, Miner JR. The cardiovascular, respiratory, and metabolic effects of a long duration electronic control device exposure in human volunteers. Forensic Sci Med Pathol. 2010;6:268–74.CrossRefPubMed Dawes DM, Ho JD, Reardon RF, Miner JR. The cardiovascular, respiratory, and metabolic effects of a long duration electronic control device exposure in human volunteers. Forensic Sci Med Pathol. 2010;6:268–74.CrossRefPubMed
34.
Zurück zum Zitat Ho JD, Dawes DM, Reardon RF, Strote SR, Kunz SN, Nelson RS, et al. Human cardiovascular effects of a new generation conducted electrical weapon. Forensic Sci Int. 2011;204:50–7.CrossRefPubMed Ho JD, Dawes DM, Reardon RF, Strote SR, Kunz SN, Nelson RS, et al. Human cardiovascular effects of a new generation conducted electrical weapon. Forensic Sci Int. 2011;204:50–7.CrossRefPubMed
35.
Zurück zum Zitat Ideker RE, Dosdall DJ. Can the direct cardiac effects of the electric pulses generated by the TASER X26 cause immediate or delayed sudden cardiac arrest in normal adults? Am J Forensic Med Pathol. 2007;28:195–201.CrossRefPubMed Ideker RE, Dosdall DJ. Can the direct cardiac effects of the electric pulses generated by the TASER X26 cause immediate or delayed sudden cardiac arrest in normal adults? Am J Forensic Med Pathol. 2007;28:195–201.CrossRefPubMed
36.
Zurück zum Zitat Bozeman WP, Hauda WE 2nd, Heck JJ, Graham DD Jr, Martin BP, Winslow JE. Safety and injury profile of conducted electrical weapons used by law enforcement officers against criminal suspects. Ann Emerg Med. 2009;53:480–9.CrossRefPubMed Bozeman WP, Hauda WE 2nd, Heck JJ, Graham DD Jr, Martin BP, Winslow JE. Safety and injury profile of conducted electrical weapons used by law enforcement officers against criminal suspects. Ann Emerg Med. 2009;53:480–9.CrossRefPubMed
37.
Zurück zum Zitat Kim PJ, Franklin WH. Ventricular fibrillation after stun-gun discharge. N Engl J Med. 2005;353:958–9.CrossRefPubMed Kim PJ, Franklin WH. Ventricular fibrillation after stun-gun discharge. N Engl J Med. 2005;353:958–9.CrossRefPubMed
38.
Zurück zum Zitat Schwarz ES, Barra M, Liao MM. Successful resuscitation of a patient in asystole after a TASER injury using a hypothermia protocol. Am J Emerg Med. 2009;27(515):e511–2. Schwarz ES, Barra M, Liao MM. Successful resuscitation of a patient in asystole after a TASER injury using a hypothermia protocol. Am J Emerg Med. 2009;27(515):e511–2.
39.
Zurück zum Zitat Zipes DP. Sudden cardiac arrest and death following application of shocks from a TASER electronic control device. Circulation. 2012;125:2417–22.CrossRefPubMed Zipes DP. Sudden cardiac arrest and death following application of shocks from a TASER electronic control device. Circulation. 2012;125:2417–22.CrossRefPubMed
41.
Zurück zum Zitat Naunheim RS, Treaster M, Aubin C. Ventricular fibrillation in a man shot with a Taser. Emerg Med. 2010;27:645–6. Naunheim RS, Treaster M, Aubin C. Ventricular fibrillation in a man shot with a Taser. Emerg Med. 2010;27:645–6.
42.
Zurück zum Zitat Swerdlow CD, Fishbein MC, Chaman L, Lakkireddy DR, Tchou P. Presenting rhythm in sudden deaths temporally proximate to discharge of TASER conducted electrical weapons. Acad Emerg Med. 2009;16:726–39.CrossRefPubMed Swerdlow CD, Fishbein MC, Chaman L, Lakkireddy DR, Tchou P. Presenting rhythm in sudden deaths temporally proximate to discharge of TASER conducted electrical weapons. Acad Emerg Med. 2009;16:726–39.CrossRefPubMed
43.
Zurück zum Zitat Kroll MW, Fish RM, Calkins H, Halperin H, Lakkireddy D, Panescu D. Defibrillation success rates for electrically-induced fibrillation: hair of the dog. Conf Proc IEEE EMBC. 2012;34:689–93. Kroll MW, Fish RM, Calkins H, Halperin H, Lakkireddy D, Panescu D. Defibrillation success rates for electrically-induced fibrillation: hair of the dog. Conf Proc IEEE EMBC. 2012;34:689–93.
44.
Zurück zum Zitat Haouzi P, Ahmadpour N, Bell HJ, Artman S, Banchs J, Samii S, et al. Breathing patterns during cardiac arrest. J Appl Physiol. 2010;109:405–11.CrossRefPubMed Haouzi P, Ahmadpour N, Bell HJ, Artman S, Banchs J, Samii S, et al. Breathing patterns during cardiac arrest. J Appl Physiol. 2010;109:405–11.CrossRefPubMed
45.
Zurück zum Zitat Zuercher M, Ewy GA, Otto CW, HJilwig RW, Bobrow BJ, Clark L, et al. Gasping in response to basic resuscitation efforts: observation in a swine model of cardiac arrest. Crit Care Res Prac. 2010;10:1–7. Zuercher M, Ewy GA, Otto CW, HJilwig RW, Bobrow BJ, Clark L, et al. Gasping in response to basic resuscitation efforts: observation in a swine model of cardiac arrest. Crit Care Res Prac. 2010;10:1–7.
47.
Zurück zum Zitat Kroll MW, Lakkireddy DR, Stone JR. Luceri RM. TASER electronic control devices and cardiac arrests: coincidental or causal? Circulation. 2014;129:93–100.CrossRefPubMed Kroll MW, Lakkireddy DR, Stone JR. Luceri RM. TASER electronic control devices and cardiac arrests: coincidental or causal? Circulation. 2014;129:93–100.CrossRefPubMed
48.
Zurück zum Zitat Vilke GM, Sloane CM, Bouton KD, Kolkhorst FW, Levine SD, NeumanTS, et al. Physiological effects of a conducted electrical weapon on human subjects. Ann Emerg Med. 2007;50:569–75.CrossRefPubMed Vilke GM, Sloane CM, Bouton KD, Kolkhorst FW, Levine SD, NeumanTS, et al. Physiological effects of a conducted electrical weapon on human subjects. Ann Emerg Med. 2007;50:569–75.CrossRefPubMed
49.
Zurück zum Zitat Sloane CM, Chan TC, Levine SD, Dunford JV, Neuman T, Vilke GM. Serum troponin I measurement of subjects exposed to the Taser X-26. J Emerg Med. 2008;35:29–32.CrossRefPubMed Sloane CM, Chan TC, Levine SD, Dunford JV, Neuman T, Vilke GM. Serum troponin I measurement of subjects exposed to the Taser X-26. J Emerg Med. 2008;35:29–32.CrossRefPubMed
50.
Zurück zum Zitat Dawes D, Ho J, Miner J. The neuroendocrine effects of the TASERX26®: a brief report. Forensic Sci Int. 2009;183:14–9.CrossRefPubMed Dawes D, Ho J, Miner J. The neuroendocrine effects of the TASERX26®: a brief report. Forensic Sci Int. 2009;183:14–9.CrossRefPubMed
51.
Zurück zum Zitat Ho JD, Dawes DM, Heegaard WG, Calkins HG, Moscati RM, Miner JR. Absence of electrocardiographic change after prolonged application of a conducted electrical weapon in physically exhausted adults. J Emerg Med. 2011;41:466–72.CrossRefPubMed Ho JD, Dawes DM, Heegaard WG, Calkins HG, Moscati RM, Miner JR. Absence of electrocardiographic change after prolonged application of a conducted electrical weapon in physically exhausted adults. J Emerg Med. 2011;41:466–72.CrossRefPubMed
52.
Zurück zum Zitat Moscati R, Ho JD, Dawes DM, Miner JR. Physiologic effects of prolonged conducted electrical weapon discharge in ethanol-intoxicated adults. Am J Emerg Med. 2010;28:582–7.CrossRefPubMed Moscati R, Ho JD, Dawes DM, Miner JR. Physiologic effects of prolonged conducted electrical weapon discharge in ethanol-intoxicated adults. Am J Emerg Med. 2010;28:582–7.CrossRefPubMed
53.
Zurück zum Zitat Ho J, Dawes D, Nelson RS, Lundin EJ, Ryan FJ. Acidosis and catecholamine evaluation following simulated enforcement `use of force´ encounters. Acad Emerg Med. 2010;17:60–8.CrossRef Ho J, Dawes D, Nelson RS, Lundin EJ, Ryan FJ. Acidosis and catecholamine evaluation following simulated enforcement `use of force´ encounters. Acad Emerg Med. 2010;17:60–8.CrossRef
54.
Zurück zum Zitat VanMeenen KM, Cherniack NS, Bergen MT, Gleason LA, Teichman R, Servatius RJ. Cardiovascular evaluation of electronic control device exposure in law enforcement trainees: a multisite study. J Occup Environ Med. 2010;52:197–201.CrossRefPubMed VanMeenen KM, Cherniack NS, Bergen MT, Gleason LA, Teichman R, Servatius RJ. Cardiovascular evaluation of electronic control device exposure in law enforcement trainees: a multisite study. J Occup Environ Med. 2010;52:197–201.CrossRefPubMed
55.
Zurück zum Zitat Ho JD, Miner JR, Lakireddy DR, Bultman LL, Heegard WG. Cardiovascular and physiologic effects of conducted electrical weapon discharge in resting adults. Acad Emerg Med. 2006;13:589–95.CrossRefPubMed Ho JD, Miner JR, Lakireddy DR, Bultman LL, Heegard WG. Cardiovascular and physiologic effects of conducted electrical weapon discharge in resting adults. Acad Emerg Med. 2006;13:589–95.CrossRefPubMed
56.
Zurück zum Zitat FDA Modernization Act of 1997: modifications to the list of recognized standards; availability; withdrawal of draft guidance "Use of IEC 60601 standards; medical electrical equipment"--FDA. Notice. Federal register. 1998;63:55617–55630. FDA Modernization Act of 1997: modifications to the list of recognized standards; availability; withdrawal of draft guidance "Use of IEC 60601 standards; medical electrical equipment"--FDA. Notice. Federal register. 1998;63:55617–55630.
57.
Zurück zum Zitat Bills E. Risk management for IEC 60601-1 third edition. Biomed Instrum Technol. 2006;40:390–2.CrossRefPubMed Bills E. Risk management for IEC 60601-1 third edition. Biomed Instrum Technol. 2006;40:390–2.CrossRefPubMed
58.
Zurück zum Zitat Lakkireddy D, Khasnis A, Antenacci J, Ryshcon K, Chung MK, Wallick D, et al. Do electrical stun guns (TASER X26) affect the functional integrity of implanted pacemakers and defibrillators? Europace. 2007;9:551–6.CrossRefPubMed Lakkireddy D, Khasnis A, Antenacci J, Ryshcon K, Chung MK, Wallick D, et al. Do electrical stun guns (TASER X26) affect the functional integrity of implanted pacemakers and defibrillators? Europace. 2007;9:551–6.CrossRefPubMed
59.
Zurück zum Zitat Vanga S, Vacek J, Berenbom L, Lakkireddy D. Conducted electrical weapons and implantable cardiac devices. In: Kroll M, Ho J, editors. TASER conducted electrical weapons: physiology, pathology, and law. New York City: Springer-Kluwer; 2009. p. 223–34.CrossRef Vanga S, Vacek J, Berenbom L, Lakkireddy D. Conducted electrical weapons and implantable cardiac devices. In: Kroll M, Ho J, editors. TASER conducted electrical weapons: physiology, pathology, and law. New York City: Springer-Kluwer; 2009. p. 223–34.CrossRef
60.
Zurück zum Zitat Lakkireddy D, Biria M, Baryun E, Berenbom L, Pimentel R, Emert M, et al. Can electrical-conductive weapons (TASER®) alter the functional integrity of pacemakers and defibrillators and cause rapid myocardial capture? Heart Rhythm. 2008;5:S97. Lakkireddy D, Biria M, Baryun E, Berenbom L, Pimentel R, Emert M, et al. Can electrical-conductive weapons (TASER®) alter the functional integrity of pacemakers and defibrillators and cause rapid myocardial capture? Heart Rhythm. 2008;5:S97.
61.
Zurück zum Zitat Vanga SR, Bommana S, Kroll MW, Swerdlow C, Lakkireddy D. TASER conducted electrical weapons and implanted pacemakers and defibrillators. Conf Proc IEEE Eng Med Biol Soc. 2009;31:3199–204. Vanga SR, Bommana S, Kroll MW, Swerdlow C, Lakkireddy D. TASER conducted electrical weapons and implanted pacemakers and defibrillators. Conf Proc IEEE Eng Med Biol Soc. 2009;31:3199–204.
62.
Zurück zum Zitat Cao M, Shinbane JS, Gillberg JM, Saxon LA, Swerdlow CD. Taser-induced rapid ventricular myocardial capture demonstrated by pacemaker intracardiac electrograms. J Cardiovasc Electrophysiol. 2007;18:876–9.CrossRefPubMed Cao M, Shinbane JS, Gillberg JM, Saxon LA, Swerdlow CD. Taser-induced rapid ventricular myocardial capture demonstrated by pacemaker intracardiac electrograms. J Cardiovasc Electrophysiol. 2007;18:876–9.CrossRefPubMed
63.
Zurück zum Zitat Haegeli LM, Sterns LD, Adam DC, Leather RA. Effect of a Taser shot to the chest of a patient with an implantable defibrillator. Heart Rhythm. 2006;3:339–41.CrossRefPubMed Haegeli LM, Sterns LD, Adam DC, Leather RA. Effect of a Taser shot to the chest of a patient with an implantable defibrillator. Heart Rhythm. 2006;3:339–41.CrossRefPubMed
64.
Zurück zum Zitat Paninski RJ, Marshall ME. Link MS. ICD oversensing caused by TASER. J Cardiovasc Electrophysiol. 2013;24:101.CrossRefPubMed Paninski RJ, Marshall ME. Link MS. ICD oversensing caused by TASER. J Cardiovasc Electrophysiol. 2013;24:101.CrossRefPubMed
65.
Zurück zum Zitat Khaja A, Govindarajan G, McDaniel W, Flaker G. Cardiac safety of conducted electrical devices in pigs and their effect on pacemaker function. Am J Emerg Med. 2011;29:1089–96.CrossRefPubMed Khaja A, Govindarajan G, McDaniel W, Flaker G. Cardiac safety of conducted electrical devices in pigs and their effect on pacemaker function. Am J Emerg Med. 2011;29:1089–96.CrossRefPubMed
66.
Zurück zum Zitat Calton R, Cameron D, Masse S, Nanthakumar K. Images in cardiovascular medicine. Duration of discharge of neuromuscular incapacitating device and inappropriate implantable cardioverter-defibrillator detections. Circulation. 2007;115:e472–4.CrossRefPubMed Calton R, Cameron D, Masse S, Nanthakumar K. Images in cardiovascular medicine. Duration of discharge of neuromuscular incapacitating device and inappropriate implantable cardioverter-defibrillator detections. Circulation. 2007;115:e472–4.CrossRefPubMed
67.
Zurück zum Zitat Adedipe A, Maher P, Strote J. Injuries associated with law enforcement use of force. Trauma. 2012;15:99–106.CrossRef Adedipe A, Maher P, Strote J. Injuries associated with law enforcement use of force. Trauma. 2012;15:99–106.CrossRef
68.
Zurück zum Zitat Strote J, Walsh M, Angelidids M, Basta A, Hutson HR. Conducted electrical weapon use by law enforcement: an evaluation of safety and injury. J Trauma. 2010;68:1239–46.CrossRefPubMed Strote J, Walsh M, Angelidids M, Basta A, Hutson HR. Conducted electrical weapon use by law enforcement: an evaluation of safety and injury. J Trauma. 2010;68:1239–46.CrossRefPubMed
69.
Zurück zum Zitat Jauchem JR, Cook MC, Beason CW. Blood factors of Susscrofa following a series of three TASER electronic control device exposures. Forensic Sci Int. 2008;175:166–70.CrossRefPubMed Jauchem JR, Cook MC, Beason CW. Blood factors of Susscrofa following a series of three TASER electronic control device exposures. Forensic Sci Int. 2008;175:166–70.CrossRefPubMed
70.
Zurück zum Zitat Jauchem JR, Sherry CJ, Fines DA, Cook MC. Acidosis, lactate, electrolytes, muscle enzymes, and other factors in the blood of Susscrofa following repeated TASER exposures. Forensic Sci Int. 2006;161:20–30.CrossRefPubMed Jauchem JR, Sherry CJ, Fines DA, Cook MC. Acidosis, lactate, electrolytes, muscle enzymes, and other factors in the blood of Susscrofa following repeated TASER exposures. Forensic Sci Int. 2006;161:20–30.CrossRefPubMed
71.
Zurück zum Zitat Jauchem JR, Beason CW, Cook MC. Acute effects of an alternative electronic-control-device waveform in swine. Forensic Sci Med Pathol. 2009;5:2–10.CrossRefPubMed Jauchem JR, Beason CW, Cook MC. Acute effects of an alternative electronic-control-device waveform in swine. Forensic Sci Med Pathol. 2009;5:2–10.CrossRefPubMed
72.
Zurück zum Zitat Dennis AJ, Valentino DJ, Walter RJ, Nagy KK, Winners J, Bokhari F, et al. Acute effects of TASER X26 discharges in swine model. J Trauma. 2007;63:581–90.CrossRefPubMed Dennis AJ, Valentino DJ, Walter RJ, Nagy KK, Winners J, Bokhari F, et al. Acute effects of TASER X26 discharges in swine model. J Trauma. 2007;63:581–90.CrossRefPubMed
73.
Zurück zum Zitat Dawes DM, Ho JD, Sweeney JD, Lundin EJ, Kunz SN, Miner JR. The effect of an electronic control device on muscle injury as determined by creatine kinase enzyme. Forensic Sci Med Pathol. 2011;7:3–8.CrossRefPubMed Dawes DM, Ho JD, Sweeney JD, Lundin EJ, Kunz SN, Miner JR. The effect of an electronic control device on muscle injury as determined by creatine kinase enzyme. Forensic Sci Med Pathol. 2011;7:3–8.CrossRefPubMed
74.
Zurück zum Zitat Ho JD, Dawes DM, Chang RJ, Nelson RS, Miner JR. Physiologic effects of a new generation conducted electrical weapon on human volunteers. J Emerg Med. 2014;46:428–35.CrossRefPubMed Ho JD, Dawes DM, Chang RJ, Nelson RS, Miner JR. Physiologic effects of a new generation conducted electrical weapon on human volunteers. J Emerg Med. 2014;46:428–35.CrossRefPubMed
75.
Zurück zum Zitat Sanford JM, Jacobs GJ, Roe EJ, Terndrup TE. Two patients subdued with a TASER device: cases and review of complications. J Emerg Med. 2011;40:28–32.CrossRefPubMed Sanford JM, Jacobs GJ, Roe EJ, Terndrup TE. Two patients subdued with a TASER device: cases and review of complications. J Emerg Med. 2011;40:28–32.CrossRefPubMed
76.
Zurück zum Zitat Ho JD. Dawes DM. TASER device-induced rhabdomyolysis is unlikely. J Emerg Med. 2011;40:68–9.CrossRefPubMed Ho JD. Dawes DM. TASER device-induced rhabdomyolysis is unlikely. J Emerg Med. 2011;40:68–9.CrossRefPubMed
77.
Zurück zum Zitat Dawes D, Ho J, Readon F, Strote S, Nelson R, Lundin E, et al. The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device. Forensic Sci Int. 2010;207:55–60.CrossRefPubMed Dawes D, Ho J, Readon F, Strote S, Nelson R, Lundin E, et al. The respiratory, metabolic, and neuroendocrine effects of a new generation electronic control device. Forensic Sci Int. 2010;207:55–60.CrossRefPubMed
78.
Zurück zum Zitat Ho J, Dawes D, Bultman L, Moscati R, Janchar T, Miner J. Prolonged TASER use on exhausted humans does not worsen markers of acidosis. Am J Emerg Med. 2009;27:413–8.CrossRefPubMed Ho J, Dawes D, Bultman L, Moscati R, Janchar T, Miner J. Prolonged TASER use on exhausted humans does not worsen markers of acidosis. Am J Emerg Med. 2009;27:413–8.CrossRefPubMed
Metadaten
Titel
Cardiac and skeletal muscle effects of electrical weapons
A review of human and animal studies
verfasst von
Sebastian N. Kunz
Hugh Calkins
Jiri Adamec
Mark W. Kroll
Publikationsdatum
28.06.2018
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 3/2018
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-018-9997-3

Weitere Artikel der Ausgabe 3/2018

Forensic Science, Medicine and Pathology 3/2018 Zur Ausgabe

Neu im Fachgebiet Pathologie