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Medical Care in a Police Intervention with Conducted Electrical Weapons: Zaragoza (Spain) Fire Department Protocol

Published online by Cambridge University Press:  09 August 2021

Armando Cester-Martínez Open the ORCID record for Armando Cester-Martínez [Opens in a new window] ,
Leticia Serrano-Lasaosa Open the ORCID record for Leticia Serrano-Lasaosa [Opens in a new window]  and
Diego Borraz-Clares Open the ORCID record for Diego Borraz-Clares [Opens in a new window]
Armando Cester-Martínez
Affiliation:
Tactical Environment Medical Support Team – Zaragoza Fire Department (EBAZ), Zaragoza, Spain
Leticia Serrano-Lasaosa
Affiliation:
Tactical Environment Medical Support Team – Zaragoza Fire Department (EBAZ), Zaragoza, Spain
Diego Borraz-Clares*
Affiliation:
Tactical Environment Medical Support Team – Zaragoza Fire Department (EBAZ), Zaragoza, Spain
*
Correspondence: Diego Borraz-Clares Parque de Bomberos nº1 Valle de Broto 16 50015 Zaragoza, Spain E-mail: dborraz@gmail.com
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Abstract

In the last decade, conducted electrical weapons (CEWs) have become a new tool for law enforcement agencies as an alternative to firearms. They provide security in the intervention for both the police and the citizen and try to cause the least possible harm to the subject to immobilize.

The health care providers who perform in joint actions with the police in which CEWs are used should be aware of how they work, risk groups, as well as the most frequent clinical effects associated with the application of electrical discharge, and the complications that can be produced according to the area of impact of the electrodes.

For this purpose, the current medical literature was reviewed by consulting the main health care sciences database (PubMed) to determine the medical measures to be taken before, during, and after the use of these weapons. Also presented and shared is the Zaragoza (Spain) Fire Department protocol.

Keywords

conducted electrical weaponEmergency Medical Servicesphysical restraintpoliceTASER injury
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 5 , October 2021 , pp. 639 - 644
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Bailey, CA, Smock, WS, Melendez, AM, El-Mallakh, RS. Conducted-energy device (Taser) usage in subjects with mental illness. J Am Acad Psychiatry Law. 2016;44(2):213–217.Google ScholarPubMed
Hallett, N, Duxbury, J, McKee, T, et al. Taser use on individuals experiencing mental distress: an integrative literature review. J Psychiatr Ment Health Nurs. 2021;28(1):56–71.CrossRefGoogle Scholar
Ho, JD, Dawes, DM, Johnson, MA, Lundin, EJ, Miner, JR. Impact of conducted electrical weapons in a mentally ill population: a brief report. Am J Emerg Med. 2007;25(7):780–785.CrossRefGoogle Scholar
Gerold, KB, Gibbons, ME, Fisette, RE, Alves, D. Review, clinical update, and practice guidelines for excited delirium syndrome. J Spec Oper Med. 2015;15(1):62–69.Google ScholarPubMed
Smith, MR, Kaminski, RJ, Rojek, J, Alpert, GP, Mathis, J. The impact of conducted energy devices and other types of force and resistance on officer and suspect injuries. Polic An Int J Police Strateg Manag. 2007;30(3):423–446.CrossRefGoogle Scholar
Mesloh, C, Henych, M, Wolf, R. “Conducted Electrical Weapons and Resolution of Use-of-Force Encounters.” In: Kroll MW, Ho JD. TASER. Conducted Electrical Weapons: Physiology, Pathology, and Law. Minnesota USA: Springer US; 2009:23-39.CrossRefGoogle Scholar
Ordog, GJ, Wasserberger, J, Schlater, T, Balasubramanium, S. Electronic gun (Taser) injuries. Ann Emerg Med. 1987;16(1):73–78.CrossRefGoogle ScholarPubMed
Martín-Ibáñez, L, Pérez-Martínez, J, Zamora-Mínguez, D, et al. Consenso Victoria I: la cadena de supervivencia táctica civil ante incidentes de múltiples víctimas intencionados. Emergencias Rev la Soc Esp Med Emergencias. 2019;31(3):195–201.Google Scholar
Roca, G, Martin, L, Borraz, D, Serrano, L, Linam, B. A Spanish intentional mass-casualty incidents medical response model. Delphi Consensus. J Spec Oper Med. 2020;20:95–99.Google ScholarPubMed
Strote, J, Hutson, HR. Taser use in restraint-related deaths. Prehosp Emerg Care. 2006;1(4):447–450.CrossRefGoogle Scholar
Aguilar Pallarès, A, Morante Barragán, JF, Novelle Rodríguez, M, Subirana Domènech, M. Armas eléctricas: ¿qué sabemos? ¿qué ignoramos? Cuad Med Forense. 2013;19(3-4):75–86.CrossRefGoogle Scholar
Zipes, DP. Sudden cardiac arrest and death following application of shocks from a TASER electronic control device. Circulation. 2012;125(20):2417–2422.CrossRefGoogle ScholarPubMed
Zipes, DP. TASER electronic control devices can cause cardiac arrest in humans. Circulation. 2014;129(1):111.CrossRefGoogle ScholarPubMed
LeClair, TG, Meriano, T. Taser and conducted energy weapons. J Spec Oper Med. 2015;15(4):83–88.Google ScholarPubMed
Palomo Rando, JL, Ramos Medina, V, Santos Amaya, IM. Muerte en privación de libertad (MPL). Cuad Med Forense. 2004;(35):37–50.CrossRefGoogle Scholar
Lakkireddy, D, Wallick, D, Verma, A, et al. Cardiac effects of electrical stun guns: does position of barbs contact make a difference? Pacing Clin Electrophysiol. 2008;31(4):398–408.CrossRefGoogle Scholar
Bui, ET, Sourkes, M, Wennberg, R. Generalized tonic-clonic seizure after a taser shot to the head. CMAJ. 2009;180(6):625–626.CrossRefGoogle ScholarPubMed
Lewis, MC, Lewis, DE. Frontal sinus TASER dart injury. J Emerg Med. 2016;50(3):490–492.CrossRefGoogle ScholarPubMed
Han, JS, Chopra, A, Carr, D. Ophthalmic injuries from a TASER. Can J Emerg Med. 2009;11(1):90–93.CrossRefGoogle ScholarPubMed
Gapsis, BC, Hoang, A, Nazari, K, Morcos, M. Ocular manifestations of TASER-induced trauma. Trauma Case Rep. 2017;12:4–7.CrossRefGoogle ScholarPubMed
Kroll, MW, Hail, SL, Kroll, RM, Wetli, CV, Criscione, JC. Electrical weapons and excited delirium: shocks, stress, and serum serotonin. Forensic Sci Med Pathol. 2018;14(4):478–483.CrossRefGoogle ScholarPubMed
Kroll, MW, Ritter, MB, Kennedy, EA, et al. Eye injury from electrical weapon probes: mechanisms and treatment. Am J Emerg Med. 2019;37(3):427–432.CrossRefGoogle ScholarPubMed
Campbell, F, Clark, S. Penetrating facial trauma from a Taser barb. Br J Oral Maxillofac Surg. 2019;57(2):188–189.CrossRefGoogle ScholarPubMed
Theisen, K, Slater, R, Hale, N. Taser-related testicular trauma. Urology. 2016;88:e5.CrossRefGoogle ScholarPubMed
Mehl, LE. Electrical injury from tasering and miscarriage. Acta Obstet Gynecol Scand. 1992;71(2):118–123.CrossRefGoogle ScholarPubMed
Haegeli, LM, Sterns, LD, Adam, DC, Leather, RA. Effect of a Taser shot to the chest of a patient with an implantable defibrillator. Hear Rhythm. 2006;3(3):339–341.CrossRefGoogle ScholarPubMed
Paninski, RJ, Marshall, ME, Link, MS. ICD oversensing caused by TASER. J Cardiovasc Electrophysiol. 2013;24(1):101.CrossRefGoogle ScholarPubMed
Cao, M, Shinbane, JS, Gillberg, JM, Saxon, LA. Taser-induced rapid ventricular myocardial capture demonstrated by pacemaker intracardiac electrograms. J Cardiovasc Electrophysiol. 2007;18(8):876–879.CrossRefGoogle ScholarPubMed
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(9):1089–1096.CrossRefGoogle ScholarPubMed
Kunz, SN, Calkins, H, Adamec, J, Kroll, MW. Cardiac and skeletal muscle effects of electrical weapons: a review of human and animal studies. Forensic Sci Med Pathol. 2018;14(3):358–366.CrossRefGoogle ScholarPubMed
Kunz, SN, Adamec, J. A comparative brief on conducted electrical weapon safety. Wiener Medizinische Wochenschrift. 2019;169(7-8):185–192.CrossRefGoogle ScholarPubMed
Emergències, Mèdiques. Procediment Operatiu Assistencial en cas d’ús de Dispositius Conductors d’Energia (Taser) per part de cossos policials. Published 2018.Google Scholar
Payne-James, J, Sheridan, B. TASER: clinical effects and management of those subjected to TASER discharge. Fac Forensic Leg Med. 2020.Google Scholar
Vilke, G, Chan, T, Bozeman, WP, Childers, R. Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician. J Emerg Med. 2019;57(5):740–746.CrossRefGoogle ScholarPubMed
Peel, M. Assessment of people who have been tasered. Emerg Nurse. 2017;25(4):22–28.CrossRefGoogle ScholarPubMed
Stevenson, R, Drummond-Smith, I. Medical implications of conducted energy devices in law enforcement. J Forensic Leg Med. 2020;73:101948.CrossRefGoogle ScholarPubMed
Bozeman, WP, Hauda, WE, Heck, JJ, Graham, DD, 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(4):480–489.CrossRefGoogle ScholarPubMed
Kroll, MW, Ritter, MB, Williams, HE. Fatal and non-fatal burn injuries with electrical weapons and explosive fumes. J Forensic Leg Med. 2017;50:6–11.CrossRefGoogle ScholarPubMed
Kroll, MW, Luceri, RM, Lakireddy, D, Calkins, H. Do TASER electrical weapons actually electrocute? Can J Cardiol. 2016;32(10):1261.e11.CrossRefGoogle ScholarPubMed
Tyagi, A, Gill, A, Felton, B. Thoracic compression fracture as a result of Taser discharge. Clin Pract Cases Emerg Med. 2017;1(4):319–322.CrossRefGoogle Scholar
Gleason, J, Ahmad, I. TASER electronic control device-induced rhabdomyolysis and renal failure: a case report. J Clin Diagnostic Res. 2015;9(10):HD01-02.Google ScholarPubMed
Reed, LD. A Message from the editor. Public Health Rep. 2009;124(6):771.CrossRefGoogle Scholar
Panescu, D, Kroll, M, Brave, M. Cardiac fibrillation risks with TASER conducted electrical weapons. Proc Annu Int Conf IEEE Eng Med Biol Soc EMBS. 2015;2015:323–329.Google ScholarPubMed
Panescu, D, Kroll, MW, Brave, M. Current distribution in tissues with conducted electrical weapons operated in drive-stun mode. Proc Annu Int Conf IEEE Eng Med Biol Soc EMBS. 2016;2016:5241–5245.Google ScholarPubMed
Stopyra, JP, Winslow, JE, Fitzgerald, DM, Bozeman, WP. Intracardiac electrocardiographic assessment of precordial TASER shocks in human subjects: a pilot study. J Forensic Leg Med. 2017;52:70–74.CrossRefGoogle ScholarPubMed
Rich, B, Brophy, JM. Estimating the risk of cardiac mortality after exposure to conducted energy weapons. Can J Cardiol. 2015;31(12):1439–1446.CrossRefGoogle ScholarPubMed
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(3):195–201.CrossRefGoogle ScholarPubMed
White, RD, Hankins, DG, Bugliosi, TF. Seven years’ experience with early defibrillation by police and paramedics in an emergency medical services system. Resuscitation. 1998;39(3):145–151.CrossRefGoogle Scholar
Kim, PJ, Franklin, WH. Ventricular fibrillation after stun-gun discharge. N Engl J Med. 2005;353(9):958–959.CrossRefGoogle ScholarPubMed
Gonin, P, Beysard, N, Yersin, B, Carron, P-N. CME information: excited delirium: a systematic review. Acad Emerg Med. 2018;25(5):552–565.CrossRefGoogle Scholar
Ho, JD, Dawes, DM, Nelson, RS, et al. Acidosis and catecholamine evaluation following simulated law enforcement “use of force” encounters. Acad Emerg Med. 2010;17(7):e60–68.CrossRefGoogle ScholarPubMed
Starr, KT. Treating a patient who has been “tasered.” Nursing (Lond). 2019;49(12):20.CrossRefGoogle ScholarPubMed
Servicio Contra Incendios de Salvamento y Protección Civil del Ayuntamiento de Zaragoza. Procedimiento de actuación en caso de asistencia a persona reducida mediante el uso de un dispositivo eléctrico de baja letalidad (TASER). 2020.Google Scholar
El Sayed, M, El Tawil, C, Tamim, H, Mailhac, A, Mann, NC. Emergency medical services experience with barb removal after taser use by law enforcement: a descriptive national study. Prehosp Disaster Med. 2019;34(1):104–107.CrossRefGoogle ScholarPubMed
Ho, JD, Dawes, DM, Kunz, SN, et al. The physiologic effects of a new generation conducted electrical weapon on human volunteers at rest. Forensic Sci Med Pathol. 2020;16(3):406–414.CrossRefGoogle ScholarPubMed
Vilke, GM, Debard, ML, Chan, TC, et al. Excited delirium syndrome (ExDS): defining based on a review of the literature. J Emerg Med. 2012;43(5):897–905.CrossRefGoogle ScholarPubMed
Bolliger, SA, Gort, S, Kaelin, B, Barrera, V, Thali, MJ, Martinez, RM. Penetration depths of conducted electrical weapon probes into human skull phantoms. Am J Forensic Med Pathol. 2019;40(2):102–107.CrossRefGoogle ScholarPubMed
Kroll, MW, Ritter, MB, Guilbault, RA, Panescu, D. Infection risk from conducted electrical weapon probes: what do we know? J Forensic Sci. 2016;61(6):1556–1562.CrossRefGoogle ScholarPubMed