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Pesquisa : C26.324.436 [Categoria DeCS]
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[PMID]:28703047
[Au] Autor:Peel M
[Ad] Endereço:West Yorkshire Police Custody, England.
[Ti] Título:Assessment of people who have been tasered.
[So] Source:Emerg Nurse;25(4):22-29, 2017 Jul 13.
[Is] ISSN:1354-5752
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The use of Tasers® by the police is subject to intense scrutiny and controversy. With increasing numbers of police officers carrying Tasers, it is important that nurses in pre-hospital, emergency department and police custody settings understand how Tasers work, and the physiological effects. This article describes Tasers, their mechanisms and physiological effects, and explains how nurses should undertake assessment of people who have been subjected to Taser discharge.
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque/enfermagem
Avaliação em Enfermagem
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência
Serviço Hospitalar de Emergência
Desenho de Equipamento
Seres Humanos
Polícia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.7748/en.2017.e1725


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[PMID]:28654804
[Au] Autor:Kroll MW; Ritter MB; Williams HE
[Ad] Endereço:Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, USA; California Polytechnical Institute, San Luis Obispo, CA, USA. Electronic address: mark@kroll.name.
[Ti] Título:Fatal and non-fatal burn injuries with electrical weapons and explosive fumes.
[So] Source:J Forensic Leg Med;50:6-11, 2017 Aug.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: While generally reducing morbidity and mortality, electrical weapons have risks associated with their usage, including eye injuries and falls. With the presence of explosive fumes or fuels there also exists the possibility of burn injury. METHODS: We searched for cases of fatal and non-fatal major burns with TASER electrical weapon usage where there was a possibility that the weapon ignited the explosion. RESULTS: We confirmed 6 cases of fatal burn injury and 4 cases of major non-fatal burns out of 3.17 million field uses. The mean age was 35.5 ± 9.7 years which is consistent with the typical arrest-related death. Moderate, minor, and noninjurious fires - typically due to a cigarette lighters in a pocket, petrol, recreational inhalants, or body spray were also noted. CONCLUSIONS: The use of electrical weapons presents a small but real risk of death from fatal burn injury. It also presents a small risk of major non-fatal burn injury. The ignition of petrol fumes dominates these cases of major fatal and nonfatal burns.
[Mh] Termos MeSH primário: Queimaduras/etiologia
Lesões por Armas de Eletrochoque
Explosões
Combustíveis Fósseis/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Butanos/efeitos adversos
Seres Humanos
Masculino
Meia-Idade
Polícia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Butanes); 0 (Fossil Fuels)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE


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[PMID]:28399089
[Au] Autor:Kondratova IV; Kulinkovich KY
[Ad] Endereço:Federal state budgetary institution 'Russian Centre of Forensic Medical Expertise', Russian Ministry of Health, Moscow, Russia, 125284.
[Ti] Título:[The topical problems of the application of the TASER electroshock devices].
[Ti] Título:Aktual'nye voprosy primeneniia élektroshokovogo ustroistva TASER..
[So] Source:Sud Med Ekspert;60(2):57-64, 2017.
[Is] ISSN:0039-4521
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The objective of the present study was the analysis of publications in the foreign medical literature concerning the problems of safety, clinical diagnostics, pathological morphology, and treatment of the patients subjected to the impact by various models of the TASER electroshock devices. The materials for this article were borrowed from the available Internet resources and libraries. The methods of scientific analysis were employed to follow up the dynamics of publication and to determine the number of publications on the issues of interest. The main attention was given to the overview of the subject matter of scientific research and experiments. The review covers 74 foreign articles presenting the discussion of various conditions and circumstances of the action of various types of the TASER electroshock devices (ESD) on the man with special reference to their effectiveness and safety as confirmed by numerous experimental impacts on the volunteers and animals. It is shown that the dynamics of relevant publications in the foreign scientific periodicals gives evidence of the strong interest shown by the specialists in various scientific disciplines to the problem of safety of various models of the TASER electroshock devices. The largest number of the articles (60 or 81.1%) published during the period covered by the present study were submitted by the American authors describing their experiments involving the volunteers, anthropometric dummies, and human corpses (n=38 or 51%). The subject matter of these publications included the forensic medical evaluation of the lethal outcomes of the application of the TASER electroshock devices with the related technical problems and characteristic of various ESD models. Despite the extensive studies on the volunteers and the experimental animals, the authors of the publications failed to present direct and conclusive evidence of the lethal consequences of the application of the TASER electroshock devices (ESD) on the man. Some of them recommend to prohibit (or restrict whenever possible) the targeted application of the electric shock weapons to the thoracic region. Experiments on the animals have demonstrated the possibility of development of cardiovascular and respiratory complications following the application of the TASER X2 electroshock devices operating at a frequency of 40 Hz during 30 minutes. The clinical and laboratory studies with the participation of the volunteers in an alcoholic intoxication condition have confirmed the long-term increase in the blood lactate levels under the influence of the electric shocking weapons. The analogous data suggesting the development of pronounced acidosis under effect of the TASER X2 electroshock devices due to the elevation of the lactate concentration in the venous blood have been obtained in the animal experiments. The studies of humans in a narcotic intoxication condition failed to provide direct evidence of induction of psychic disorders in the form of an acute confusional state (delirium) under the influence of the TASER electroshock devices. The evaluation of changes in the skin cover in the form of the punctured or contused wounds in the victims of the application of the electroshock gun projectiles did not revealed any specific signs of the local electrical action.
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque
Medicina Legal/métodos
Armas
[Mh] Termos MeSH secundário: Lesões por Armas de Eletrochoque/diagnóstico
Lesões por Armas de Eletrochoque/patologia
Lesões por Armas de Eletrochoque/fisiopatologia
Eletrochoque/instrumentação
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.17116/sudmed201760257-64


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[PMID]:25906335
[Au] Autor:Rafailov L; Temnogorod J; Tsai FF; Shinder R
[Ad] Endereço:Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York, U.S.A.
[Ti] Título:Impaled Orbital TASER Probe Injury Requiring Primary Enucleation.
[So] Source:Ophthal Plast Reconstr Surg;33(3S Suppl 1):S176-S177, 2017 May/Jun.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Conducted Electrical Weapon is a weapon often used by law enforcement agencies as a method of less lethal means to subdue a suspect. Injuries to the eye with these devices are usually due to the projectile force of the metal probes that are released when these devices are engaged. The authors report what may be the first case of an impaled orbital TASER probe that required primary enucleation for globe perforation.
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque/cirurgia
Enucleação Ocular/métodos
Corpos Estranhos no Olho/cirurgia
Ferimentos Oculares Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Lesões por Armas de Eletrochoque/diagnóstico
Corpos Estranhos no Olho/diagnóstico
Ferimentos Oculares Penetrantes/diagnóstico
Seres Humanos
Masculino
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150424
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000000486


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[PMID]:27718445
[Au] Autor:Scherr C; de Carvalho AC; Belem LJ; Loyola LH; Guerra RL; Blanco F; Mangia C
[Ad] Endereço:Fundação Procoração, Brazil; Instituto Nacional de Cardiologia, Brazil. Electronic address: scherr@all.com.br.
[Ti] Título:Cardiovascular effects of SPARK conducted electrical weapon in healthy subjects.
[So] Source:Int J Cardiol;225:123-127, 2016 Dec 15.
[Is] ISSN:1874-1754
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The increasing use of conducted electronic weapons (CEW) cause concern regarding its secure application, specially regarding the implications in the cardiovascular system. METHODS: The objective was to determine Spark CEW safety through cardiovascular parameters analysis of healthy volunteers subjected to its use. RESULTS: Volunteers over 18years without cardiovascular disease or recent use of illegal drugs were submitted, before and after being affected with Spark CEW, to clinical evaluation; blood collection for serum laboratory tests; transthoracic electrocardiography at rest, transthoracic echodopplercardiogram and 24hour Holter. RESULTS: All 71 patients reported being incapable of any voluntary reaction during the shock of the application time. No arrhythmia or myocardial necrosis was related to the use of non-lethal weapon SPARK. Reported adverse events were self-limited, and mostly mild. CONCLUSIONS: SPARK brand CEW is effective in incapacitating individuals by the shock of the application time, without causing.
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque/fisiopatologia
Frequência Cardíaca/fisiologia
Armas
[Mh] Termos MeSH secundário: Adulto
Lesões por Armas de Eletrochoque/diagnóstico
Traumatismos por Eletricidade/diagnóstico
Traumatismos por Eletricidade/fisiopatologia
Eletrocardiografia Ambulatorial/métodos
Feminino
Voluntários Saudáveis
Seres Humanos
Aplicação da Lei/métodos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161009
[St] Status:MEDLINE


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[PMID]:27423132
[Au] Autor:Kroll MW; Adamec J; Wetli CV; Williams HE
[Ad] Endereço:Dept of Biomedical Engineering, University of Minnesota, California Polytechnical Institute, USA. Electronic address: mark@kroll.name.
[Ti] Título:Fatal traumatic brain injury with electrical weapon falls.
[So] Source:J Forensic Leg Med;43:12-19, 2016 Oct.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: While generally reducing morbidity and mortality, electrical weapons have risks associated with their usage, including eye injuries and falls. With sufficient probe spread, an uncontrolled fall to the ground typically occurs along with the possibility of a fatal brain injury. METHODS: We analyzed possible risk factors including running and elevated surfaces with established head-injury criteria to estimate the risk of brain injury. We searched for cases of arrest-related or in-custody death, with TASER(®) electrical weapon usage where fall-induced injuries might have contributed to the death. We found 24 cases meeting our initial inclusion criteria of a fatal fall involving electronic control. We then excluded 5 cases as intentional jumps, leaving 19 cases of forced falls. Autopsy reports and other records were analyzed to determine which of these deaths were from brain injury caused by the fall. RESULTS: We found 16 probable cases of fatal brain injuries induced by electronic control from electrical weapons. Out of 3 million field uses, this gives a risk of 5.3 ± 2.6 PPM which is higher than the theoretical risk of electrocution. The mean age was 46 ± 14 years which is significantly greater that the age of the typical ARD (36 ± 10). Probe shots to the subject's back may present a higher risk of a fatal fall. CONCLUSIONS: The use of electronic control presents a small but real risk of death from fatal traumatic brain injury. Increased age represents an independent risk factor for such fatalities.
[Mh] Termos MeSH primário: Acidentes por Quedas
Lesões Encefálicas Traumáticas/etiologia
Lesões por Armas de Eletrochoque/complicações
[Mh] Termos MeSH secundário: Adulto
Bases de Dados Factuais
Seres Humanos
Aplicação da Lei
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160717
[St] Status:MEDLINE


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[PMID]:27236177
[Au] Autor:Bailey CA; Smock WS; Melendez AM; El-Mallakh RS
[Ad] Endereço:Ms. Bailey is a PhD candidate at Sam Houston State University. Dr. Smock is the Police Surgeon, Louisville Metropolitan Police Department, Louisville, KY. Ms. Melendez is Department Chairman/Research Coordinator, Department of Emergency Medicine, and Dr. El-Mallakh is Director, Mood Disorders Resear
[Ti] Título:Conducted-Energy Device (Taser) Usage in Subjects With Mental Illness.
[So] Source:J Am Acad Psychiatry Law;44(2):213-7, 2016 Jun.
[Is] ISSN:1943-3662
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Use of a conducted-energy device (CED), or Taser, by law enforcement officers (LEOs) is recommended over more lethal forms of force. LEOs interact with a wide variety of people including individuals with mental illness and those with substance use disorders. The literature is devoid of data regarding the effect of CEDs on this special population. We used data collected by LEOs from 2008 to 2009. There were 233 cases over the two-year period. Of the 233 individuals on whom the Taser was used, 38 had a mental illness and 91 were under the influence of substances (not mutually exclusive). The average number of shocks necessary to achieve compliance was 1.92 for persons with a mental illness (t(231) = 2.565; p = .011, versus nonintoxicated control subjects without mental illness and 2.55 for persons under the influence of stimulants (t(143) = 3.027; p = .003, versus nonintoxicated control subjects without mental illness). The results of this study serve to inform LEOs and administrators of the patterns of use of CEDs in communities.
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque
Criminosos/psicologia
Aplicação da Lei
Transtornos Mentais
Armas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Polícia
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160529
[St] Status:MEDLINE


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[PMID]:27126837
[Au] Autor:Michaud A
[Ad] Endereço:675 Rang 1 Sud Roberval, Québec, G8H 2M9, Canada. Electronic address: g.a.michaud@hotmail.com.
[Ti] Título:Restraint related deaths and excited delirium syndrome in Ontario (2004-2011).
[So] Source:J Forensic Leg Med;41:30-5, 2016 Jul.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Restraint related death in individuals in excited delirium syndrome (ExDS) is a rare event that has been the subject of controversies for more than 3 decades. The purpose of this retrospective study was to retrieve data on all restraint related deaths (RRD) that occurred in Ontario during an 8-year period and compare them with an earlier study on RRD in ExDS covering the period 1988-1995 in Ontario. The Office of the Chief Coroner of Ontario website was consulted under verdicts and recommendations. The Canadian Legal Information Institute website was used to consult verdict explanations and coroner's summary of evidence. During the period 2004-2011, RRD occurred in 14 individuals in ExDS, a 33% reduction. Psychiatric illness as a cause of ExDS decreased from 57% to 14%. Cocaine was the cause of ExDS in 11 (79%) individuals. The number of RRD following a violent encounter in cocaine-induced ExDS (8) was identical in the 2 periods. RRD occurred in 6 individuals without ExDS following a violent encounter. Final restraint position preceding cardiorespiratory arrest was available in 36% of individuals with ExDS and 83% of individuals without ExDS. In both groups, cardiorespiratory arrests could be classified as immediate or delayed. All 4 individuals without ExDS who had immediate cardiorespiratory arrests were restrained in the prone position. Delayed cardiorespiratory arrest occurred in the non-prone position in both groups. Although many hypotheses may be put forward to explain changes in the epidemiology of RRD in ExDS in Ontario, multiple warnings and recommendations from coroners' inquests cannot be ignored. There is probably not a unique pathophysiological pathway leading to cardiorespiratory arrest in RRD. The death rate in RRD in ExDS is so low that drawing any conclusions based on statistical studies or on isolated case report could be hazardous.
[Mh] Termos MeSH primário: Delírio/epidemiologia
Parada Cardíaca/mortalidade
Polícia
Agitação Psicomotora/epidemiologia
Restrição Física/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Doenças Cardiovasculares/complicações
Cocaína/envenenamento
Lesões por Armas de Eletrochoque/complicações
Morte Súbita/epidemiologia
Overdose de Drogas
Seres Humanos
Masculino
Entorpecentes/envenenamento
Ontário/epidemiologia
Decúbito Ventral
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Narcotics); I5Y540LHVR (Cocaine)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160430
[St] Status:MEDLINE


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[PMID]:27032889
[Au] Autor:Brophy JM; Rich B
[Ti] Título:Reply to Letter From Kroll et al.-Risk of Death With Conducted Energy Weapons.
[So] Source:Can J Cardiol;32(10):1261.e13, 2016 10.
[Is] ISSN:1916-7075
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque
Parada Cardíaca
[Mh] Termos MeSH secundário: Causas de Morte
Morte Súbita Cardíaca
Seres Humanos
Risco
Armas
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160402
[St] Status:MEDLINE


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[PMID]:26968394
[Au] Autor:Kroll MW; Luceri RM; Lakireddy D; Calkins H
[Ti] Título:Do TASER Electrical Weapons Actually Electrocute?
[So] Source:Can J Cardiol;32(10):1261.e11, 2016 10.
[Is] ISSN:1916-7075
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Lesões por Armas de Eletrochoque
Traumatismos por Eletricidade
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE



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