Jauchem James R, Sherry Clifford J, Fines David A, Cook Michael C
Air Force Research Laboratory, Human Effectiveness Directorate, Directed Energy Bioeffects Division, Brooks City-Base, Texas 78235, USA.
Forensic Sci Int. 2006 Aug 10;161(1):20-30. doi: 10.1016/j.forsciint.2005.10.014. Epub 2005 Nov 14.
Repeated exposure to electro-muscular incapacitating devices could result in repetitive, sustained muscle contraction, with little or no muscle recovery period. Therefore, rhabdomyolysis and other physiological responses, including acidosis, hyperkalaemia, and altered levels of muscle enzymes in the blood, would be likely to occur. Experiments were performed to investigate effects of repeated exposures of TASER International's Advanced TASER X26 on muscle contraction and resultant changes in blood factors in an anaesthetized swine model. A total of 10 animals were used. Six swine were exposed for 5 s, followed by a 5-s period of no exposure, repeatedly for 3 min. (In five of the animals, after a 1-h delay, a second 3-min exposure period was added.) The remaining four animals were used for an additional pilot study. All four limbs of each animal exhibited contraction even though the electrodes were positioned in areas at some distances from the limbs. The degree of muscle contraction generated during the second exposure period was significantly lower than that in the first exposure series. This finding was consistent with previous studies showing that prolonged activity in skeletal muscle will eventually result in a decline of force production. There were some similarities in blood sample changes in the current experiments with previous studies of muscular exercise. Thus problems concerning biological effects of repeated TASER exposures may be related, not directly to the "electric output" per se, but rather to the resulting contraction of muscles (and related interruption of respiration) and subsequent sequelae. Transient increases in hematocrit, potassium, and sodium were consistent with previous reports in the literature dealing with studies of muscle stimulation or exercise. It is doubtful that these short-term elevations would have any serious health consequences in a healthy individual. Blood pH was significantly decreased for 1h following exposure, but subsequently returned toward a normal level. Leg muscle contractions and decreases in respiration each appeared to contribute to the acidosis. Lactate was highly elevated, with a slow return (time course greater than 1 h) to baseline. Other investigators have reported profound metabolic acidosis during restraint-associated cardiac arrest. Since restraint often occurs immediately after TASER exposure, this issue should be considered in further development of deployment concepts. On the basis of the results of the current studies, the repeated use of electro-muscular incapacitating devices in a short period of time is, at least, feasible, with the caveat that some medical monitoring of subjects may be required (to observe factors such as lactate and acidosis).
反复接触电肌肉失能装置可能导致重复性、持续性肌肉收缩,几乎没有或完全没有肌肉恢复期。因此,横纹肌溶解及其他生理反应,包括酸中毒、高钾血症和血液中肌肉酶水平的改变,都可能发生。进行了实验,以研究泰瑟国际公司的高级泰瑟X26反复电击对麻醉猪模型中肌肉收缩及血液因子的相应变化的影响。总共使用了10只动物。6只猪接受5秒电击,随后5秒不电击,如此反复进行3分钟。(其中5只动物在延迟1小时后,又增加了一个3分钟的电击期。)其余4只动物用于另一项初步研究。每只动物的四肢即使在电极放置于离四肢有一定距离的部位时也会出现收缩。第二次电击期产生的肌肉收缩程度明显低于第一次电击系列。这一发现与先前的研究一致,即骨骼肌的长时间活动最终会导致力量产生下降。当前实验中血液样本的变化与先前肌肉运动研究有一些相似之处。因此,反复使用泰瑟电击的生物学效应问题可能并非直接与“电输出”本身有关,而是与由此导致的肌肉收缩(以及相关的呼吸中断)及其后续后遗症有关。血细胞比容、钾和钠的短暂升高与先前有关肌肉刺激或运动研究的文献报道一致。对于健康个体而言,这些短期升高是否会产生任何严重的健康后果值得怀疑。电击后1小时内血液pH值显著下降,但随后又恢复到正常水平。腿部肌肉收缩和呼吸减弱似乎都导致了酸中毒。乳酸水平大幅升高,且缓慢恢复(恢复过程超过1小时)至基线水平。其他研究人员报告了与约束相关的心脏骤停期间严重的代谢性酸中毒。由于约束通常在泰瑟电击后立即发生,在进一步制定使用概念时应考虑这一问题。根据当前研究结果,短期内反复使用电肌肉失能装置至少是可行的,但需要对受试者进行一些医学监测(以观察乳酸和酸中毒等因素)。