Vilke Gary M, Sloane Christian M, Bouton Katie D, Kolkhorst Fred W, Levine Saul D, Neuman Tom S, Castillo Edward M, Chan Theodore C
Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, CA 92103, USA.
Ann Emerg Med. 2007 Nov;50(5):569-75. doi: 10.1016/j.annemergmed.2007.05.004. Epub 2007 Aug 24.
Sudden death after a conducted electrical weapon exposure has not been well studied. We examine the effects of a single Taser exposure on markers of physiologic stress in healthy humans.
This is a prospective trial investigating the effects of a single Taser exposure. As part of their police training, 32 healthy law enforcement officers received a 5-second Taser electrical discharge. Measures before and for 60 minutes after an exposure included minute ventilation; tidal volume; respiratory rate (RR); end-tidal PCO2; oxygen saturation, pulse rate; blood pressure (systolic blood pressure/diastolic blood pressure); arterialized blood for pH, PO2, PCO2, and lactate; and venous blood for bicarbonate and electrolytes. Troponin I was measured at 6 hours. Data were analyzed using a repeated-measures ANOVA and paired t tests.
At 1 minute postexposure, minute ventilation increased from a mean of 16 to 29 L/minute, tidal volume increased from 0.9 to 1.4 L, and RR increased from 19 to 23 breaths/min, all returning to baseline at 10 min. Pulse rate of 102 beats/min and systolic blood pressure of 139 mm Hg were higher before Taser exposure than at anytime afterward. Blood lactate increased from 1.4 mmol/L at baseline to 2.8 mmol/L at 1 minute, returning to baseline at 30 minutes. pH And bicarbonate decreased, respectively, by 0.03 and 1.2 mEq/L at 1 minute, returning to baseline at 30 minutes. All troponin I values were normal and there were no EKG changes. Ventilation was not interrupted, and there was no hypoxemia or hypercarbia.
A 5-second exposure of a Taser X26 to healthy law enforcement personnel does not result in clinically significant changes of physiologic stress.
电击武器暴露后的猝死情况尚未得到充分研究。我们研究了单次泰瑟枪暴露对健康人体生理应激指标的影响。
这是一项前瞻性试验,研究单次泰瑟枪暴露的影响。作为警察训练的一部分,32名健康执法人员接受了5秒的泰瑟枪放电。暴露前及暴露后60分钟内的测量指标包括每分通气量、潮气量、呼吸频率(RR)、呼气末二氧化碳分压、血氧饱和度、脉搏率、血压(收缩压/舒张压)、用于检测pH值、氧分压、二氧化碳分压和乳酸的动脉化血液,以及用于检测碳酸氢盐和电解质的静脉血。在6小时时测量肌钙蛋白I。数据采用重复测量方差分析和配对t检验进行分析。
暴露后1分钟,每分通气量从平均16升/分钟增加到29升/分钟,潮气量从0.9升增加到1.4升,RR从19次/分钟增加到23次/分钟,所有这些在10分钟时均恢复到基线水平。泰瑟枪暴露前的脉搏率为102次/分钟,收缩压为139毫米汞柱,高于此后的任何时间。血乳酸从基线时的1.4毫摩尔/升增加到1分钟时的2.8毫摩尔/升,在30分钟时恢复到基线水平。pH值和碳酸氢盐在1分钟时分别下降了0.03和1.2毫当量/升,在第30分钟时恢复到基线水平。所有肌钙蛋白I值均正常,心电图无变化。通气未中断,无低氧血症或高碳酸血症。
将泰瑟枪X26对健康执法人员进行5秒的暴露不会导致生理应激出现具有临床意义的变化。