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执法中传导能装置的医学影响。

Medical implications of Conducted Energy Devices in law enforcement.

机构信息

Emergency Medicine Consultant, Glasgow Royal Infirmary, United Kingdom.

Police Chief Superintendent, Devon & Cornwall Police, United Kingdom.

出版信息

J Forensic Leg Med. 2020 Jul;73:101948. doi: 10.1016/j.jflm.2020.101948. Epub 2020 Jun 10.

DOI:10.1016/j.jflm.2020.101948
PMID:32658743
Abstract

This study examines the medical implications of Conducted Energy Devices (CEDs) in law enforcement, of which TASER® is the brand most recognised. In order to develop understanding of TASER® use, this study undertook both a literature review and original research using data provided by a number of UK police forces. The comprehensive review of literature identified a range of injures, including both primary and secondary complications. Research was conducted into TASER® use in the United Kingdom using a number of data sets, including a retrospective study of some 60,000 uses of force. This data shows TASER® was only discharged on 18% of occasions it was drawn from the holster. The injuries sustained by both subjects and Police Officers associated with TASER® use were compared and it was found that fewer injuries, as a proportion of use, were associated with TASER® than use of Police Dogs, baton, irritant spray or physical confrontation. The data examined 948 discharges of TASER® and recorded 159 attendances at the Emergency Department as a result. Only three hospital admissions were identified. The paper concludes that the use of CEDs as a police use-of-force may be associated with injury; the overwhelming majority of such are classified as minor. Death or the more severe injuries described in the medical literature are rare and any deaths occurring within temporal proximity to the use of a CED should be investigated thoroughly and the presentation of the individual carefully recorded. The collection of post-incident data provides evidence to the relative operational safety of the TASER® by the UK Police; it is accepted by the police that no use-of-force option is risk free, however data provided showed a greater incidence of injury to both the officers and subjects, as a proportion of use, when baton, irritant spray or physical confrontation was used.

摘要

这项研究探讨了执法中传导能装置(CEDs)的医学意义,其中 TASER®是最知名的品牌。为了更好地了解 TASER®的使用情况,本研究进行了文献回顾和原始研究,使用了一些英国警察部队提供的数据。文献综述广泛涉及到多种伤害,包括原发性和继发性并发症。本研究对 TASER®在英国的使用情况进行了研究,使用了多个数据集,包括一项涉及约 60,000 次武力使用的回顾性研究。该数据显示,TASER®仅在从皮套中取出的 18%的情况下被放电。与 TASER®使用相关的受测者和警察人员所遭受的伤害进行了比较,结果发现,与使用警犬、警棍、刺激性喷雾或身体对抗相比,TASER®的使用与较少的伤害相关,且比例较低。该数据共检查了 948 次 TASER®的放电情况,并记录了因此导致的 159 次急诊科就诊。仅确定了 3 例住院病例。本文的结论是,作为警察使用武力的一种方式,CEDs 的使用可能与伤害有关;绝大多数伤害都被归类为轻微伤害。在医学文献中描述的死亡或更严重的伤害很少见,并且在使用 CED 后不久发生的任何死亡都应进行彻底调查,并仔细记录个人的表现。事件后数据的收集为 TASER®在英国的相对操作安全性提供了证据;警方接受了没有任何一种武力选择是无风险的,但提供的数据显示,当使用警棍、刺激性喷雾或身体对抗时,警察和受测者的受伤比例更高。

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