Leeds Community Healthcare NHS Trust, Leeds, England.
Partnering Health Limited, Whiteley, England.
Emerg Nurse. 2022 Jul 5;30(4):16-23. doi: 10.7748/en.2022.e2125. Epub 2022 Feb 8.
The use of conducted energy devices - better known under the brand name Taser - by police officers is subject to scrutiny. Consequently, the clinical assessment and management of people who have been exposed to Taser discharge is also subject to scrutiny. In 2021 the Conducted Energy Device Joint Working Group published a new guideline on assessment in police custody after Taser discharge. The guideline enables any appropriately trained and competent healthcare professional, including nurses, to undertake post-Taser assessments and determine the person's fitness to be detained in police custody. This would be done in the first instance by nurses working in police custody suites, but emergency department (ED) nurses may also be involved, as people who have been 'tasered' may need referral to the ED. This article explains how Tasers work, their physiological effects and potential complications, and the required approaches to clinical assessment and management as outlined in the new guideline.
警察使用传导能设备(俗称泰瑟枪)受到严格审查。因此,对遭受泰瑟枪放电的人员进行临床评估和管理也受到严格审查。2021 年,传导能设备联合工作组发布了一项关于泰瑟枪放电后在警方羁押期间进行评估的新指南。该指南使任何经过适当培训和有能力的医疗保健专业人员,包括护士,都能够进行泰瑟枪放电后的评估,并确定该人是否适合被警方羁押。最初将由在警方羁押室工作的护士进行,但急诊部(ED)护士也可能参与其中,因为被“泰瑟枪”电击的人可能需要转介到 ED。本文解释了泰瑟枪的工作原理、生理效应和潜在并发症,以及新指南中概述的临床评估和管理所需的方法。