Sickle cell trait in non-firearm arrest-related deaths of Black persons.

The role of sickle cell trait (SCT) in sudden exertional death is well-recognized in sports and military training. However, it is not yet studied for non-firearm arrest-related death (NF-ARD). With extensive multi-pronged searches, a large database (n = 1389) of NF-ARDs was established.

The Mechanism of Death in Electrocution: A Historical Review of the Literature.

Our present understanding of electrocution followed a long path of detours and speculation. It is now hard to appreciate how mysterious was an unexpected sudden death-without visible trauma-and we should be sympathetic to the surprising theories that came from well-intentioned attempts to find something in the autopsy of an electrocution victim.The early hypotheses (1880s) tended to favor effects on the central nervous system, but the emphasis switched to arterial and hematological mechanisms as well as respiratory arrest (ie, asphyxia) along with a widespread publication debate.

Homicide Manner-of-Death Classification in Arrest-Related Death.

Multiple studies have documented various factors that influence or determine forensic pathologist classification of manner of death. There do not appear to be any published studies on manner of death classification specifically regarding arrest-related deaths (ARDs). The goal of this study was to consider a large body of cases of nonfirearm ARDs to analyze the homicide classification with regards to numerous decedent and practitioner (medical examiner/coroner [ME/C]) variables.

Do Saliva-Saturated Spit Hoods Interfere With Ventilation?

Spit hoods are used by law enforcement, officers in correctional facilities, and medical personnel during the restraint of agitated subjects that are actively spitting to prevent the transmission of droplet-transmitted pathogens. We could find no studies reporting on the time course of normal breathing to clear saliva from such a saturated spit hood. We purchased samples of 3 popular spit hood models and applied a section over the output of a pneumatic test system.

The electrophysiology of electrocution.

Electrocution is a death caused by an application of electrical current to the human body. Our present understanding of electrocution-as the induction of ventricular fibrillation (VF)-followed a nearly century-long path of misunderstandings and speculation primarily focused on hypotheses of asphyxia as well as central nervous system trauma. It is hard for us today to appreciate the past mystery of an unexpected sudden death usually bereft of visible trauma.

Electrocution Risk of Capacitive Discharge Shocks: Application to Electric Vehicle Charging.

It is difficult to electrocute (induce ventricular fibrillation) with capacitive discharge shocks. With small capacitance values, the high voltages required for the necessary charge are rarely seen in industrial situations (e.g.

Confusion between firearms and electrical weapons as a factor in police shootings.

Conducted electrical weapons (CEW) have risks including trauma associated with uncontrolled falls, probes penetrating the eye, and fume ignition. A lesser-known risk is weapon-confusion error with officers mistakenly discharging their firearm when they intended to deploy their electrical weapon. We searched for incidents of possible weapon confusion with the TASER® brand CEWs via open-source media, litigation filings, and a survey of CEW law enforcement master instructors.

Humidity and Ventricular Fibrillation: When Wet Welding can be Fatal.

Introduction: Arc welding is generally considered very safe electrically. There have been electrocution cases with welders in high humidity environments. When dry, the flux coatings tend to have sufficient electrical resistance to limit the current below that required for the induction of VF (ventricular fibrillation).

Output of Electronic Muscle Stimulators: Physical Therapy and Police Models Compared.

Introduction: Both physical therapists and police officers use electrical muscle stimulation. The typical physical therapist unit is attached with adhesive patches while the police models use needle-based electrodes to penetrate clothing. There have been very few papers describing the outputs of these physical therapy EMS (electrical muscle stimulator) units.

Ventricular Fibrillation Threshold vs Alternating Current Shock Duration.

Introduction: International basic safety limits for utility-frequency electrical currents have long been set by the International Electrotechnical Commission 60479-1 standard. These were inspired by a linear-section plot proposed by Biegelmeier in 1980 with current given as a function of the shock duration. This famous plot has contributed to safe electrical circuit design internationally and has properly earned significant amount of respect over its 35 years of life.

Detection of Arcing and High Impedance with Electrical Weapons.

Introduction: Conducted electrical weapons are primarily designed to stop subjects from endangering themselves or others by deploying 2, or more, probes to conduct current via the body to induce motor-nerve mediated muscle contractions, but probe impedance can vary significantly including open circuits from probes failing to complete or maintain a circuit.

Methods: We tested 10 units of the TASER 7 model with a range of impedances and open circuit conditions. Pulse data (stored in the device's memory) were used to predict the load resistances and detect arcing conditions.

Estimation of Physiological Impedance from Neuromuscular Pulse Data.

Introduction: A Conducted Electrical Weapon (CEW) deploys 2, or more, probes to conduct current via the body to induce motor-nerve mediated muscle contractions, but the inter-probe resistances can vary and this can affect charge delivery. For this reason, newer generation CEWs such as the TASER X3, X2 and X26P models have feed-forward control circuits to keep the delivered charge constant regardless of impedance. Our main goal was to explore the load limits for this "charge metering" system.

Pneumatic Impedance of Spit Socks and N95 Masks: The Applicability to Death Investigation.

Introduction: Restrained subjects often spit on law enforcement and corrections officers and medical responders. Based on the droplet-transmitted risk of COVID-19, such spitting could be considered a potentially life-threatening assault. Officers commonly use "spit socks" over the head and neck of spitting subjects to reduce this risk.

Computational models for contact current dosimetry at frequencies below 1 MHz.

Electric contact currents (CC) can cause muscle contractions, burns, or ventricular fibrillation which may result in life-threatening situations. In vivo studies with CC are rare due to potentially hazardous effects for participants. Cadaver studies are limited to the range of tissue's electrical properties and the utilized probes' size, relative position, and sensitivity.

Safety of a High-Efficiency Electrical Fence Energizer.

Introduction: Our primary goal was to evaluate the performance of a new high-efficiency electric fence energizer unit using resistive load changes. Our secondary goal was to test for compliance with the classical energy limits and the newer charge-based limits for output.

Methods: We tested 4 units of the Nemtek Druid energizer with 2 channels each.

Electrical weapons and rhabdomyolysis.

It has been suggested that an application of a conducted electrical weapon (CEW) might cause muscle injury such as rhabdomyolysis and an acute inflammatory response. We explored this hypothesis by testing the effects of electrical weapons on circulating markers of inflammation and muscle damage. In a prospective study, 29 volunteers received a full-trunk 5-s TASER® X26(E) CEW exposure.

Electrical weapons, hematocytes, and ischemic cardiovascular accidents.

Background: There have been case reports following the use of a conducted electrical weapon (CEW) suggesting that these devices might affect coagulation or thrombosis in at-risk individuals. The aim of this manuscript therefore is firstly to explore this hypothesis by reviewing each of these cases and secondly to report the results of a prospective study exploring a priori the effects of electrical weapons on hematocytes in a group of human volunteers.

Methods: First, we systematically reviewed all cases of adverse outcomes following CEW discharge that could be due to an effect on coagulation or thrombosis, with particular focus on the clinical scenario and its relationship with the weapon discharge.

Impedance in the Diagnosis of Lead Malfunction.

Impedance is the ratio of voltage to current in an electrical circuit. Cardiovascular implantable electronic devices measure impedance to assess the structural integrity electrical performance of leads, typically using subthreshold pulses. We review determinants of impedance, how it is measured, variation in clinically measured pacing and high-voltage impedance and impedance trends as a diagnostic for lead failure and lead-device connection problems.

Dosimetry for Ventricular Fibrillation Risk with Short Electrical Pulses: History and Future.

Unlabelled: Electrical safety limits for unidirectional pulses with short durations are increasingly important due to the proliferation of electric-car and factory energy storage systems with potentially dangerous voltages. Electrocution by a short-duration direct-current pulse is not understood as well as that by alternating current and the data are limited. The primary international guidance comes from IEC 60479-2 section 11.

High Impedance Electrical Accidents: Importance of Source and Subject Impedance.

Unlabelled: In most cases, the diagnosis of an electrical injury or electrocution is straightforward. However, there is a necessity for much closer analysis in many cases. There exist sophisticated electrical safety standards that predict outcomes for shocks of various currents applied to different parts of the body.