Dr Morris Odell. Victorian Institute of Forensic Medicine VIFM

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Transcription:

TASERS and STUN GUNS Dr Morris Odell Victorian Institute of Forensic Medicine

Intentional Electric Shock Devices Less than Lethal weapons Stun guns Tasers Cattle prods, Electric fences, Man traps Conducted Energy Weapons (CEWs) Etc.

Effects of Electricity on Body Physiological effects Sensation Motor & cardiac function Nerve function Thermal - burns Miscellaneous Light, sound Electromagnetic fields

Characteristics of Electrical Voltage Contact Current depends on voltage and impedance Frequency and waveform Duration Method of contact or application

Patterns of Current Flow Resistance at entry points if skin is intact Interior of body is low resistance rubber bladder of salt water Current follows internal structures High voltage sparks can easily penetrate skin

Sensation of a Shock Threshold depends on contact site Highly dependent on frequency Pain perceived when current changes even low currents are painful if in pulses Variable perception of pain difficulty of conducting experiments because of subjective effects

Muscle Function Twitches with each pulse or switching point Galvanism Rapid pulses at about 10 Hz or more blend into sustained action - Tetanic spasm

Cardiac Function Ventricular Fibrillation is main cause of death in electrocution Anatomical distribution of current Heart current factor AC or impulses Synchronisation with cardiac cycle Low threshold for VF during repolarisation

Nerve Function Difficult to distinguish clinically from direct effects on muscle Temporary blocking after a shock causing reversible paralysis Shocks to brain cause unconsciousness and convulsions - ECT

Hand held weapons Stun Guns usually applies to contact devices designed to inflict pain or local spasm TASERS trade name for Thomas A Swift s Electric Rifle Tasers evolved from Stun Guns and can be used without cartridge in drive stun mode in a similar way

Electric Shock Weapons Low power pain only High power muscle paralysis Electro-muscular disruption Unusual to get enough energy to affect consciousness, even in head shocks High voltage sparks can penetrate clothing firm contact not necessary

Stun Gun * 1 Small ECG square = 40 ms= 16000 times 2.5 us

Stun Gun Prod style

TASERS Battery powered pistol shaped device Removable cartridge with compressed nitrogen propellant & ID material Laser aiming Darts on end of 4.5M of wire Limited application time Data logged Taser-Cam

Taser X26

Taser Waveforms

Taser Safety Few peer reviewed scientific epidemiological studies Manufacturers deny it is dangerous 1991 LA study of deaths after police use of Tasers in Los Angeles Low power device 13/16 associated with stimulant drugs

Taser Safety Studies on animals Cardiac effects Biochemical disturbances Deaths usually associated with drug use or pre-existing cardiac disease Usually minimal trauma from barbs Litigation by manufacturer

Taser Safety - Strote et al (2006) 75 Deaths assoc with Tasers 2001-4 All male aged 18-50 37 Autopsy reports CVS disease 54% Positive tox 78%; of those, stimulants 86% Diagnosis of Excited delirium in 75% Taser implicated in COD in 27%

Taser Safety what we are learning Many possible adverse outcomes BUT still safer than firearms!! Burns rare when used properly Trauma to sensitive areas eyes, genitalia Falls Sparks set off flames in petrol sniffer Pregnancy one report of miscarriage

Excited Delirium Unexpected deaths in police custody often associated with restraint Physical exertion, violent & bizarre behaviour, insensitive to pain Superhuman strength followed by sudden collapse Stimulant drugs often involved Controversial issue anti-taser lobby

Pathogenesis Autopsy often not conclusive Multifactorial causes of death Positional asphyxia Hyperstimulation from drugs Exhaustion depleted energy reserves Hyperthermia Lactic acidosis Catecholamine induced arrhythmias Stress induced Takotsubo cardiomyopathy acute exhaustive mania

Preventive Strategies Recognise potential police training Paramedics in situ if possible Avoid restraint, especially in prone position Bring subject to sitting position if practicable Role of sedation & life support

Issues raised by coroners & ombudsman Training of police Multiple use of Tasers & OC spray Management of Restraint asphyxia Limiting use of Drive-stun mode Strict operational criteria for use of Tasers Notification & monitoring of critical incidents

CASE STUDY 30 y.o. male, 198 cm; PH bipolar disorder Agitated behaviour at a bar police called Brought down by Taser from a distance Subdued with further shocks to head!!! Cuffed found to be unresponsive No reports of neck pressure PM - large heart, coronaries not blocked, otherwise normal Cause of death Excited delirium

Limitations to Operational Use Both darts need to hit target Limited range 4.5 M Single use cartridge takes a few sec to reload, putting officer at risk in stressful situation

Advances in Tasers & similar devices Multi-shot cartridges Taser shotgun round Marketed in US for personal & family protection

Celebrity Taser

The End!