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Serum and Skin Effects of CEW Application

  • Jeffrey D. Ho
Chapter

Because there have been some deaths temporally associated with CEW application, there has been intense effort and research to determine if the CEW has been a contributor in these cases or whether it is an item of convenience for blame. Initial theories of contribution centered around direct induction of arrhythmia or electrocution. However, numerous researchers of human subjects have demonstrated a high degree of cardiac safety in various studies [1–5].

Keywords

Serum Potassium Level Cardiac Muscle Cell Athletic Event Severe Rhabdomyolysis Extreme Exercise 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Ho JD, Miner JR, Lakireddy DR, et al. Cardiovascular and physiologic effects of conducted electrical weapon discharge in resting adults. Acad Emerg Med, 2006;13:589–595.PubMedCrossRefGoogle Scholar
  2. 2.
    Levine SD, Sloane CM, Chan TC, et al. Cardiac monitoring of human subjects exposed to the TASER. J Emerg Med, 2007;33:113–117.PubMedCrossRefGoogle Scholar
  3. 3.
    Vilke GM, Sloane S, Levine S, et al. Twelve-lead electrocardiogram monitoring of subjects before and after voluntary exposure to the TASER X26. Am J Emerg Med, 2007;26:1–4.CrossRefGoogle Scholar
  4. 4.
    Ho J, Dawes D, Calkins H and M Johnson. Absence of electrocardiographic change following prolonged application of a conducted electrical weapon in physically exhausted adults. Acad Emerg Med, 2007 (supplement 1);14:S128–S129.CrossRefGoogle Scholar
  5. 5.
    Ho JD, Dawes DM, Reardon RF, et al. Echocardiographic evaluation of a TASER X26 application in the ideal human cardiac axis. Acad Emerg Med, 2008;In Press.Google Scholar
  6. 6.
    Pinto DS and PF Clardy. “Environmental Electrical Injury” in Up To Date Online, 16.1. (Accessed June 10, 2008 at http://www.utdol.com/utd/content/topic.do?topicKey=ad_emerg/2283&type=A&selectedTitle=1˜2).
  7. 7.
    Apple FS. Tissue specificity of cardiac troponin I, cardiac troponin T and creatine kinase-MB. Clin Chim Acta, 1999;284:151–159.PubMedCrossRefGoogle Scholar
  8. 8.
    Bakshi TK, Choo MKF, Edwards CC, et al. Causes of elevated troponin I with a normal coronary angiogram. Int Med J, 2002;32;520–525.CrossRefGoogle Scholar
  9. 9.
    Ho JD, Dawes DM, Bultman LL, et al. Prolonged TASER use on exhausted humans does not worsen markers of acidosis. AJEM, 2008–2009 In Press.CrossRefGoogle Scholar
  10. 10.
    Allan JJ, Feld RD, Russell AA, et al. Cardiac troponin I levels are normal or minimally elevated after transthoracic cardioversion. J Am Coll Cardiol, 1997;30:1052–1056.PubMedCrossRefGoogle Scholar
  11. 11.
    Hick JL, Smith SW and MT Lynch. Metabolic acidosis in restraint-associated cardiac arrest: a case series. Acad Emerg Med, 1999;6:239–243.PubMedCrossRefGoogle Scholar
  12. 12.
    US National Library of Medicine and the National Institutes of Health. “Hyperkalemia” in Medline Plus. Accessed June 10, 2008 at http://www.nlm.nih.gov/medlineplus/ency/article/001179.htm).
  13. 13.
    Kilburn KH. Muscular origin of elevated plasma potassium during exercise. J Appl Physiol, 1966;21:675–678.PubMedGoogle Scholar
  14. 14.
    Brady HR, Kinirons M, Lynch T, et al. Heart rate and metabolic response to competitive squash in veteran players: identification of risk factors for sudden cardiac death. Eur Heart J, 1989;10:1029–1035.PubMedGoogle Scholar
  15. 15.
    Vilke GM, Sloane CM, Bouton KD, et al. Physiological effects of a conducted electrical weapon on human subjects. Ann Emerg Med, 2007;50:569–575.PubMedCrossRefGoogle Scholar
  16. 16.
    Ho JD, Dawes DM, Lapine AL, et al. Prolonged TASER “Drive Stun” exposure in humans does not cause worrisome biomarker changes. National Association of EMS Physicians Annual Meeting Presentation, 2008; Accessed on June 9, 2008 at http://www.naemsp.org/documents/2008NAEMSPAbstrats070912revised_2_.pdf.
  17. 17.
    French DN, Kraemer WJ, VanHeest JL, Sharman MJ, Gomez AL, Rubin MR, et al. Physiological[][] damage and stress of a competitive NCAA division 1 football game. Med Sci Sports Exerc, 2003 (supplement);35:S320.Google Scholar
  18. 18.
    Sinert R, Kohl L, Rainone T, Scalea T. Exercise-induced rhabdomyolysis. Ann Emerg Med, 1994;23:1301–1306.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Emergency Medicine, Hennepin County Medical CenterUniversity of Minnesota Medical SchoolMinneapolisUSA

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