Abstract
The use of physical restraint to control violent, uncooperative, or combative individuals is to be expected in the law enforcement setting. Furthermore, the more violent, combative, or uncooperative an individual, the greater and greater degrees of force required to restrain such persons. When an individual dies under such circumstances, it becomes a legitimate question whether the restraint process or specific method itself had any causal relationship with the death or whether the death was predicated more upon the circumstances that led to restraint in the first place. Clearly, certain methods of restraint have been reported to be potentially harmful to individuals and as a result, certain “choke hold” maneuvers are no longer used by most police or law enforcement agencies because of the risk they apparently represent (1,2).
Keywords
- Prone Position
- Forced Vital Capacity
- Physical Restraint
- Maximal Inspiratory Pressure
- Emergency Medical Serv Personnel
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.
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References
Reay DT, Eisele JW. Death from law enforcement neck holds. Am J Forensic Med Pathol 1982;3:253–258.
Reay DT, Holloway GA Jr. Changes in carotid blood flow produced by neck compression. Am J Forensic Med Pathol 1982;3:199–202.
Burgreen B, Krosch C, Binkerd V, Blackbourne B. Final report of the custody death task force. San Diego Police Department, San Diego, CA, 1992.
O’Halloran RL, Lewman LV. Restraint asphyxiation in excited delirium. Am J Forensic Med Pathol 1993;14(4):289–295.
Stratton SJ, Rogers C, Green K. Sudden death in individuals in hobble restraints during paramedic transport. Ann Emerg Med 1995;25(5):710–712.
Reay DT, Fligner CL, Stilwell AD, Arnold J. Positional asphyxia during law enforcement transport. Am J Forensic Med Pathol 1992;13(2):90–97.
Bates DV, Macklem PT, Christie RV. Respiratory Function in Disease. WB Saunders, New York, NY, 1971.
Astrand PO, Rodahl K. Textbook of Work Physiology McGraw-Hill, New York, NY, 1977, pp. 207–266
Bell MD, Rao VJ, Wetli CV, Rodriguez RN. Positional asphyxiation in adults: a series of 30 cases from the Dade and Broward county Florida medical examiner offices from 1982-1990. Am J Forensic Med Path 1992;13(2):101–107.
Dube AH, Mitchell EK. Accidental strangulation from vest restraints. JAMA 1986;256(19):2725–2726.
Katz L. Accidental strangulation from vest restrants. JAMA 1987;257(15):2032–2033.
Di Maio VJM, Dana SE, Bux RC. Deaths caused by restraint vests. JAMA 1986;256(7):905.
Miles S. A case of death by physical restraint: new lessons from a photograph. J Am Geriatrics Soc 1996;44:291–292.
Miles HS, Irvine P. Deaths caused by physical restraints. Gerontologist 1992;32:762–726.
Emson HE. Death in a restraint jacket from mechanical asphyxia. Can Med Assoc J 1994;151(7):985–987.
Wetli CV, Fishbain DA. Cocaine-induced psychosis and sudden death in recreational cocaine users. J Forensic Sci 1985;30(3):873–880.
Ross DL. An analysis of in-custody deaths and positional asphyxiation. The Police Marksman 1996;March/April:16–18.
Reay DT, Howard JD, Fligner CL, Ward RJ. Effects of positional restraint on oxygen saturation and heart rate following exercise. Am J Forensic Med Pathol 1988;9(1):16–18.
Levitzky MG. Pulmonary Physiology, 4th ed. McGraw-Hill, New York, NY, 1995.
Wasserman K, Hansen JE, Sue DY, Whipp BJ, Casburi R. Normal values. In: Wasserman K, Hansen JE, Sue DY, Whipp BJ, Casaburi R, eds. Principles of Exercise Testing and Interpretation, 2nd ed. Lea & Febiger, Philadelphia, PA, 1994, pp. 127–128.
Biebuyck JF. Pulse oximetry. Anesthesiology 1989;70:98–108.
Norton LH, Squires B, Craig NP, et al. Accuracy of pulse oximetry during exercise stress testing. Int J Sports Med 1992;13:523–527.
Hansen JE, Casaburi R. Validity of ear oximetry in clinical exercise testing. Chest 1987;91(3):333.
Chan TC, Vilke GM, Neuman T, Clausen JL. Restraint position and positional asphyxia. Ann Emerg Med Ann Emerg Med 1997;30(5):578–586.
Schmidt MA, Snowden T, Clin J. The effects of positional restraint on oxygen saturation and heart rate. J Emerg Med 1999;17(5):777–782.
Chan TC, Vilke GM, Clausen J, Clark RF, Schmidt P, Snowden T, Neuman T. The effect of oleoresin capsicum “pepper” spray inhalation on respiratory function. J Forensic Sci 2002;47(2):28–33.
Parkes J. Sudden death during restraint. A study to measure restraint positions on the rate of recovery from exercise. Med Sci Law 2000;40(1):39–44.
Reay DT. Death in custody. Clinics in Lab Med 1998;18(1):1–22.
Rochester DF, Esau SA. The respiratory muscles. In: Baum GL, Wolinsky E. eds. A Textbook of Pulmonary Diseases. Little Brown, Boston, MA, 1994.
Chan TC, Neuman T, Clausen J, Eisele J, Vilke GM. Weight force during prone restraint and respiratory function. Am J Forensic Med Pathol 2004;25:185–189.
Vilke GM, Michalewicz B, Kohlkorst F, Neuman T, Chan TC. Does weight force during physical restraint cause respiratory compromise? Acad Emerg Med 2005;12(5):16.
Mure M, Martling CR, Lindahl SGE. Dramatic effect on oxygenation in patients with severe acute lung insufficiency treated in the prone position Crit Care Med 1997;25(9):1539–1544.
Douglas WW, Rehder K, Beynen FM, Sessler AD, Marsh HM. Improved oxygenation in patients with acute respiratory failure: the prone position. ARRD 1977;115:559–566.
Albert RK. The prone position in acute respiratory distress syndrome: where we are, and where do we go from here. Crit Care Med 1997;25(9):1453–1454.
Langer M, Mascheroni D, Marcolin R, Gattinoni L. The prone position in ARDS. Patients Chest 1988;94(1):103–107.
Piehl MA, Brown RS. Use of extreme position changes in acute respiratory failure. Crit. Care Med 1976; 4(1):13–14.
Mure M, Glenny RW, Domino KB, Hlastala MP. Pulmonary gas exchange improves in the prone position with abdominal distention. Am J Resp Crit Care Med 1998;157:1785–1790.
Ward M, Macklem PT. The act of breathing and how it fails. Chest 1990;97(3):36S–39S.
Hick JL, Smith SW, Lynch MT. Metabolic acidosis in restraint associated cardiac arrest: a case series. Acad. Emerg. Med 1999;6(3):239–243.
Stratton SJ, Rogers C, Green K. Sudden death in individuals in hobble restraints during paramedic transport. Ann Emerg Med 1995;25:710–712.
Reay DT. Suspect restraint and sudden death. FBI Law Enforcement Bulletin May 22–25, 1996.
Kaneko K, Milic-Emili J, Dolovich MB, Dawson A, Bates DV. Regional distribution of ventilation and perfusion as a function of body position. J Appl Physiol 1966;21(3):767–777.
Vilke GM, Chan TC, Neuman T, Clausen JL. Spirometry in normal subjects in sitting, prone, and supine positions. Respir Care 2000;45(4):407–410.
Kupas DF, Wydro GC. Patient restraint in emergency medical services systems. Prehosp Emerg Care 2002;6:340–345.
Laposata EA. Positional asphyxia during law enforcement transport (Letter). Am J Forensic Med Pathol 1993;14:86.
Mirchandani HG, Rorke LB, Sekula-Perlman A, Hood IC. Cocaine-induced agitated delirium, forceful struggle, and minor head injury. Am J Forensic Med Pathol 1994;15(2):95–99.
Glatter K, Karch SB. Positional asphyxia: inadequate oxygen, or inadequate theory? Forensic Sci Intern 2004;141:201–202.
Stratton SJ, Rogers C, Brickett K, Gruzinski G. Factors associated with sudden death of individuals requiring restraint for excited delerium. Amer J Emerg Med 2001;19:187–191.
Zeck PM. The weight of the normal heart. Arch Pathol 1942;34:820–832.
Becker LB, Ostrander MP, Barrett J, Kondos GT. Outcome of CPR in a large metropolitan area-Where are the survivors? Ann Emerg Med 1991;20:355–361.
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© 2006 Humana Press Inc., Totowa, NJ
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Neuman, T. (2006). Positional and Restraint Asphyxia. In: Ross, D.L., Chan, T.C. (eds) Sudden Deaths in Custody. Forensic Science and Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-015-7_4
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DOI: https://doi.org/10.1007/978-1-59745-015-7_4
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