Electronic Gun (Taser ) Injuries

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Electronic Gun (Taser ) Injuries"

Transcription

1 if7 nne r! "" ' r...'. Olll(j"~ALLU liluu UN laser" irljufies SECTON : p. 1 Electronic Gun (Taser ) njuries The 1l1.'lcr K is m dcctrical weapolj l.'w1 lor immohilizmicm. 1\vo huhdn.j cil!lltetm Ulliems who were ~hot hy police with t 11scr"' for \!iolelll or ('fujii J11 l1elwvwr were compared simihlt wticnts shot hy police with..in Sl'ccillJs. The Ollx ternj tllofhidity rutc was signijiclmtly dif!ercjjt iof "(/ ""ed" victims (11%) lind for l"e lvitlll"dlel lvouuds (50%) ('.<.15). 'J1" OJldlily rate was "so significantly different between "ltlsered" \';clim. (1.4'ru). mh guwsjwt wound victims (5()%) (p < OS). Possi/Jc colj/jliccltioljs assw.:idled with 7lm!fJl. wounds indw/ed ('(J111S;ons. lhwsiolls. dllt/ldee' lols (38 f r.d; mild r}wbdolj}yo!ysis (l'yuj; dlldtcsticllhlf torsioll (O.5%J. Although 48% of "losered" patiellls ree/hired wspiu}izelliojj. tl ml oue \\'ih for u preexisting injury or Oxic or psychiauic prohlem. \V~ COlJdlldc tlhll 7h..ersl> lrc rej"u\'ejy safe when compared to shooting with more com'cui 0tlflildl well/ons. Oulog G W"sserberger Schlater t BaltlsulnamdlliwJJ S: f.ft!ctnjllic gull (1hser-JS) injuries. Alln Emerg Med lanuary 191:J7;16:7l7~.f :(' j. NTRODUCTON. f Taser" Thomas A Swift's Elecrric Rifle) guns' have been used by lawenfnrcement ufficers for immobilizing violent suspects and those on ~rugs especially PCP phencyclidine phenyl-cycjohexyl-piperidinell. 1..\ Simi"... electric rifles have been used by private citizens for self-protection. The Taser'" gun is used because it is claimed to have the advantage of not pennanently harming the victim while at the same time immobilizing the victim ilnd controlling violent behavior. 4 This prevents injury to others and alleviates the need to use physical force and bullets which obviously produce more serious cunsequences. The Taser" is generally used when there is no immediate lethal threat to the police or bystanders and when proximity to and control of the suspect is required. f the suspect prescnts an immedi.lte danger to others such as threateniog with a gun or knife a.38 Spedal may be used according to established police protocols. 4 The Tase... is an electrical gull that shoots darrs (usually two or fourl up lu i range of 15 feet. The dans arc connected to the gun by wires that deliver up lu 5ll()(Xl v"hs 13 mal to the victim. For maximum effect the shah shuulj penetrate lilt: skin wherc because of barhs the dans arc not easily removed unle~ the skin is lacerated or ripped open. mmobilization of lhe vil:tim occurs when the trigger of the gun is squeezed and current flows through the suspect's skin. Due to tetanic contraction of the muscles the victim usually falls. The trigger can be squeezed as rc4uin:d to maintain immuhilizaliull. The barbs do not have to penetrate the skin for immobilization; only Cl)ma..:t with the victim's clothing is rcquircd and one barb is usually effective. After Taser.all immobilization the victim is physically restrained the wires to the dans arc Cllt and the victim is taken to the hospital for removal of the dans The batb is like a fishhook and re4uires surgical removal. The mechanics and ballistic pro~r!ies of the Taser-6' have been di~cussej Vtlly by KoSCOVC5 but to date no chmcal study has shown the df~cllvc1~ss and safety of the Taser. ~ '- MATERALS AND METHODS We conducted a prospective case study of all patil:nts brought to the emergency department of the King/Drew Medical Center in L<u; Angeles whtl had been shot with a Taser~ gun between July 1980 and Pecember 19M5. nfllfma Gilly J Ooog Mil. FACE'. raac JOll<ilhan W;j5~efbcU(: MD f\clp lllt::odole SClllillet: MO f-acs Sub'amanldrn Bakuubta' Ji.JrUl MD. facs los Angeles Caillolllid From tile OepulHlBnl of Eml:luency MulhClnc KinD Ol;W Mcdll~dl CtJllh~" eulj llle DlewlJCLA MedlCdl Silul Lo:> Angele:>. CdlllwlHd Received lor publication J~llllJWy ReVision received May 27 19till Accepkd lor puljllcaholl JUlle Address for repollls; Gary J Of(jog Mil face'. faac1. lox Wlhlunglon AVl~ntl~. Cdhloffllil 90W)U l05 AllUelc~.~... v.

2 ' ;;.E.-.'.'M.7.n!!!..iii~5i_'i'.! E1" NJ Jm s Ordog ' ~ SECTON : p. 2 F<;lJHE 1. 1l\lf'()/f.~\ o( 'lst'ed /'(1';('".. \"" 11 'Ct'"t pill'"(td;tli 11(' alms('. n \r""" 2J homs '\' "istm\': ) S'''''11 'nq';\'t' jlll' or 1'''(11' (Tditlin. 1"\"('/ tl/1d lin" /t'n'ls in l'it;/ \\-ho lit'd:.11 Ph"<;icfll ;~1J.<; of 'hcnc.' '." i' heitil'.\" ;ctll;em. incruung "."qll.l.!l11s. 1nlle /"""('/10";"_ ".'"'CTtJl'ill. /111'''01('.'\;... luel df"'tlled Nom/ 'W"<;f/1(':.' '.'( 1''.1 ~ 41 N.n"lgmrrs wih h" hm;::o11al and \'erticdl n ml'ohfnls!1t'sf''.? 'th. "'. ] F1<;[HlE 2. An"tn"'.l of <'ubedded Ttscr ~ dfln.'\. -~_ "' 0- Z w ;= <~ ~ an ' "- _0 ' 0 " '!! 1 linn WilS l:olhtll'd 011 "'~l' ~l X:. race who shot thl' Wl':lrOn whether fl" ~n:1ints Wl'fl' lst...t medic1 t1i:trjlosis compliciltions of laser t 'U1topsy re ~ults 1lH.thod of h;nh removal and as soci:httj hl';1tml'nt. The patients who died l1:hl ftlll autopsies l'l'fot111l'd hy the Los An~de" County nlloller's f (ice to t1ctl'lmine thl' cause of death. P:ltit'nts included in the stutly were:tll thosl' shot with a Taser ll who prescnted to the Kin~/J)rew emer~ency der:ntnh.'1lt. None was excluded. These data wcrc comparcd to similar data on r.1tients who were shot with.~r Spc:cial h:1ld~lns hy police officers for the control of either vin lent or crimin;11 hl'1l:lvior and who Wl'n' hml1~ht fllr tre:lnu"n to the Kill~/1 hew Ml'tlicll Ccnter t1uril1~ the pt'rintl from l;lll1:lry 19RO to Dccemhcr 19H21 Only pa'ients who were sho' hy police officers were incluclt'd This was usually verified hy the acc()mpanyin~ officer. All patients mcetin~ these criteria were included except those for whom only ht';h5:1y evhll-nce indicated that it was 3n officer-related shootin~ :md those not hroll~ht to the hospit11 :lftt'r hl'in~ shot hy police who llay havc hl'cn hamlle\1 hy the coroller's office with no m{'dical treatml'nf. P;Hit'llls were 1l1t ;W41ft' that they were heing studit'd :lml consent was Tlllt rcqllih'd hccaust' treatment W:1S lel1dt'cd :1ct'md;n~ to ('siahli~h{'d plot(ll:ol~ of st:hlmd l11l'\lical practice. No hlilhlit1~ \\':1<: lsed; foto% of c1inic:!1 Oh...l'r\ ;liol1s w('le malic hy rhe pincip;11 ;mlhol :mel the u'f1l:1indcr wcre m;he n' t'nwlcl'1c\' medicine lesident ""ff. 1 S;ltic.;tic.1 :llwly...is indtl{lnt caleul:!- lio1 of st:lhbld deviation chi-squall' :mll ANOVA lromp<ltison of uncqu:l1 gllltl1''' usi1l1~ :111 \M-PC" :llld Sial' gt;ll'hir" ~ 1'11.Ct:l o ra.ct=: HSTORY( 1) ClUTEAl (12.0~) SCA.lP (2.0"') (lo~) t.ower 11MB (2J.O~) LEVElS(2) -- SGNS(J) UETMOO OF DAGNOSS OF PCP._.:'"P~~RllVlJlj~J'n) " MH CHfsr (4.0Y.) NYSTAGUUS(4) MT A800M~N (12.5::) HESUJ;J'S laser" njuries Two hlllh.hcd l'ightt't'n p.lil'lls who \\'l'h'...hot wilh -(:1Sl'S M were inclu\kd. Thl' 111\;111 <l1~e dl'\ j:ltiol1 '.H; 1;11~l' W:S l.r Yl'ars st:111t!;htl f) to 4H. Ninl' ty-fi\'l' 1'l'l'<':l'llt werc men All werc shot hy 'olkt officers. n all C:1SCl" the guns w:;ed were tll.11l1lf<lcturt'd hy laser" ndl1slf'ic... lnt"flrl'oratt'd le 1hl'O (-;llilllllli'll. Nincty-nine percent of p:ltit'lll... W('ll' hrought in hy police. Sixty l''htll \\"{'l' hlot~ht in with no p:;1 l11edic til \'lll'l.\!l'1l:y llctlk;11 tl'dllli \'jall H.. n ('(llt;lcl ThirtY'nine pe fent t'p:hkl1fs wert' hmll~hl in hy 1'!Mnl;tirs with police in t'seort :1l1d '~ \\";llknl in on their own J'rt'Stll11 ;hh- :~J.('1' ht'inc "t:"'net!" hy the polke POST CHEST (J9.0~) and thl'n csclpin~. Of those hrou~ht in hy rolice 46% were in h:tu rcstr:lints fie thick leather hinders on all limhs with key locksj. lwcnty pt'rn'nl Wl'rt' shot hecause thl'y exhihitcd violcnt heh;1villr hut were no lon~cr restrained :lud 7'X were in custody for criminal offenses and werc handcuffed. S('venty-~ix percent of all patients were "taserel!" for hizaln~ and uncontrol1:1hle hch:lvior junusl:11 hut not nccessarily dirccled violenceli 4f1'Y" for hiz:lfre :!ntl extrcnll'ly colnhativt l\'h:lvilll jwifh tli rected violencel; :1nd S'X" for hizane and 11lcontrollalJle h(:havillr with 1'''' nudism)' f'jahle Sixty'ei~hl cent of patients were put on a 71-hour psychi:ltric hold; h:11f (f them \\''rc

3 rs 7"' 'urt: SECTON : p. 3 \ MEDCAL (14.9'1) JAL (5.9'1) PSYCH (29.7'1) HOME (46.0"')... GUUE 3. '1f.~ef.:d l't1licljl (/~P() ~;;ljlj. lullle disdltlfgt.:d home hom llc ellh1/~cjc)' tlcl'iul111:ut a;lel tl\'cl' dge ~ld}' u; ~ix 1l()1l.~; J~) ( l. b)'chi dltic utlmi~.\wu W.WJl)'V" u ' im'o!uutdry hold; M.:dil.:;JJ. ct/milled Ju the mc.j("j ~en'j(c (i llw W':pittl} fo {luther l1ctltm..:lll; jji}. rd":ij')..:d to police CU:SCJl/)' ;tel' l..:u went in the cmergency l:ptutmelll; dl1(/ CO(()JJcr. /llwliew:) who i..:d l'ct:t:i\'c(/ duwp sics l)y the l.o!') Angdc:s Coullty Coru la's Ofiit'e to delam;llc cause o{ '/Ctlth. FGURE 4. Office 'llse tll fie 1l!)C'. laler n:lc<.l~ed from the emergency dc pallment to go homc. Tuxiculogy < Eighty six percent of patients had a tory of recent jsame oayl PCP ~sei 70% had positive levels of PCP j 64% had signs of PCP imoxica llllll; ami 4~% hal! bulh vertical an! h~lrizontal nystagmus jstrong evidence ol PCP ahuscl.l >1 TWenty-six percent of patients had positive ethanol levels.11t1 4'Y. hau <. hislory.mu physic'll tv 4 CORONER (1.5"') idence of recent cocaine usc.a five percent of patiellls hal! a psychiatric disorder unrelatel! to!rug use alll! hal! negative drug screens (Figure 11. Associated Diseases Fifteen percent of patients had pre existing diseases including psychiatric disorder sickle cell trait. mitral valve prolapse cardiac arrhythmia. and sick sinus syndrome. The one patient with a previous history of cardiac disease had mitral valve prolapse cardiac arrhythmia and sick sinus syndrome. Thirty-eight percelll of patiellls hal! associated injuries usually associated with the violent behavior fwll 'C' intoxication. These injuries included multiple abrasions in 4~ patiellls. stab wounds in 11 patients am multiple lacerations not due to knivesl in seven patients. There were no hone fractures. Darts The number of dans firel! by the pulice officers ranged from two to lour with a mean of 2.6 S1..l1 per patiell. The number of dans present in he patients' skin 011 admission to the emergency dcpanmcl rall~ed from onc to four whh OJ mean uf 2.3 (SD G.Y31 per patient. The anawmkal distribution of the embel!del! ans is shown Figure 21. Vital Signs> The average bluod prcssure uf ta sered" patients'fjll admh;sion lo the ED was :utlbo SD wilh a 3 r'lll~e ot Ot!70 lu 160/ too. The 'lvera~c pube rate \\'J~ Y6min lsd 211 wilh a ran~c of xu to 160. A~idc twill the three "useretl" p;llicnt~ wilh asyswle no mhe!" c'lhhh.: <uhythmi.ls were repuned. Othcr Trcatment Electrocardiography was perjormed on 3H U /u of patients. All were normal for rhythm except the chrcc patients who had asyswle. forly-five perccnt of patients rcluirej tetanus prophylaxis. All dans were removed hy incising tlie skin at lhe base uf the shaft with a # sl:alpcl blade. No suturing was required. Complications The Olouality rate Jssociatcd with Taser usc WolS 1.4 }~. All three of these patients olrrivetf at the ED in asystole. "laser'" darb were emhedded in the anterior thigh hullocks and back in these patients. All three hal! high levels uf PCP in bulh serum to 0.43 'g/mll.ml! liver (0.44 to 0.76 'g/mll. One hal! a previuus cardiac his(ury. including c.:ardiac arrhythmias sick sinus ~yndrol1lc wilh mitral valve prolapse' and \VdS 011 diguxin. All three patients went into cardiac.nesl aller being "tascrcd." Two jljlicnt:s with no previous history went into cardiac anest 5.md 15 minutes aha being "taserell".. ld the third wclll illlil le~pjr.llt1ry ane~c fulluwed by l:ardi...t'le:t 2S UlJlute~ &leter hdll~ "tasered." None rc:pomled 10 AClS resuscit..tiunj The l:omncr's repun tor e..ch uf he tillce p.illicnts stjlcd th.ilt death WJ~ due lu phcucyclidinc Uxidty with 110 M~S ol myul.:ardial djmage.invay uhstl'lll: tiun or uthcl' path(llo~y. l1liny dght pcu.:clll ut patients had & e..._... _.

4 77.5 '.7.'.;;! mp? 7[ ;mm T 't' it: tww'l'_.i... _ laser' NJlfllFS Ordog el H SECTON : p. 4 FGlH~ 5. 1J;l1g'Uf of i\cr... ilssnd;lll'd inilllit''' lelart.'(1 til their vio )cnt hl'h;wiot :ud 110t to lise of tilt.' l:'sl'r". Eightet'll of the!';nil'nls n' luirc.. d suturing of \\'Olllllis ;lh.) 1.% of ' nil 1'1ilit'lS "'t''''' :ulmitll'd 10 the msflit:' fo jl1illrit'~!"l~:il1t:d du' 10 tltdr Vililcilt ll'ha\'iflr primarily 'll'cxi:'itin~!'tnh wounds The :llhniu<>d patients spent an avl'r;~(" of two days in the h"pial Mild rhahd"my"lyi.nd my" Jtlohil1uria o(tunl'd in 1% (l't p:uient; and rt'lluin'll hospital trc..'afl11l'nt. No renal complications Wl'rc Sl'cn. Whether the hll'akllown of muscle ell' curred duc to PCP ao\ls(" \ or to the tct;lnic contractions ilssociatcd with the l:'ser lt could not he determined hut each of tlll'~c pi1ticnt~ h:lll positive levels of rc! One p:nient developed a te~ticular torsion immediately after hcin~ "t:lsl'red." He denied prt'existin:; scrot;1 p.l1n or SWt'lin~ hut it eoulll not he dctl'rmim'll Whl'tht'f the tor sion W:l~ a result (f the Ta~erll wound. This patient W1S "tasercd" fof criminal activity and not for psychiatric or dml( rdated hell.vim Hi' PCP creen was nl'~ntivc. Ollt' patient statt f.1 that he hecame sterile after ll'in~ "tasered" in the 5 Reason CONTACTS Bizarre and uncontrollable behavior Bizarre and extremely combative behavior Criminal aclivity not inloxlcaled Clinical Correlation Phencyclidine abuse - Ethanol intoxication - Cocaine intoxication ~ TABLE. Reason for patients being "tasered" by history or drug screen by history and serum tevels t HANon 2. Et[CTAC RELEASE BAR (lell.nd Righ) 3 SAFElY.. MCHARG[ lnocatoo :~~ 5 BATTER\' CHARGE PLUG 6 FlASHLGHT SWlCH 1 flashlght 8. CASSfTTE CHAMBERS % of Patients i f i \ scrotum. Wfu. thcr thc sterility W;Hi preexistin~ could not hc llt-rcrminclt n:.hlc 11. TARLE 2. Complication. of 7aser'" use " i ljispositio" ""1:1st'rcd" patients spent :111 avera~e of (5 hours lsd 411 in till' ED The disf\ljsition of patknt~ aftl'r treatment in thl' ED j~ shown ffi~11l' JJ. Sixty two pefcrnt of p:ltients h;lll :l psychi atric l"':llu:u;ol while in tht ED. Half of thl'sc l((i patients1 well' illlrnittl'd to the hospit:ll psychi;nric unit on a 72 hour illvohmt:uy hoht. These p:ltil..'nts srent :111 :1'...r<1l-:l of (our t1ys in the fildjity hefon' hcit1~ rclc;1<::ed. Ahnost half (f illl p:1til'nts \\"t'r(' llcitl en(jl~h to hl' disch;ll~t tl. Other Ohsef\'alinns A lucid intet":l1 W;lS fl.'po (l d hy the police in ""~ of patient... \"hile the prcvinus)y psydwtk p;lit'lts h"t {'Ufn'nt flowing fhrcmgh their hodies they lll'l':1tt'ntly hl'l';11l' hkid 1mf urientet!. nnly ttl Mer...'t t to disori l'nt('d <1lll vioh'nt heh;1viof "J hi~ W;1S strictly a lay oh"'ef\'ation anti W;l~ not l"onfhl11etl hy Tll'tHell or ps)'t'hil1tric Jll fs(11l1ll 1. Nil1l'ty-tWll pl'n"'t of ra Complication s'alcd th.t he had f r H.~ eve ml'l11 r lell1~ Htasered n total ami n't re % of Patients Contusions' abrasions lacerations (probably preexistent and related to phencyclidine abuse) 38 Mild rhabdomyolysis (probably relaled 10 phencyclidineinduced hyperactivity) 1 Testicular torsion 05 Sierilily in men (not proven) 05 Mortalily 15 Wuuud C.re \\'o\ll1d t'arc follow up W;Hi very poor. Nonr tt'turned for wnuml cht'ck clinic :tprointmcnts. All patients were tcl'pl"e" 1m lolluw up hut only )';~~ el\.ld he re.ched The 48% of pa tints who were admitted to either the 11clHcal or flsychi:ltric hospital were w<1tfhtlll'l an a"cra~ of four days and hatt no wound infections. The 2 to 4 mm wnunds were not fo;utured hut were cleaned with Retadine t :"olmion.nd dre"ed. All he.led satif.c'orily...lienls Shot With.3R Speci.ls Datil were collected on 22 patit-nts hmtl~ht hy paramedics for tn':ttmcnt.fter heink shul hy p"lice wilh.18 Spccial h."dkuns Thc me.n 'KC 01 hese patien" w.s J8 years ra"ke 14 to.181.nd.11 were men The.veraKe numhc. ul hullet wound was L

5 f J.JUldV llh SECTON : p. 5. range to \venty five percent of the patients had physical or laboratory evidence of recent usc of PC~ ethanol ur col..:ainc. The mortality ratc was 50'1..; de J patients who survived suiklcd pcnnancnt morbidity im..:luliing pjrjly~is brain d.tmagc and loss of limb. The operative rate was 82% which indujcd ED thoracotomy whcli the patient Mrivcd in cxtrcmi.'). AVL'rage lospitalization for those paticnts who survived \Vas 41 Jays /r;llge 12 til ( Lllarison of Victims Then: \\las a st.uislil:ally significant dilkrellcc (' ".(111 between the PCl' llallent morbidity rates of "tascrcj" pat kilts 10'1.".U1J 11105c shot hy polkc wllh a.. X Special halhlgnn (50%1. Tlu:rc was also.1 btatisth.:ally signifi- cant difference P <.01) belween he mortality rates of "tasercd" patients 11.4%1 and those shot by pulice wilh a.3m Special handgun whu received treatment at the hospital jsttytj. Although the two groups 19unshot wound and "teasered" victimsl au: not equivalent it would be impossihle h) establish a true comparison ~rolip in (cnns ot m;alioll of injury Hllllll..'l' of injuries and reason for llh:..:h.mil:.&1 immobilization. DSCUSSON The Tascr'" is lscd by pulice w minimize the 31110lUU of forl'c m:ccss.lry to nmtrol violent' suspects" lpcrsollill communicaliol1s wilh Sgt Jilll Kcll) and Sgt Jllck SchmiJa l.os Angeles Pulice J)cpartmcllt~l\:rsonncl illlj l1jiniug lureau.tieplemher 10 HiXol. They HGlJlU: 7. "J'J-S..'( W(JR. -like huh elld / ~ h.jft. Medical Trealmeltl tll1jl.'iitj\\'llg ii.h may be lsed when a klhal 'on.:c sw.:h as th.1t fwl OJ..iN SpL.'ciJ halj~t11 is nm justifiahle and whcli l:onvclliollj tactics oi YC'h~llizati(ll :.ch dl.'j-'bc finn grip l:olltwl Jnd othcn:i do not suhdue the bllbjlecl. The 'a:.er h temporarily immobilize:. hy using clcl: uic.:ity Jt SO(XN) yuhs 10.M juuk's JWJll1 scl:onj:..- t This del:uil:ity is pub-'d ill a r.le of 10 tj S impubl. :' pel' scl:onj and is suilidcll to l:jlbe tetank l:ontraction oj the budy's mll.:tt.:lcs. Thus the ~uspct.:t is il1volul1jlily pal'.)'zed as long as he current jh)\\s Whcn the Taser ~ release har is JepresseJ two darts arc lwpclled from the gun over a rang~ uf hum two tj 15 leel jrigures 4-61.~ The J.lrtS Figure 71 pull two fine cundul:ting wires from a L:J:.scU.. The dans l:<ln alt.ll:h either 10 lhe susp""l:'s clothing ur 10 he skin. The L:lnent will dfectivdy pass hrough two inches oi clothing and need not penctrate the skin hlr inl1110hilizatiun: t A person Whl) is "tascred" is immobilized with just twu to three se..:onds of applied ~)wec. 4 Th"' power may he repeated as required tu maintain immobilizaliull. Continwlus appliglti(m of cuncnt is nm ajvis""d for it cuuld result in respiratory arrest. T.lsers'" have been shown til he efiective in immobilizing suspects H2% the time. 4!l Recovery frum being shot with a Tascr~ repullcuy is rapid. 4 The Tas~r 1\ was designed as a nunlethal control device. Bel:ausc the victim usually falls when paralyzed many need medical treatment for minor trauma MOM arc seen in the emcrgency llepanmehl jor removal of lite dans fwm he skm. ~ Th~ major problems h:l.luirillg 11""diL:J tlc.llment appcar to he holl precxistillg iuimics and toxic conditions that Jl:CuJlly led to thc palil..'1l hell1~ "t;~c.-ej." This was usu.)' due to the toxic psydjusis of PCP ami h) injuries slblalllej ihlm the violent hehavlur a~stjdj'nl with it. Ahhou~h the huspu.11 adlllismon rate \'is high tollowing Taser wounds t~w;;d lly ulle paticnt cc \llil'ed JJllssiun ht.'t.:.jusc ui il lilel:( illju')' lu.' to the las~lh. All uthel patients r~'luired aju:.slon lor pn:cxisting (()X.: psydloses psychiatril: disorders and injuries.bs(j(ialcj with

6 T 'm '!!!? r t 'tmt!nt?tu. - /ls~w NJUlill S 0'<10(1 el al SECTON : p. 6 : : ; i :! " ~!./ " Vi411l'1t xh:1\i;u. Thn'l' "il1kllt!" -lil'd pmh'lhly due to l'lrdi:u: nrrhythl11i; in il prl'l'xistil1l: irritahlt hemt.!' 1\11 tlm.'t' r:1til'nt!'i who (it'd :"l!i'tl1incd toxic 1l'\"t'~ of PC~ OlC had i history of c:mlirlc lli-scasc anti c:udinc 1rrhythmi;lS :l1d :111 died scv. crill l11inutl's :1ftl'r hcin.l: "tascrcll." TlliS he l~ls('r ~ Ci111ot ht' hdd solely rt'l"ronsihlc (or tlwit dt aths. There is very little in the litt'raturc ahollt mortality rates for 'ht'ncyclidine ahusc hut McCarron (.'t :11l'l showed ;1-0.1% mortality o\'rmll with a 1% mortality rate 11/106 r.1.il'llls! for severely inrox. lciltt.'d p:nil-nls (which our ~rnllp repn'senft'tll and ;1 S'X mortality {l/20 pl1 tit'nlsl for sl'vl'rt'ly COf11:1tosc "Atit'nts. Otlll'r potential inillfits not St'cn in this clinical study included penetration of maior hlmlll VCSSt'!s. mpturc of thl' ~ohet; inlcrff.'rcncc with a cnr. dial' pact'm:lker" dl'ctricallr induced nt'urolo~kal ami renal injury"" D myo. cardial infarction u 11 cardiac arrhyth. mias " lind fr:l.:tlift's." The incidcl1tt ()f rhahdolllyolysis '.~;) W:S consistt'nt \vith if not lower h:1l1/ that in the litt'r:1turc lr:11ge 0.2 to 11'~:"1"ucJ(.17 CONCLUSON When coml':m:d to police shootings with h;1fulguns to iml1lnhili:c people with \'ioll'll hl'll.1viol' tht're is a l11:hkt'd nnd st:listic.11y 1(1\\'l'r 11101'- t:1lity nnd morhidity ratc when the laser'" is used Another way.of view. illg these datn is tn say that the l:1ser1l' \Wg associ:ttt'd with a 1.4'X mortality mtt'/ and prohahly saved the 48.6% of patients who may have otherwise heen sl". with.1 ~R Speci.11 hal1llj(uo. The nt1thm~ thank Sgt Jack Schmida and S~tlim Kelly of.he los Angele. Police Department fur information and reference sourn'~ nn the laser'll; Los Angeles Police Department Chief Darryl Gates for his rdt'rl'ncl' on the rolice usc of the Tascr'Jr; OHiccr Rilly Holland for posing fbr photo ~r41rhs and lise of his Taser for this Mudy and Cindy Ordog for editing and typinj: the manuscript. REFERENCES. Zylich N: li.~t r - evltllllttinn ltnd analyliill Unilt'd l\laft ~ Cnn"illloc.'r l'rlklucl Sall'tY Cllm. mi"l..inl1 Mt:mmantlllln 'eference No.!j.1tt9.';Y: 7f. N ' Z.lid: Ft 14 1'17(. 1 1\1t'Carron MM Schulze U\Y Thomp~on GA. l't : ACtltl' r1lt'nq'c1idint intnxicatinn: nd. lll'nn' clinical fjthtin~~ in.uno cues. Ann rlllt'r.1!.'t'd WU;l1:H7.142.\. llilttnll Cit. Stt.'rlin~ ML V;lzari ND: rhellcrdi1lint' inlmdc:ltinn: Clinical cll.peri~ncc in 27 l"/'''lcc; confirmcd hy urinc a~5ay. Am Emerg M"d Jl~ldf1:14\.246. ' C;ltt'.. DF: the ( furce: Ta~r c1cctmnic cnn dl'\ il'l'. Tminil1J: hlllnin of the Los AllJtde~ 'olin' krartl11l'llt. 19R4 Volume XV is5tlc 4 r f._ :". f<l'''l'n\'(' F.r-.l: Thl' lit'ier- Weapon: A new 1 l11t".!:t'w\' mnlidl1l' rruhlt'm Am Enter!': M'd 1911';14: my-ll. t. Rntlll'nhcrJt R: Cncaitw #:rul'rx('/tt Akdic'fll $en ict'.~ : "'"wril'an 'h':ut A!'lfmdatinl1: Siantbul!'l :ul Jtuidclim'" {lr cardinrulmnnary rt'c;u!ilcilalinn CPR find cmer~ncy cardiac care ECe). lama 1980 j 244:4's1. " ft McCarron MM-Schllb:e my Thomp~on GA. el al: Acule phencyclidine intoxicaliun: Clinic. paltern" compliclllinns.nd trcalment. Ann Erner/( Med 19ftl j 10: '9; DiVcncenti Fe Moncrief la "mh RA: Elcc. rical iniurie~: A rt.'vicw uf "i cl1"e". 1'tlllmfJ 19699:497-'sU Sulc1l1 L Fi"Cher R: Stmll' tg: The..' l10lllltlll hi5tmy nf dectrical injury t "i Y77 i 17: Dixon GF: The cv.llation and ml1najt.'ntcnt of electrical injuries. eri' Care Med 1981 :.lrqr Kohernick M: Electrical iniurie": 'a. thnphv"ioluky and emcrjtency manajteml'nl. Am 1:'lJl'r~ M'" 19M2 j ll:f..\:j.(;\m 1.1 tnhmll'n.e Nl'wlun cn: Myucardial in. fan'tilln fllllnwin~ dl'ctrical!'hnck. 'S Ar"'d -'l1c('_' Med t lys2r-1:497.lifl Kinm'y 1"1: Myncardial infarclinl1 follnwinj: dcctrical iniut}.. Ann Em('f~ Mt'1119R2:11: S. S Kirclun:tir \Y DienM F: 15 c:trdiac munitur. ink rcquir("d after electrical injllrk!l? 1J'~ch Ml'd WscJr 19R2;107:SS7-R.'l9. 16 fatd R!)as M PalaZZlliu M C' al: Mvo :lohinuric ncutl.' rennl failure.' in phcncyclitlinc ovenltl~e: Ref'url f nh~erv:tlihn"l in ei~ht C:1<:CS. An" fnll'rj( M"t/ 19R1J9:S4Y.';Sl 17 hnn~ RS Lerner SE <':nrr:1d:t fla: 'hell' cyclidine: ~tatc~ tlf acute intoxicatilln ami. ralitic!'l \\{~ 1!off'" 1975;11.1:14';..\49. " ' 1" 7R

Electronic Gun (Taser ) Injuries

Electronic Gun (Taser ) Injuries if7 nne r! "" ' r...'. Olll(j"~ALLU liluu UN laser" irljufies SECTON : p. 1 Electronic Gun (Taser ) njuries The 1l1.'lcr K is m electrical weapolj nseu lor immohilizmicm. 1\vo hundred civlnccn Ulliems

More information

Soft Tissue Injuries. Chapter 24

Soft Tissue Injuries. Chapter 24 Soft Tissue Injuries Chapter 24 Introduction Soft-tissue injuries are common. Simple as a cut or scrape Serious as a life-threatening internal injury Do not be distracted by dramatic open wounds. Do not

More information

NON-LETHAL WEAPONS. K. Inaba, MD FRCSC FACS Division of Trauma Surgery & Critical Care LAC+USC Medical Center

NON-LETHAL WEAPONS. K. Inaba, MD FRCSC FACS Division of Trauma Surgery & Critical Care LAC+USC Medical Center NON-LETHAL WEAPONS K. Inaba, MD FRCSC FACS Division of Trauma Surgery & Critical Care LAC+USC Medical Center ü None DISCLOSURES Non-Lethal Weapon Types ü Chemical Agents ü Impact Munitions ü Vivi-Systems

More information

Electrical injury : are tasers the new wave?

Electrical injury : are tasers the new wave? The University of Toledo The University of Toledo Digital Repository Master s and Doctoral Projects Electrical injury : are tasers the new wave? Gary Michael Wolfe II The University of Toledo Follow this

More information

Electrical Injuries. Amy (Amelia) Chen, MS3 Surgery 401, Fall 2005

Electrical Injuries. Amy (Amelia) Chen, MS3 Surgery 401, Fall 2005 Electrical Injuries Amy (Amelia) Chen, MS3 Surgery 401, Fall 2005 Epidemiology n Relatively common, almost always accidental, and generally preventable. n Electrical burns and lightning injuries result

More information

IMMEDIATE EMERGENCY BURN CARE » THERMAL BURNS » ELECTRICAL BURNS » CHEMICAL BURNS FIRST AID FOR THE THREE MAJOR CATEGORIES

IMMEDIATE EMERGENCY BURN CARE » THERMAL BURNS » ELECTRICAL BURNS » CHEMICAL BURNS FIRST AID FOR THE THREE MAJOR CATEGORIES IMMEDIATE EMERGENCY BURN CARE 1. Treat according to BLS or ACLS Protocol 2. Use airway and C-Spine precautions. 3. Stop the burning process. FIRST AID FOR THE THREE MAJOR CATEGORIES» THERMAL BURNS + Stop

More information

"...As a matter of law, any individual who chooses to restrain someone may be charged and found responsible for the intended or unintended impact.

...As a matter of law, any individual who chooses to restrain someone may be charged and found responsible for the intended or unintended impact. Excited Delirium, Restraint Asphyxia, Positional Asphyxia and "In- Custody Death" Syndromes: Controversial theories that may explain why some children in treatment programs die when restrained. "...As

More information

Newer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity.

Newer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity. Pacemakers & Defibrillators A pacemaker system consists of a battery, a computerized generator and wires with sensors called electrodes on one end. The battery powers the generator, and both are surrounded

More information

1. Police investigation of sex crimes. (1) Serious injury or death of victim. (3) Arrest of suspect. 2. Response to sexual assault report.

1. Police investigation of sex crimes. (1) Serious injury or death of victim. (3) Arrest of suspect. 2. Response to sexual assault report. 8103 SEXUAL ASSAULT INVESTIGATION PROCEDURES A. Policy The crime of sexual assault is one of the most violent crimes the Police Department will be called upon to investigate. It shall be our intent that

More information

Judgements Made by Judge George Moorhouse Domestic Violence. Ryan Phillips and Ms Samijo Glenton attended a party separately in October 2013.

Judgements Made by Judge George Moorhouse Domestic Violence. Ryan Phillips and Ms Samijo Glenton attended a party separately in October 2013. Judgements Made by Judge George Moorhouse Domestic Violence Ryan Phillips Ryan Phillips and Ms Samijo Glenton attended a party separately in October 2013. An argument ensued outside of the pub toilets

More information

Student Guide Module 4: Pediatric Trauma

Student Guide Module 4: Pediatric Trauma Student Guide Module 4: Pediatric Trauma Problem based learning exercise objectives Understand how to manage traumatic injuries in mass casualty events. Discuss the features and the approach to pediatric

More information

Saving Lives. With the. Chain of Survival

Saving Lives. With the. Chain of Survival Saving Lives With the Chain of Survival Sudden cardiac arrest is a major cause of death in the United States. It claims about 335,000 lives each year. That s 5 lives every 8 minutes. Sudden cardiac arrest

More information

I N T E R O F F I C E M E M O R A N D UM

I N T E R O F F I C E M E M O R A N D UM I N T E R O F F I C E M E M O R A N D UM DATE: November 9, 2012 PHONE: 760-256-4875 FROM: Julie A. Peterson Supervising DDA TO: Gary Roth, Assistant DDA Mary Ashley, Chief DDA SUBJECT: Nonfatal Officer

More information

Chapter 24 Soft Tissue Injuries Presentation Notes

Chapter 24 Soft Tissue Injuries Presentation Notes Names: Chapter 24 Soft Tissue Injuries Presentation Notes Anatomy of the Skin - Function of the Skin control Soft-Tissue Injuries injuries Soft-tissue damage the skin injuries Break in the of the skin

More information

Agitated Delirium and TASER: The EMS Perspective

Agitated Delirium and TASER: The EMS Perspective Agitated Delirium and TASER: The EMS Perspective William A. Mapes, NRP, CCTP, I/C Regional Ambulance Service, Rutland, VT Twitter: @vtmedic511 Officer Scott Stevens, TASER Instructor Castleton Police Department,

More information

Violence by Patients Admitted to a Private Psychiatric Hospital

Violence by Patients Admitted to a Private Psychiatric Hospital TARDIFF, VIOLENCE Am J Psychiatry MARZUK, BY PATIENTS 154:1, LEON, January ET AL. 1997 Violence by Patients Admitted to a Private Psychiatric Hospital Kenneth Tardiff, M.D., M.P.H., Peter M. Marzuk, M.D.,

More information

Let the evidence speak for itself. Presentation developed by T. Trimpe 2006

Let the evidence speak for itself. Presentation developed by T. Trimpe 2006 Let the evidence speak for itself. Presentation developed by T. Trimpe 2006 http://sciencespot.net/ Locard s Exchange Principle "Every Contact Leaves a Trace" The value of trace (or contact) forensic evidence

More information

ELECTRICAL INJURY 9/21/2015 I HAVE NO DISCLOSURES WE HAVE OBTAINED APPROVAL FOR USE OF IDENTIFIABLE PATIENT PHOTOS

ELECTRICAL INJURY 9/21/2015 I HAVE NO DISCLOSURES WE HAVE OBTAINED APPROVAL FOR USE OF IDENTIFIABLE PATIENT PHOTOS ELECTRICAL INJURY SAMUEL P. MANDELL, MD, MPH ASSISTANT PROFESSOR OF SURGERY UNIVERSITY OF WASHINGTON SEPTEMBER 28, 2015 I HAVE NO DISCLOSURES WE HAVE OBTAINED APPROVAL FOR USE OF IDENTIFIABLE PATIENT PHOTOS

More information

Cardiac Arrest Registry Database Office of the Medical Director

Cardiac Arrest Registry Database Office of the Medical Director Cardiac Arrest Registry Database 2010 Office of the Medical Director 1 Monthly Statistical Summary Cardiac Arrest, December 2010 Western Western Description Division Division % Totals Eastern Division

More information

Analysis of pediatric head injury from falls

Analysis of pediatric head injury from falls Neurosurg Focus 8 (1):Article 3, 2000 Analysis of pediatric head injury from falls K. ANTHONY KIM, MICHAEL Y. WANG, M.D., PAMELA M. GRIFFITH, R.N.C., SUSAN SUMMERS, R.N., AND MICHAEL L. LEVY, M.D. Division

More information

Mary-Jo Bolton, MMFT Clinical Director

Mary-Jo Bolton, MMFT Clinical Director Mary-Jo Bolton, MMFT Clinical Director 204-784-4047 mjbolton@klinic.mb.ca Remember it is who you are that heals, not what you know. - Carl Jung So what is suicide exactly symptom, syndrome or unrelenting

More information

ROC PRIMED Questions and Answers

ROC PRIMED Questions and Answers ROC PRIMED Questions and Answers 1) What is the ROC PRIMED study? ROC PRIMED stands for the Resuscitation Outcomes Consortium Prehospital Resuscitation using an IMpedance valve and Early versus Delayed

More information

First Responder. Basic Law Enforcement Training 1 Instructor BLET: 20H TITLE: FIRST RESPONDER

First Responder. Basic Law Enforcement Training 1 Instructor BLET: 20H TITLE: FIRST RESPONDER BLET: 20H TITLE: FIRST RESPONDER Lesson Purpose: Training Objectives: This block of instruction is designed to prepare the law enforcement officer to safely and effectively respond to lifesaving and other

More information

Fiscal Year Fiscal Year Variance $ 25,681,718 $ 26,768,794 LISD COLLECTIONS 26,663, , (75,744.10) 4, ,751,737.

Fiscal Year Fiscal Year Variance $ 25,681,718 $ 26,768,794 LISD COLLECTIONS 26,663, , (75,744.10) 4, ,751,737. T: LARD IDPDT SHL DISTRIT 9 Jurz Av. Lrd Txs 78 Ph. 95 73-18 Tx ffi Shl Brd f Trusts Lrd Indpndnt Shl Distrit 17 Hustn Strt Lrd Txs 78 Frm: Rdlf Snhz RTA STA Dirtr f Tx llns Dt: Sptmbr 1 R.: Auust 1 lln

More information

TASER and In-Custody Deaths

TASER and In-Custody Deaths TASER and In-Custody Deaths Cardiac Effects of Conducted Electrical Weapons Patrick Tchou, MD Heart and Vascular Institute What is a stun gun? A device that delivers rapid electrical impulses that stimulates

More information

OFFICIAL POLICY. Policy Statement

OFFICIAL POLICY. Policy Statement OFFICIAL POLICY 9.1.6 Employee Drug and Alcohol Abuse Policy 2/8/16 Policy Statement Employee Drug and Alcohol Abuse Policy #CofC.HR.DA.03 Revised 12/2001 The Drug-Free Schools and Communities Act The

More information

Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: Behavioral Revised: 11/2013

Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: Behavioral Revised: 11/2013 Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: Behavioral Revised: 11/2013 DEFINITIONS: Behavior - how a person functions or acts in response to

More information

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is

More information

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief Shenandoah Co. Fire & Rescue Injuries to the Head and Spine December EMS Training Bill Streett Training Section Chief C.E. Card Information BLS Providers 2 Cards / Provider Category 1 Course # Blank Topic#

More information

RESUME Sep National Medical License, Taiwan Oct Board of Interal Medicine, Taiwan Aug Board of Cardiology, Internal Medicine, Taiwan

RESUME Sep National Medical License, Taiwan Oct Board of Interal Medicine, Taiwan Aug Board of Cardiology, Internal Medicine, Taiwan RESUME Ye-Hsu Lu, M.D. Office Address: No.100, Ziyou 1st Rd., Sanmin Dist., Kaohsiung City 80708, Taiwan TEL: +886-7-3121101 ext. 7741 (Office), +886-918867017 (Cell) FAX: +886-7-3234845 E-mail: yehslu@gmail.com

More information

The horrific loss of life at Sandy

The horrific loss of life at Sandy After Newtown Public Opinion on Gun Policy and Mental Illness Colleen L. Barry, Ph.D., M.P.P., Emma E. McGinty, M.S., Jon S. Vernick, J.D., M.P.H., and Daniel W. Webster, Sc.D., M.P.H. The horrific loss

More information

TEST REVIEW: The Ontario Domestic Assault Risk Assessment Thomas A. Wilson, M.A., LCPC. Private Practice, Boise, ID

TEST REVIEW: The Ontario Domestic Assault Risk Assessment Thomas A. Wilson, M.A., LCPC. Private Practice, Boise, ID I. General Information TEST REVIEW: The Ontario Domestic Assault Risk Assessment Thomas A. Wilson, M.A., LCPC. Private Practice, Boise, ID A. Title: Ontario Domestic Assault Risk Assessment (ODARA) B.

More information

Local Policing Summary Barnet

Local Policing Summary Barnet A message from Kit Malthouse Local Policing Summary Barnet When Boris was elected he promised to refocus the MPA and the Met on fighting crime. Our strategic plan, Met Forward, has done just that, and

More information

bites & stings Bites & stings

bites & stings Bites & stings Bites & stings Four Types of Poisonous Snakes in the US Rattlesnake Cottonmouth Copperhead Coral snake Snakebites Symptoms puncture wounds swelling pain weakness metallic taste (some types) Treatment ABC

More information

10 th Annual Masters in Minimally Invasive Thoracic Surgery

10 th Annual Masters in Minimally Invasive Thoracic Surgery Complex Thoracoscopic Resections for Locally Advanced Lung Cancer 10 th Annual Masters in Minimally Invasive Thoracic Surgery September 22-23, 2017 Thomas A. D Amioco MD Gary Hock Professor of Surgery

More information

APPLY FIRST AID ONLINE WORKBOOK

APPLY FIRST AID ONLINE WORKBOOK APPLY FIRST AID ONLINE WORKBOOK STUDENT NAME: ADDRESS: PHONE CONTACT: DATE OF COURSE: Welcome to CYNERGEX GROUP pre-learning package for the APPLY FIRST AID course. This workbook is to be completed in

More information

A Preliminary Report on Trends and Impact. Mike McGrath. January Montana Attorney General

A Preliminary Report on Trends and Impact. Mike McGrath. January Montana Attorney General Methamphetamine in Montana A Preliminary Report on Trends and Impact January 2007 Mike McGrath Montana Attorney General 1 Methamphetamine in Montana A Preliminary Report on Trends and Impact January 2007

More information

Domestic Violence in the City of Milwaukee. Milwaukee Police Department Chief Edward A. Flynn

Domestic Violence in the City of Milwaukee. Milwaukee Police Department Chief Edward A. Flynn Domestic Violence in the City of Milwaukee Milwaukee Police Department Chief Edward A. Flynn Presented on May 19, 2014 Introduction In the United States, approximately one in four women and one in seven

More information

Mental Health Nursing: Suicidal Behavior. By Mary B. Knutson, RN, MS, FCP

Mental Health Nursing: Suicidal Behavior. By Mary B. Knutson, RN, MS, FCP Mental Health Nursing: Suicidal Behavior By Mary B. Knutson, RN, MS, FCP Self-Protective Responses Protection and survival are fundamental needs of all living things Life is characterized by risk Individuals

More information

Youth and Drugs in Washington, D.C. Highlights and Trends

Youth and Drugs in Washington, D.C. Highlights and Trends Youth and Drugs in Washington, D.C. Highlights and Trends APRA Youth Substance Abuse Forum June 13, 2007 DCEOW Principal Investigator: Erin Artigiani, M.A DCEOW Project Director: Cindy Voss, M.A. Research

More information

Working Smarter. Coding For Orthopaedic Trauma; Receiving Correct Reimbursement for Complex Cases

Working Smarter. Coding For Orthopaedic Trauma; Receiving Correct Reimbursement for Complex Cases Coding For Orthopaedic Trauma; Receiving Correct Reimbursement for Complex Cases 1 Presenting the claims for appropriate payment Unless the documentation is clear Coders cannot properly code No basis of

More information

Cardio First Angel EVERY LIFE COUNTS!

Cardio First Angel EVERY LIFE COUNTS! Cardio First Angel EVERY LIFE COUNTS! Facts about Heart Attacks, Cardiac Arrests and CPR Every day around 90,000 people word wide suffer from a heart attack Every fourth person dies from a heart attack

More information

FITNESS FOR M O M S TO B E

FITNESS FOR M O M S TO B E FITNESS FOR M O M S TO B E - YO UR GUID E TO E X E RC I S I N G T H R O U G H O U T PR EG N A N CY - Exercising during pregnancy has many benefits for both you and your baby. Maintaining a good level of

More information

The Handbook for Campus Threat Assessment and Management Teams. By Gene Deisinger, Ph.D. Marisa Randazzo, Ph.D. Daniel O Neil Jenna Savage SUMMARY

The Handbook for Campus Threat Assessment and Management Teams. By Gene Deisinger, Ph.D. Marisa Randazzo, Ph.D. Daniel O Neil Jenna Savage SUMMARY The Handbook for Campus Threat Assessment and Management Teams By Gene Deisinger, Ph.D. Marisa Randazzo, Ph.D. Daniel O Neil Jenna Savage Threat Assessment and Management Team SUMMARY Multidisciplinary

More information

Chapter 40 Advanced Airway Management

Chapter 40 Advanced Airway Management 1 2 3 4 5 Chapter 40 Advanced Airway Management Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only.

More information

Cardiac surgery in Victorian public hospitals, Public report

Cardiac surgery in Victorian public hospitals, Public report Cardiac surgery in Victorian public hospitals, 2009 10 Public report Cardiac surgery in Victorian public hospitals, 2009 10 Public report Authors: DT Dinh, L Tran, V Chand, A Newcomb, G Shardey, B Billah

More information

The PTSD Checklist for DSM-5 with Life Events Checklist for DSM-5 and Criterion A

The PTSD Checklist for DSM-5 with Life Events Checklist for DSM-5 and Criterion A The PTSD Checklist for DSM-5 with Life Events Checklist for DSM-5 and Criterion A Version date: 14 August 2013 Reference: Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr,

More information

PVDOMICS: ECG Training Module

PVDOMICS: ECG Training Module PVDOMICS: ECG Training Module Cardiovascular Physiology Core Cleveland Clinic, Cleveland OH November 7, 2016 NHLBI Pulmonary Vascular Disease Phenomics Program Funded by the National Heart, Lung, and Blood

More information

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Approved/ Revised Effective BLS Adult Nerve Agent/Organophosphate Poisoning Antidote

More information

Cardiac Arrest Registry Database Office of the Medical Director

Cardiac Arrest Registry Database Office of the Medical Director Cardiac Arrest Registry Database 2010 Office of the Medical Director 1 Monthly Statistical Summary Cardiac Arrest, September 2010 Western Western Description Division Division % Totals Eastern Division

More information

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE PURPOSE: I. To establish the minimum requirements for a first responder training course in first aid, which all first responders must take, in order to meet the requirements of M.G.L. c. 111, 201 and 105

More information

A COMPARISON OF STRENGTH GAINS FROM TWO WEIGHT TRAINING PROGRAMS FOR FIFTEEN WEEKS OF ACTIVE EXERCISE

A COMPARISON OF STRENGTH GAINS FROM TWO WEIGHT TRAINING PROGRAMS FOR FIFTEEN WEEKS OF ACTIVE EXERCISE A COMPARISON OF STRENGTH GAINS FROM TWO WEIGHT TRAINING PROGRAMS FOR FIFTEEN WEEKS OF ACTIVE EXERCISE APPROVED: Mafi r Professor '6UyiAjL

More information

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management Basic EMT Practical Examination 6.0 - Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation

More information

Homeland Security and Protective Services CIP Task Grid

Homeland Security and Protective Services CIP Task Grid 1 Secondary Competency Task List 100 EXPLAIN AND PERFORM SAFETY PROCEDURES 101 Demonstrate knowledge of the rules of conduct for the school and classroom. 102 Identify safety and standard operation procedures.

More information

Key Words. clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma. Linked Core Abilities

Key Words. clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma. Linked Core Abilities Lesson 4 Treating for Shock and Immobilizing Fractures Key Words clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma What You Will Learn to Do Determine first

More information

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT FRANCISCO HENRY, Appellant, v. STATE OF FLORIDA, Appellee. No. 4D16-1708 [November 1, 2017] Appeal from the Circuit Court for the Fifteenth

More information

USER S MANUAL. Spining Bike Taurus Racing Bike Z9 KH-84802

USER S MANUAL. Spining Bike Taurus Racing Bike Z9 KH-84802 USER S MANUAL Spining Bike Taurus Racing Bike Z9 KH-84802 1 Safety Instructions To ensure the best safety of the exerciser, regularly check it on damages and worn parts. If you pass on this exerciser to

More information

Consensus Paper on Out-of-Hospital Cardiac Arrest in England

Consensus Paper on Out-of-Hospital Cardiac Arrest in England Consensus Paper on Out-of-Hospital Cardiac Arrest in England Date: 16 th October 2014 Revision Date: 16 th October 2015 Introduction The purpose of this paper is to bring some clarity to the analysis of

More information

During a Mental Health Crisis, Making the SMART Call

During a Mental Health Crisis, Making the SMART Call During a Mental Health Crisis, Making the SMART Call Will McClurg, a paramedic with training in mental health, escorts a 16-year--old girl in to Peninsula Hospital where she will undergo a psychiatric

More information

Electrical Injuries Presentation

Electrical Injuries Presentation Electrical Injuries Presentation Oregon Burn Center Legacy Health System Oregon Burn Center Only burn center in Oregon and SW Washington 16 beds, 20,000 square feet Regional burn center for 41 years Offering

More information

2015 Interim Training Materials

2015 Interim Training Materials 2015 Interim Training Materials ACLS Manual and ACLS EP Manual Comparison Chart Assessment sequence Manual, Part 2: The Systematic Approach, and Part BLS Changes The HCP should check for response while

More information

Manifestations électrocardiographiques après électrisation: à propos d'un cas et revue de la littérature

Manifestations électrocardiographiques après électrisation: à propos d'un cas et revue de la littérature Manifestations électrocardiographiques après électrisation: à propos d'un cas et revue de la littérature Journal : La Tunisie Médicale Manuscript ID : TUNISMED--0 Type : ARTICLES ORIGINAUX Date de soumission

More information

Different Patterns in Abdominal Stab Wound in the Self-Inflicted and Assaulted Patients: An Observational Analysis of Single Center Experience

Different Patterns in Abdominal Stab Wound in the Self-Inflicted and Assaulted Patients: An Observational Analysis of Single Center Experience Kobe J. Med. Sci., Vol. 63, No. 1, pp. E17-E21, 2017 Different Patterns in Abdominal Stab Wound in the Self-Inflicted and Assaulted Patients: An Observational Analysis of Single Center Experience TAKESHI

More information

The Burden of Injury in Iowa. County Level Data from

The Burden of Injury in Iowa. County Level Data from The Burden of Injury in Iowa County Level Data from 2009-2013 June 2016 Acknowledgements This report would not have been possible without the support of Binnie Lehew (IDPH), Dr. Corinne Peek-Asa (UI IPRC),

More information

BASICS AND BEYOND. Suicide Prevention in Jails

BASICS AND BEYOND. Suicide Prevention in Jails BASICS AND BEYOND Suicide Prevention in Jails Objectives Review the problem of jail suicide Describe suicide risk Discuss intervention procedures & best practices The Problem of Jail Suicide How Do Jails

More information

OV United Soccer Club

OV United Soccer Club Preventing disease transmission Place an effective barrier between you and the victim s blood when you give first aid. Examples of such barriers are: the victim s hand, a piece of plastic, clean folded

More information

Title IX of the Education Amendments of 1972

Title IX of the Education Amendments of 1972 Title IX of the Education Amendments of 1972 Discrimination-Free Educational Environment The U.S. Department of Education, its Office for Civil Rights and Carroll College believe that providing all students

More information

Current Utilities of Cardiac Biomarker Testing at POC. June 24, 2010 Joe Pezzuto, MT (ASCP) Carolyn Kite, RN

Current Utilities of Cardiac Biomarker Testing at POC. June 24, 2010 Joe Pezzuto, MT (ASCP) Carolyn Kite, RN Current Utilities of Cardiac Biomarker Testing at POC June 24, 2010 Joe Pezzuto, MT (ASCP) Carolyn Kite, RN 1. Discuss challenges associated with diagnosing Acute Coronary Syndromes (ACS) and Heart Failure

More information

HEART OF THE MATTER EXPERTISE

HEART OF THE MATTER EXPERTISE 1 HEART OF THE MATTER EXPERTISE THOMAS JAY BERGER, M.D., F.C.C.P. 2451 Brickell Ave., 12-C Miami, FL 33129 Phone: (786)-908-2438 Website - heartofyourcase.com Email bladesmn@aol.com VERA QUAERENDA, INVENIENDA,

More information

Pattern Of Injuries Due To Rubber Bullets In A Conflict Zone

Pattern Of Injuries Due To Rubber Bullets In A Conflict Zone ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 2 Pattern Of Injuries Due To Rubber Bullets In A Conflict Zone M Wani, A Sultan, M Wani, M Malik, M Baba, N Masrat Citation M Wani,

More information

Targeted Violence Attacks Exercise Safety Briefing and Training

Targeted Violence Attacks Exercise Safety Briefing and Training Targeted Violence Attacks Exercise Safety Briefing and Training Targeted Violence Exercises Active Shooter Full Scale Exercise Tuesday July 25 th, 2017 from 9AM to 1PM Coates Building, Jones Building,

More information

The Center provides Suicide Risk at Juvenile Probation Intake

The Center provides Suicide Risk at Juvenile Probation Intake The Center provides Suicide Risk at Juvenile Probation Intake Gail A. Wasserman, PhD and Larkin McReynolds, PhD Center for the Promotion of Mental Health In Juvenile Justice Columbia University, Division

More information

Physical Evidence Chapter 3

Physical Evidence Chapter 3 Physical Evidence Chapter 3 Physical Evidence Blood, Semen, Saliva Documents Drugs Explosives Fibers Fingerprints Firearms and Ammunition Glass Hair Impressions Physical Evidence Organs and Physiological

More information

Domestic Violence Strategy for Legal Aid Ontario Summary

Domestic Violence Strategy for Legal Aid Ontario Summary Domestic Violence Strategy for Legal Aid Ontario Summary WHY A STRATEGY? 1 in 5 Canadian women experience sexual or physical intimate partner violence in their lifetime Every six days, a woman is murdered

More information

Relax and Learn At the Farm 2012

Relax and Learn At the Farm 2012 Relax and Learn At the Farm Session 9: Invasive Hemodynamic Assessment and What to Do with the Data Carol Jacobson RN, MN Cardiovascular Nursing Education Associates Function of CV system is to deliver

More information

ACO Congress Conference Pre Session Clinical Performance Measurement

ACO Congress Conference Pre Session Clinical Performance Measurement ACO Congress Conference Pre Session Clinical Performance Measurement Lynne Rothney-Kozlak, MPH Interim VP, ACO Collaborative (Independent Consultant) October 25, 2010 Agenda for Presentation 1. The Framework

More information

Biomechanics of soldier movement apparatus methods for kinematics, kinetics and muscular activity evaluation in non-laboratory conditions

Biomechanics of soldier movement apparatus methods for kinematics, kinetics and muscular activity evaluation in non-laboratory conditions Biomechanics of soldier movement apparatus methods for kinematics, kinetics and muscular activity evaluation in non-laboratory conditions Cygoń Krzysztof, Bednorz Roman, Maliszewski Jakub Origin of the

More information

Diversion to the Mental Health System: Emergency Psychiatric

Diversion to the Mental Health System: Emergency Psychiatric S P E C I A L A R T I C L E Diversion to the Mental Health System: Emergency Psychiatric Evaluations Jeffrey S. Janofsky, MD, and Anthony C. Tamburello, MD In Maryland, any citizen may petition to have

More information

Florida Adult Felony Drug Courts Evaluation Report

Florida Adult Felony Drug Courts Evaluation Report Florida Adult Felony Drug Courts Evaluation Report Submitted to: Florida Supreme Court - OSCA Office of Court Improvement 500 South Duval Street Tallahassee, FL 32399-1900 Submitted by: NPC Research Portland,

More information

Thoracoscopic Lobectomy for Locally Advanced Lung Cancer. Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014

Thoracoscopic Lobectomy for Locally Advanced Lung Cancer. Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014 for Locally Advanced Lung Cancer Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014 Thomas A. D Amico MD Gary Hock Endowed Professor and Vice Chair of Surgery Chief Thoracic Surgery

More information

Switching Time: Multiple Personalities

Switching Time: Multiple Personalities Parkland College A with Honors Projects Honors Program 2010 Switching Time: Multiple Personalities Ka Lui Ng Parkland College Recommended Citation Ng, Ka Lui, "Switching Time: Multiple Personalities" (2010).

More information

The Agitated Patient. David Tillman January 21, 2015

The Agitated Patient. David Tillman January 21, 2015 The Agitated Patient David Tillman January 21, 2015 Case Presentation http://www.youtube.com/watch?v=hfeepvoqrpe Case Presentation This is a real case. June 15 th, 2009 Appleton, WI something is wrong

More information

Conveyor System MM3. Chain width 83mm MODU System MM3 conveyor is also available in stainless steel. See page DM1.

Conveyor System MM3. Chain width 83mm MODU System MM3 conveyor is also available in stainless steel. See page DM1. Conveyor System MM3 Conveyor System MM3 Chain width 83mm MODU System MM3 conveyor is also available in stainless steel. See page DM1. Features Suitable for a wide range of applications. Examples of application

More information

Pain Relief Patch. Operation Manual Read Before Using MODEL # ET

Pain Relief Patch. Operation Manual Read Before Using MODEL # ET Pain Relief Patch Operation Manual Read Before Using Intended Use The ireliev Pain Relief Patch is intended for temporary relief of pain associated with sore and aching muscles in the upper and lower extremities

More information

User Manual Table of Contents. Instructions for Using the LaserTouchOne Charging the Unit... 5 Holding the Device... 5 Treatment Steps...

User Manual Table of Contents. Instructions for Using the LaserTouchOne Charging the Unit... 5 Holding the Device... 5 Treatment Steps... User Manual User Manual Table of Contents Introduction The LaserTouchOne... 3 Device Features and Controls (Photo of device)... 4 Product Contents... 4 Laser Safety... 4 Electrical Safety... 5 Instructions

More information

ACLS Study Guide for Precourse Self-Assessment

ACLS Study Guide for Precourse Self-Assessment 20 rhythm strips on Precourse Self-Assessment with the following matching choices: Agonal Rhythm/Asystole Atrial Fibrillation Flutter Ventricular Fibrillation Monomorphic Ventricular Normal Sinus Rhythm

More information

Rhythm ECG Characteristics Example. Normal Sinus Rhythm (NSR)

Rhythm ECG Characteristics Example. Normal Sinus Rhythm (NSR) Normal Sinus Rhythm (NSR) Rate: 60-100 per minute Rhythm: R- R = P waves: Upright, similar P-R: 0.12-0.20 second & consistent P:qRs: 1P:1qRs Sinus Tachycardia Exercise Hypovolemia Medications Fever Substances

More information

Lancaster County Court of Common Pleas. Adult Drug Court. Presenter: Judge David L. Ashworth

Lancaster County Court of Common Pleas. Adult Drug Court. Presenter: Judge David L. Ashworth Lancaster County Court of Common Pleas Adult Drug Court Presenter: Judge David L. Ashworth What is Drug Court? A voluntary treatment court that targets offenders who are high risk/high needs and provides

More information

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen.

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen. ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called CHAPTER 36 Geriatrics HANDOUT 36-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Among patients over age 65, almost

More information

AP2 Lab 3 Coronary Vessels, Valves, Sounds, and Dissection

AP2 Lab 3 Coronary Vessels, Valves, Sounds, and Dissection AP2 Lab 3 Coronary Vessels, Valves, Sounds, and Dissection Project 1 - BLOOD Supply to the Myocardium (Figs. 18.5 &18.10) The myocardium is not nourished by the blood while it is being pumped through the

More information

FAQ s - Drugs and Alcohol

FAQ s - Drugs and Alcohol FAQ s - Drugs and Alcohol Q. What laws regulate employee drug and alcohol testing? A. Workplace drug and alcohol testing is regulated by both the Americans with Disabilities Act and the Fair Labor Standards

More information

Aviation Rescue Swimmer Course

Aviation Rescue Swimmer Course Aviation Rescue Swimmer Course Primary Survey LT 5.4 December 2003 1 Objectives List the procedures used in a primary survey. Demonstrate primary survey procedures used in a mock trauma (moulage) scenario

More information

Thoracoscopic Lobectomy for Locally Advanced Lung Cancer

Thoracoscopic Lobectomy for Locally Advanced Lung Cancer Thoracoscopic Lobectomy for Locally Advanced Lung Cancer Masters of Minimally Invasive Thoracic Surgery 6th Annual Meeting Waldorf Astoria Orlando September 20-21, 2013 Gary Hock Professor and Vice-Chair

More information

Madison Police Department Michael C. Koval, Chief of Police. Physical Fitness Assessment

Madison Police Department Michael C. Koval, Chief of Police. Physical Fitness Assessment Madison Police Department Michael C. Koval, Chief of Police City-County Building 211 S. Carroll Street Madison, Wisconsin 53703 Phone: (608) 266-4022 Fax: (608) 266-4855 police@cityofmadison.com www.madisonpolice.com

More information

Slip, Trip, and Fall Prevention Guide. Presentation: Risk Management Office 2016

Slip, Trip, and Fall Prevention Guide. Presentation: Risk Management Office 2016 Slip, Trip, and Fall Prevention Guide Presentation: Risk Management Office 2016 Objectives The objectives of the Slip, Trip and Fall Prevention Guide are to provide direction on: a) Identifying working

More information