Acidosis and catecholamine evaluation following simulated law enforcement "use of force" encounters

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Jeffrey D HoJames R Miner

Abstract

Law enforcement authorities are often charged with controlling resisting suspects. These encounters sometimes result in the sudden and unexpected death of the suspect. Drug intoxication, excited delirium syndrome, or excessive uses of force are factors that are often blamed, but sometimes the mechanism of these deaths is not fully understood. It is possible that worsening acidosis or excessive catecholamine release play a part. The objective of this study was to determine the effect on markers of acidosis and catecholamines of various tasks intended to simulate common arrest-related situations. Subjects were assigned to one of five task groups: 1) a 150-meter sprint and wall hurdle (simulated flight from arrest); 2) 45 seconds of striking a heavy bag (simulated physical resistance); 3) a 10-second TASER X26 electronic control device exposure; 4) a fleeing and resistance exercise involving a law enforcement dog (K-9); or 5) an oleoresin capsicum (OC) exposure to the face and neck. Baseline serum pH, lactate, potassium, troponin I, catecholamines, and creatine kinase (CK) were evaluated. Serum catecholamines, pH, lactate, and potassium were sampled immediately after the task and every 2 minutes for 10 minutes posttask. Vital sign...Continue Reading

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Citations

Nov 12, 2013·Forensic Science, Medicine, and Pathology·Donald M DawesJames R Miner
Mar 29, 2014·Forensic Science, Medicine, and Pathology·John C Criscione, Mark W Kroll
Nov 19, 2013·The Journal of Emergency Medicine·Jeffrey D HoJames R Miner
Mar 17, 2012·Forensic Science International : Synergy·S N KunzF Fischer
Mar 7, 2012·Journal of Forensic and Legal Medicine·Gary M VilkeMichael P Wilson
Jul 30, 2011·Forensic Science International : Synergy·Jeffrey D HoJames R Miner
May 7, 2011·Annals of Emergency Medicine·Mathieu PasquierBertrand Yersin
Mar 17, 2011·The American Journal of Emergency Medicine·Edward M CastilloBethi Luu
Oct 5, 2010·Forensic Science International : Synergy·Donald M DawesJames R Miner
May 25, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James R MinerJeffrey D Ho
Dec 13, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jeffrey D HoWilliam G Heegaard
Jan 13, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jeffrey D HoJoseph E Clinton
Aug 26, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David KesegJeffrey Caterino
Dec 10, 2013·Forensic Science International : Synergy·Jeffrey D HoJames R Miner
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Aug 14, 2018·Forensic Science, Medicine, and Pathology·Mark W KrollJohn C Criscione
May 11, 2020·Forensic Science, Medicine, and Pathology·Jeffrey D HoJamie L Stang
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Jun 30, 2018·Forensic Science, Medicine, and Pathology·Sebastian N KunzMark W Kroll
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Jun 26, 2021·Annals of Emergency Medicine·Lauren R Klein, Jon B Cole
Aug 10, 2021·Prehospital and Disaster Medicine·Armando Cester-MartínezDiego Borraz-Clares

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