Deaths in custody: Are some due to electronic control devices (including TASER® devices) or excited delirium?

Journal of Forensic and Legal Medicine

Volumn 17, Issue 1, 2010, Pages 1-7

  Jauchem, James R ^a  

^a AIR FORCE RESEARCH LABORATORY   (United States)

Author keywords

Conducted energy weapon; Electric shocking device; Electric stimulation; Electronic control device; Excited delirium; TASER

Indexed keywords

ACIDEMIA; ASYSTOLE; CAUSE OF DEATH; CUSTODY; DEATH; DELIRIUM; DRUG MISUSE; ELECTRONIC CONTROL DEVICE; EXPOSURE; HEART VENTRICLE FIBRILLATION; HUMAN; HYPERKALEMIA; HYPERTHERMIA; LAW ENFORCEMENT; METABOLIC ACIDOSIS; RESPIRATORY ACIDOSIS; REVIEW; WEAPON;

ACIDOSIS; ANIMALS; CAUSE OF DEATH; CONFOUNDING FACTORS (EPIDEMIOLOGY); DELIRIUM; ELECTROSHOCK; FEVER; FORENSIC PATHOLOGY; FORENSIC TOXICOLOGY; HUMANS; LACTIC ACID; MUSCLE CONTRACTION; MYOGLOBIN; MYOGLOBINURIA; POLICE; POSTURE; POTASSIUM; PRISONERS; RESPIRATION; RESTRAINT, PHYSICAL; RHABDOMYOLYSIS; SUBSTANCE-RELATED DISORDERS; SYMPATHETIC NERVOUS SYSTEM; TERMINOLOGY AS TOPIC; VENTRICULAR FIBRILLATION;

EID: 71549140377     PISSN: 1752928X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jflm.2008.05.011     Document Type: Review

References (116)

1. Schmiederer B., Du Chesne A., Schmidt P.F., and Brinkmann B. Specific traces in stun gun deployment. Int J Legal Med 119 (2005) 207-212
2. Denk W, Missliwetz J, Tauschitz C, Wieser I. Electroshock devices as weapons. In: Non-lethal weapons European working group, Fraunhofer-Institut für Chemische Technologien, editor. Non-lethal weapons: new options facing the future. (Proceedings of the 1st European symposium on non-lethal weapons, 25-26 September 2001, Stadthalle Ettlingen, Germany) Karlsruhe, Germany: DWS Werbeagentur und Verlag GmgH; 2001. 43-1-3.
3. Jenkinson E., Neeson C., and Bleetman A. The relative risk of police use-of-force options: evaluating the potential for deployment of electronic weaponry. J Clin Forensic Med 13 (2006) 229-241
4. Jauchem J.R., Cook M.C., and Beason C.W. Blood factors of Sus scrofa following a series of three TASER® electronic control device exposures. Forensic Sci Int 175 (2008) 166-170
5. Kroll MW, Panescu D, Ho J, et al. Potential errors in autopsy reports of custodial deaths temporally associated with electronic control devices: A cardiovascular perspective. In: American academy of forensic science annual conference, San Antonio, Texas, 19-27 February 2007. (Full presentation available at http://www.ipicd.com/docs/AAFS%20Kroll%202007.ppt#256,1,Autopsy Errors with Electronic Control Devices: A Cardiovascular Perspective) [abstract].
6. Sauret J.M., Marinides G., and Wang G.K. Rhabdomyolysis. Am Fam Physician 65 (2002) 907-912
7. Sungar M., and Güven M. Rhabdomyolysis caused by electric injury. J Emerg Med 20 (2001) 195-196 [letter]
8. Allison R.C., and Bedsole D.L. The other medical causes of rhabdomyolysis. Am J Med Sci 326 (2003) 79-88 [review]
9. Fechner G., Brinkmann B., and Heckmann M. Herzstromdichte als wichtigster biologischer Parameter bei Stromexposition in der Badewanne [Heart current density as the most important biological parameter of electrocution in the bathtub]. Beitr Gerichtl Med 48 (1990) 335-338 [German]
10. Remsberg C. Behind the excited delirium headlines. J Emerg Med Serv News (2006) 14 December
11. Pedal I., Zimmer G., Mattern R., Mittmeyer H.J., and Oehmichen M. Tödliche Zwischenfälle bei der Festnahme höchstgradig erregter Personen [Fatal incidences during arrest of highly agitated persons]. Arch Kriminol 203 (1999) 1-9 [German]
12. Stratton S.J., Rogers C., Brickett K., and Gruzinski G. Factors associated with sudden death of individuals requiring restraint for excited delirium. Am J Emerg Med 19 (2001) 187-191
13. Ross D.L. Factors associated with excited delirium deaths in police custody. Mod Pathol 11 (1998) 1127-1137 [review]
14. Wetli C.V., Mash D., and Karch S.B. Cocaine-associated agitated delirium and the neuroleptic malignant syndrome. Am J Emerg Med 14 (1996) 425-428 [review]
15. Karch SB. Cocaine. Chapter 1. Section 1.12.2.12. Excited delirium and neuroleptic syndrome. In: Karch SB, editor, Karch's pathology of drug abuse, 3rd ed. Boca Raton, Florida: CRC Press; 2001. 120-9.
16. Wetli C.V., and Fishbain D.A. Cocaine-induced psychosis and sudden death in recreational cocaine users. J Forensic Sci 30 (1985) 873-880
17. Mann S.C., Caroff S.N., Bleier H.R., Welz W.K., Kling M.A., and Hayashida M. Lethal catatonia. Am J Psychiat 143 (1986) 1374-1381 [review]
18. Manojlovic D, Hall C, Laur D, et al. Review of conducted energy devices. Technical report TR-01-2006. Ottawa, Canada: Canadian Police Research Centre; 22 August 2005.
19. DiMaio V.J.M., and Dana S.E. Handbook of forensic pathology. 2nd ed. (2007), CRC/Taylor & Francis, Boca Raton, Florida
20. Mistovich J.J., Krost W.S., and Limmer D.D. Beyond the basics: endocrine emergencies. Part 1: Hyperthyroidism and thyroid storm. Emerg Med Serv 36 (2007) 123-127
21. Lawrence C. What other medical emergencies can look like excited delirium? Police One, 2 November 2006. http://www.policeone.com/writers/columnists/ChrisLawrence/articles/1182796/.
22. Wetli C.V. The scene of death and the autopsy. In: Karch S.B. (Ed). Drug abuse handbook (2006), CRC Press, Boca Raton, Florida 73-79
23. Paquette M. Excited delirium: Does it exist?. Perspect Psychiatr Care 39 (2003) 93-94
24. Wetli C.V. Excited delirium. In: Ross D.L., and Chan T.C. (Eds). Forensic science and medicine: sudden deaths in custody (2006), Humana Press, Inc., Totowa, New Jersey 99-112 [reply letter]
25. World Health Organization. International statistical classification of diseases and related health problems. 10th Revision; version for 2007. Geneva, Switzerland: World Health Organization; 2006.
26. Härtel V., Ogbuihi S., and Brinkmann B. WHO basic classification in forensic medicine. Beitr Gerichtl Med 48 (1990) 477-483 [German]
27. Mumola CJ. Arrest-related deaths in the United States, 2003-2005. Report # NCJ 219534. Washington, DC: U.S. Department of Justice; October 2007. http://www.ojp.usdoj.gov/bjs/pub/pdf/ardus05.pdf.
28. World Health Organization. Meeting of heads of WHO collaborating centres for the classification of diseases. Report # WHO/GPE/ICD/C/00.71. Rio de Janerio, Brazil: WHO; October 2000. http://www.who.int/classifications/network/en/report2000.pdf.
29. Goldman A. Excited delirium or excuse for excessive force?. J Emerg Med Serv News; 27 April 2007.
30. Jauchem J.R., Sherry C.J., Fines D.A., and Cook M.C. Acidosis, lactate, electrolytes, muscle enzymes, and other factors in the blood of Sus scrofa following repeated TASER® exposures. Forensic Sci Int 161 (2006) 20-30
31. Tchou P.J. Electronic control devices and the clinical milieu. Reply. J Am Coll Cardiol 49 (2007) 733 [letter]
32. Esquivel AO, Bir C. The development of a model to assess the effects of conducted electrical weapons in a stressful state. In: Proceedings of the American academy of forensic sciences, vol. 14. February 2008. p. 270. http://www.aafs.org/pdf/2008ProceedingsWashingtonDC.pdf [abstract].
33. Jauchem JR, Seaman RL, Fines DA. Survival of anesthetized Sus scrofa after cycling (7 s on/3 s off) exposures to a TASER® X26 electronic control device for three minutes. Am J Forensic Med Pathol, in press.
34. Jammes Y, Caquelard F, Badier M. Correlation between surface electromyogram, oxygen uptake and blood lactate concentration during dynamic leg exercises. Respir Physiol 1998; 112: 167-74.
35. Wasserman K., Stringer W.W., Casaburi R., and Zhang Y.Y. Mechanism of the exercise hyperkalemia: An alternate hypothesis. J Appl Physiol 83 (1997) 631-643
36. Martinez-Vea A., Bardaji A., Garcia C., and Oliver J.A. Severe hyperkalemia with minimal electrocardiographic manifestations: A report of seven cases. J Electrocardiol 32 (1999) 45-49
37. Tran H.A. Extreme hyperkalemia. South Med J 98 (2005) 729-730 [review]
38. Richards J.R. Rhabdomyolysis and drugs of abuse. J Emerg Med 19 (2000) 51-56
39. Welch R.D., Todd K., and Krause G.S. Incidence of cocaine-associated rhabdomyolysis. Ann Emerg Med 20 (1991) 154-157
40. McDaniel W.C., Stratbucker R.A., Nerheim M., and Brewer J.E. Cardiac safety of neuromuscular incapacitating defensive devices. Pacing Clin Electrophysiol 28 Suppl. 1 (2005) S284-S287
41. Lakkireddy D., Wallick D., Verma A., et al. Cardiac effects of electrical stun guns: does position of barbs contact make a difference?. Pacing Clin Electrophysiol 31 (2008) 398-408
42. Wu J.Y., Sun H., O'Rourke A.P., et al. Taser dart-to-heart distance that causes ventricular fibrillation in pigs. IEEE Trans Biomed Eng 54 (2007) 503-508
43. Nanthakumar K., Billingsley I.M., Masse S., et al. Cardiac electrophysiological consequences of neuromuscular incapacitating device discharges. J Am Coll Cardiol 48 (2006) 798-804
44. Kroll M.W., Calkins H., and Luceri R.M. Electronic control devices and the clinical milieu. J Am Coll Cardiol 49 (2007) 732 [letter]
45. Holden S.J., Sheridan R.D., Coffey T.J., Scaramuzza R.A., and Diamantopoulos P. Electromagnetic modelling of current flow in the heart from TASER devices and the risk of cardiac dysrhythmias. Phys Med Biol 52 (2007) 7193-7209
46. Sun H., and Webster J.G. Estimating neuromuscular stimulation within the human torso with Taser stimulus. Phys Med Biol 52 (2007) 6401-6411
47. Cao M., Shinbane J.S., Gillberg J.M., and Saxon L.A. Taser-induced rapid ventricular myocardial capture demonstrated by pacemaker intracardiac electrograms. J Cardiovasc Electrophysiol 18 (2007) 876-879
48. Dennis A.J., Valentino D.J., Walter R.J., et al. Acute effects of TASER X26 discharges in a swine model. J Trauma 63 (2007) 581-590
49. Lee L. Ruminant and swine anesthesia. Veterinary surgery I. Stillwater. Oklahoma: Oklahoma State University Center for Veterinary Health Sciences; 2007. http://cvm-u.cvhs.okstate.edu/vmed5412/pdf/24RuminantAnesthesia2006.pdf.
50. Trim C.M., and Gilroy B.A. Cardiopulmonary effects of a xylazine and ketamine combination in pigs. Res Vet Sci 38 (1985) 30-34
51. Dittmar M.S., Fehm N.P., Vatankhah B., and Horn M. Ketamine/xylazine anesthesia for radiologic imaging of neurologically impaired rats: dose response, respiratory depression, and management of complications. Comp Med 54 (2004) 652-655
52. Joly L.M., and Benhamou D. Ventilation during total intravenous anaesthesia with ketamine. Can J Anaesth 41 (1994) 227-231
53. Jasani M.S., Salzman S.K., Tice L.L., Ginn A., and Nadkarni V.M. Anesthetic regimen effects on a pediatric porcine model of asphyxial arrest. Resuscitation 35 (1997) 69-75
54. Vilke G., Sloane C., Bouton K., et al. Cardiovascular and metabolic effects of the Taser on human subjects. Acad Emerg Med 14 5 Suppl. 1 (2007) S104-S105 [abstract]
55. Karch S.B., Green G.S., and Young S. Myocardial hypertrophy and coronary artery disease in male cocaine users. J Forensic Sci 40 (1995) 591-595
56. Tazelaar H.D., Karch S.B., Stephens B.G., and Billingham M.E. Cocaine and the heart. Hum Pathol 18 (1987) 195-199
57. Karch S.B., and Billingham M.E. The pathology and etiology of cocaine-induced heart disease. Arch Pathol Lab Med 112 (1988) 225-230 [review]
58. Karch S.B., and Stephens B.G. Drug abusers who die during arrest or in custody. J R Soc Med 92 (1999) 110-113 [review]
59. Karch S.B. Cocaine cardiovascular toxicity. South Med J 98 (2005) 794-799 [review]
60. Karch S.B., Stephens B., and Ho C.H. Relating cocaine blood concentrations to toxicity - an autopsy study of 99 cases. J Forensic Sci 43 (1998) 41-45
61. Karch S.B., and Wetli C.V. Agitated delirium versus positional asphyxia. Ann Emerg Med 26 (1995) 760-761 [letter]
62. Gulino S.P., and Young T.W. Restraint asphyxia. Am J Forensic Med Pathol 21 (2000) 420 [letter]
63. Fineschi V., Silver M.D., Karch S.B., et al. Myocardial disarray: An architectural disorganization linked with adrenergic stress?. Int J Cardiol 99 (2005) 277-282
64. Dawes D., Johnson M., Ho J., et al. 15-Second conducted electrical weapon exposure does not cause core temperature elevation in non-environmentally stressed resting adults. Forensic Sci Int 176 (2008) 253-257
65. Esquivel A.O., Dawe E.J., Sala-Mercado J.A., Hammond R.L., and Bir C.A. The physiologic effects of a conducted electrical weapon in swine. Ann Emerg Med 50 (2007) 576-583
66. Ho J.D., Miner J.R., Lakireddy D.R., Bultman L.L., and Heegaard W.G. Cardiovascular and physiologic effects of conducted electrical weapon discharge in resting adults. Acad Emerg Med 13 (2006) 589-595
67. Ho J.D., Dawes D.M., Bultman L.L., et al. Respiratory effect of prolonged electrical weapon application on human volunteers. Acad Emerg Med 14 (2007) 197-201
68. Sztajnkrycer M.D., and Baez A.A. Cocaine, excited delirium and sudden unexpected death. Emerg Med Serv 34 4 (2005) 77-81
69. Kroll MW. Designing the waveform of the electronic control device to replace the police club. In: Abstracts for the 29th bioelectromagnetics society annual meeting, 10-15 June 2007. Kanazawa, Japan, p. 176-78 [abstract].
70. Boriani G., Biffi M., Cervi V., et al. Evaluation of myocardial injury following repeated internal atrial shocks by monitoring serum cardiac troponin I levels. Chest 118 (2000) 342-347
71. Demos M.A., Gitin E.L., and Kagen L.J. Exercise myoglobinemia and acute exertional rhabdomyolysis. Arch Intern Med 134 (1974) 669-673
72. Bozeman W.P. Withdrawal of Taser electroshock devices: Too much, too soon. Ann Emerg Med 46 (2005) 300-301 [letter]
73. Fortescue E.B., Shin A.Y., Greenes D.S., et al. Cardiac troponin increases among runners in the Boston Marathon. Ann Emerg Med 49 (2007) 137-143
74. Sloane CM, Chan TC, Levine SD, et al. Serum troponin I measurement of subjects exposed to the Taser X-26. J Emerg Med, in press.
75. Welte T., Bohnert M., and Pollak S. Prevalence of rhabdomyolysis in drug deaths. Forensic Sci Int 139 (2004) 21-25
76. Ruttenber A.J., McAnally H.B., and Wetli C.V. Cocaine-associated rhabdomyolysis and excited delirium: different stages of the same syndrome. Am J Forensic Med Pathol 20 (1999) 120-127
77. Ordog G.J., Wasserberger J., Schlater T., and Balasubramanium S. Electronic gun (Taser®) injuries. Ann Emerg Med 16 (1987) 73-78
78. Valentino D.J., Walter R.J., Nagy K., et al. Repeated thoracic discharges from a stun device. J Trauma 62 (2007) 1134-1142
79. Bozzuto T.M. Severe metabolic acidosis secondary to exertional hyperlactemia. Am J Emerg Med 6 (1988) 134-136
80. Sloane C., and Vilke G.M. Riot control agents, tasers, and other less lethal weapons. In: Ross D.L., and Chan T.C. (Eds). Forensic science and medicine: sudden deaths in custody (2006), Humana Press, Inc., Totowa New Jersey 113-138
81. Brobst D. Evaluation of clinical disorders of acid-base balance. J Am Vet Med Assoc 166 (1975) 359-364
82. Tohdoh Y., Sumita S., Kawamata T., Omote K., Kawana S., and Namiki A. Acute respiratory and metabolic acidosis induced by excessive muscle contraction during spinal evoked stimulation. Br J Anaesth 86 (2001) 589-593
83. Bouton K, Vilke GM, Chan TC, et al. Physiological effects of a five second TASER exposure. In: Southwest Chapter of the American College of Sports Medicine, 28th annual meeting, 9-10 November 2006, San Diego, California [abstract].
84. Brinkmann B., Fechner G., Karger B., and DuChesne A. Ketoacidosis and lactic acidosis - frequent causes of death in chronic alcoholics?. Int J Legal Med 111 (1998) 115-119
85. Chan T.C., Vilke G.M., Clausen J., et al. The effect of oleoresin capsicum "pepper" spray inhalation on respiratory function. J Forensic Sci 47 (2002) 299-304
86. Pollanen M.S., Chiasson D.A., Cairns J.T., and Young J.G. Unexpected death related to restraint for excited delirium: A retrospective study of deaths in police custody and in the community. CMAJ 158 (1998) 1603-1607
87. Chan T.C., Neuman T., Clausen J., Eisele J., and Vilke G.M. Weight force during prone restraint and respiratory function. Am J Forensic Med Pathol 25 (2004) 185-189
88. Glatter K., and Karch S.B. Positional asphyxia: inadequate oxygen, or inadequate theory? [Letter]. Forensic Sci Int 141 (2004) 201-202
89. Stratton S.J., Rogers C., and Green K. Sudden death in individuals in hobble restraints during paramedic transport. Ann Emerg Med 25 (1995) 710-712
90. Lawrence C. The varied faces of excited delirium. Police One, 21 January 2006. http://www.policeone.com/writers/columnists/ChrisLawrence/articles/120458/.
91. Robison D., and Hunt S. Sudden in-custody death syndrome. Topics Emerg Med 27 (2005) 36-43
92. Karch S.B., Stephens B.G., and Tseng A. Does ethanol enhance cocaine toxicity?. J Clin Forensic Med 6 (1999) 19-23
93. Moscati R., Ho J., Dawes D., et al. Physiologic effects of prolonged conducted electrical weapon discharge on intoxicated adults. Acad Emerg Med 14 5 Suppl. 1 (2007) S63-S64 [abstract]
94. Wilson K.C., and Saukkonen J.J. Acute respiratory failure from abused substances. J Intensive Care Med 19 (2004) 183-193
95. Bethke R.A., Gratton M., and Watson W.A. Severe hyperlactemia and metabolic acidosis following cocaine use and exertion. Am J Emerg Med 8 (1990) 369-370 [letter]
96. Gabow P.A., Kaehny W.D., and Kelleher S.P. The spectrum of rhabdomyolysis. Medicine (Baltimore) 61 (1982) 141-152
97. Stephens B.G., Jentzen J.M., Karch S., Wetli C.V., and Mash D.C. National Association of Medical Examiners position paper on the certification of cocaine-related deaths. Am J Forensic Med Pathol 25 (2004) 11-13
98. Stephens B.G., Jentzen J.M., Karch S., Mash D.C., and Wetli C.V. Criteria for the interpretation of cocaine levels in human biological samples and their relation to the cause of death. Am J Forensic Med Pathol 25 (2004) 1-10 [review]
99. Karch S.B., Stephens B.G., and Ho C.H. Methamphetamine-related deaths in San Francisco: Demographic, pathologic, and toxicologic profiles. J Forensic Sci 44 (1999) 359-368
100. Wijetunga M., Bhan R., Lindsay J., and Karch S. Acute coronary syndrome and crystal methamphetamine use: a case series. Hawaii Med J 63 (2004) 8-13 25
101. Henry J.A. Metabolic consequences of drug misuse. Br J Anaesth 85 (2000) 136-142 [review]
102. Richards J.R., Johnson E.B., Stark R.W., and Derlet R.W. Methamphetamine abuse and rhabdomyolysis in the ED: a 5-year study. Am J Emerg Med 17 (1999) 681-685
103. Karch S.B. Neurochemistry of abused drugs (2007), CRC Press, Boca Raton, Florida
104. Mash D.C. Neuropsychiatric consequences of chronic cocaine abuse. In: Karch S.B. (Ed). Neurochemistry of abused drugs (2007), CRC Press, Boca Raton, Florida 109-117
105. Haile C.N. Neurochemical and neurobehavioral consequences of methamphetamine abuse. In: Karch S.B. (Ed). Neurochemistry of abused drugs (2007), CRC Press, Boca Raton Florida 53-79
106. Baumann M.H., and Rothman R.B. Neurobiology of 3,4-methylenedioxy-methamphetamine (MDMA, or "Ecstasy"). In: Karch S.B. (Ed). Neurochemistry of abused drugs (2007), CRC Press, Boca Raton, Florida 119-142
107. Karch S. The problem of methamphetamine toxicity. West J Med 170 (1999) 232 [editorial]
108. Channa Perera S.D., and Pollanen M.S. Sudden death due to sickle cell crisis during law enforcement restraint. J Forensic Legal Med 14 (2007) 297-300
109. Munetz M.R., Fitzgerald A., and Woody M. Police use of the taser with people with mental illness in crisis. Psychiatr Serv 57 (2006) 883 [letter]
110. Stanford Criminal Justice Center. Use of tasers by law enforcement agencies: guidelines and recommendations. Stanford, California: Stanford University; 2006.
111. Ho JD, Johnson MA, Dawes DM. The state of current human research and electronic control devices (ESDs). In: Presented at the 4th European symposium on non-lethal weapons, non-lethal weapons european working group, 21-23 May 2007, Stadthalle Ettlingen, Germany. http://www.ipicd.com/docs/05-23-07%20Ho%20Paper%20Germany.pdf.
112. Erwin C., and Philibert R. Shocking treatment: the use of tasers in psychiatric care. J Law Med Ethics 34 (2006) 116-120
113. Stone MP. Understanding the dynamics of sudden in-custody deaths: notes on causation and predicting situations that precipitate the phenomenon. Police One, 21 April 2006. http://www.policeone.com/suspect-transport/articles/127340.
114. Miller C.D. Re: Acidosis, lactate, electrolytes, muscle enzymes, and other factors in the blood of Sus scrofa following repeated TASER® exposures. Forensic Sci Int 168 (2007) e17-e18 [letter]
115. Bozeman WP, Winslow JE, Hauda II WE, Graham D, Martin BP, Heck JJ. Injury profile of TASER® electrical conducted energy weapons (CEWs). In: Poster presented at American College of emergency physicians scientific assembly, Seattle, Washington, 8-11 October 2007. http://www.ipicd.com/docs/ACEP2007BozemanLLW.pdf.
116. Drummer O., Forrest A.R., Goldberger B., and Karch S.B. International toxicology advisory group. Forensic science in the dock [editorial]. BMJ 329 (2004) 636-637