Darren Laur
New member
Taser’s
What does Science and Medicine Have To Say To Date
First, my name is Darren Laur and presently I am an Acting Inspector seconded to the Canadian Police Research Center (CPRC) as the Project Manager for our national Conducted Energy Weapon (Taser) / Excited Delirium Project here in Canada. I was also one on the lead investigators seconded to the British Columbia Office Of The Police Complaint Commissioner, that also looked into the safety concerns surrounding Taser technology (http://www.opcc.bc.ca/Reports/2005 reports expense claims/TASER Final Report June 14th 2005.pdf ) The CPRC was tasked last year by the Canadian Association Of Police Chiefs to conduct an investigation, in co-operation with the BC Team, to conduct a comprehensive international review to confirm the state of current knowledge regarding safety of Conducted Energy Weapons, and to make recommendations specific to:
· Safety concerns
· Use and Contraindications / limitations
· Training
· Further Research
To conduct the research into this technology, we followed a specific protocol that included:
· Gather as much of the medical and scientific literature as possible which included:
§ Vendor sponsored testing
§ Independent Testing
§ On going Research
· We also surrounded ourselves with a medical advisory panel which included:
§ Cardiac Electrical Physiologists
§ Forensic Pathologists
§ Emergency Room Physicians
§ Dr of Pharmacy
§ Neurologist
§ Forensic Psychiatrist
§ Exercise Physiologist
§ Medical Geneticist
§ ALS Paramedics
§ Epidemiologist
· We also worked with Investigative teams in the United Kingdom and the United States who were conducting similar Taser safety reviews
As police officers, we are experts in the area of evidence gathering, WE ARE NOT doctors and therefore, specific to safety issues and medical contra-indications, we recognized very quickly that only the medical and scientific community could make comment specific to the medical implications of this technology. Each one of the above noted medical experts were important to our investigation to date, because each one held a piece of the puzzle that “MAY” explain and help us to understand why people are dying suddenly and unexpectedly proximal to Taser use. Working with these doctors I quickly learned that medicine is not holistic, but rather very Balkanized. A Cardiac Doc does not necessarily consult with a Forensic Pathologist; an Emergency Room Physician does not necessarily consult with an Exercise Physiologist. Having said this however, once we were able to bring this diverse group of medical experts together, the puzzle began to take form.
To date, July 21, 2005, our team has identified 151 deaths proximal to the use of a Conducted Energy weapon since the late 1980’s when Taser’s were first being used by the law enforcement community. 13 of these deaths have taken place here in Canada. In 8 coroner’s inquests to date here in Canada, none have found that the Taser was responsible for the death (we are still waiting on 5 more inquests). In the USA, we were able to locate 9 cases where pathologists cited the Taser as a “cause” or “contributing factor.
To put these deaths into perspective, in Canada there are an average of 10-15 sudden and unexpected deaths proximal to police restraint every year where a firearm or Taser was not used. In the United States this number ranges from between 50-150. In the 1970’s many of these deaths were being attributed to Neck Restraints, in the 1980-90’s the deaths were being attributed to OC sprays, and now in the new millennium these deaths are being attributed to Taser. Sudden and unexpected death proximal to police restraint has been an unfortunate reality since policing became a profession. It is also important to note that deaths, very similar to what we are seeing in law enforcement, are also being experienced in places such as psychiatric care facilities where Taser’s or OC is not used. What became very apparent to our team was the fact it was not necessarily the force option causing these deaths, but rather the underlying medical condition known as Excited Delirium.
Please refer to my paper on Excited Delirium located at:
http://www.cprc.org/index.cfm?sector=news&page=read&newsid=6
VENDOR RESEARCH
Although any vendor’s research has to be treated with a grain of salt, our team did believe that there was one research study, known as the PACE Report, that did meet the criteria of external medical peer review.
The PACE report was released in early 2005 and was conducted by Dr Wayne McDaniel (University of Missouri-Columbia). Unfortunately Dr Stratbucker, Taser International’s lead medical consultant was also involved in this research and it is because of this fact, that it took some criticism over its true independence. What is IMPORTANT to note however, was that before it was published in the PACE supplement, it was externally and independently peer reviewed.
The PACE report utilized anesthetized swine (pigs) and the X26 Taser, that was applied for a full five-second cycle in an attempt to cause ventricular fibrillation. It is important to note from an ethics standpoint, such testing cannot be conducted on humans thus the reason for using swine. In the lowest weighted pig (66lbs) they needed to turn the current from a X-26 fifteen times its normal output before any kind of fibrillation was medically noted. In the highest weighted pig (257 lbs) the researchers needed to turn the current from the X-26 forty-two times its normal output before any kind of fibrillation was medically noted
INDEPENDENT RESEARCH:
Our team located over 20 independent medical and scientific research papers, discussion papers, and articles specific to Taser technology. Many supported the hypothesis that Taser’s are safe from a cardiac standpoint in “normal” subjects, but some did raise questions specific to Taser interaction with street drug consumption. Some of the more relevant research includes:
Joint Non-Lethal Weapons Human Effects Center Of Excellence (HECO Report 2004)
The HECO report was a US Department of Defence Sponsored study, that like the PACE report, has taken some criticism due to the fact that Taser International representatives also played a small role to HECO as a consultant to their product.
HECO, much like the BC Team, utilized both medical and scientific experts to conduct an external review of research that had been conducted to date; in other words, they did not conduct any new research. HECO reported :
· Experimental data is too limited to evaluate probabilities to “susceptible” populations (drug induced)
· The Taser “may” cause some contra-indicators albeit with estimated low probabilities of occurrence. (fall injuries, seizures, probe hit to the eyes)
· Ventricular fibrillation is not expected to occur in otherwise “healthy” population
Again, the HECO study was fairly supportive of the Taser being safe from a cardiac standpoint, but did raise some questions specific to those under the influence of drugs.
BRITISH HOME OFFICE (DOMILL 2005)
If there is one thing that British Policing has over us in North America, is the fact that they independently scientifically and medically peer review and test all force options that are used by British officers before they are issued and used on the street. We have corresponded on several occasions with the British team, who we believe have shown investigative diligence, and truly independent medical study of current Taser technology.
The DOMILL report specifically looked at Ventricular Fibrillation issues surrounding Taser, and utilized Guinea-pig hearts which are much more susceptible to electrical current. In their peer-reviewed research, DOMILL found a safety margin greater than 70 fold from the M26 Taser before ventricular fibrillation was caused. The DOMILL report supported both the HECO and PACE report findings specific to ventricular fibrillation issues.
The DOMILL study went even further in so far as it also looked at the medical effect of drugs of abuse on cardiac function combined with Taser application. Drugs tested included: Ecstasy, PCP, Cocaine, Methamphetamine, and Marijuana. DOMILL reported that specific to these drugs of abuse they all have the potential to contribute to cardiac related morbidity NO MATTER what force option used. This MUST be stressed again…….. when people are high on these drugs IT DOES NOT MATTER what force option is used, OC, Baton, Hands on Control, Taser, the stress of the restraint process makes one more susceptible to a cardiac event.
SOCIETY OF ACADEMIC EMERGENCY MEDICINE 2005:
This was a medical prospective study conducted by Dr Chan et al. In this research study they utilized 24 healthy human male volunteers who they hooked up to a continuous ECG machine. The research team recorded heart issues before, during, and after a five second application from an X-26. The results of this study found that there were no significant cardiac dysrhythmias identified in this study. Again this study supported the findings (specific to cardiac issues) of DOMILL, HECO, and PACE.
Part II to Follow
What does Science and Medicine Have To Say To Date
First, my name is Darren Laur and presently I am an Acting Inspector seconded to the Canadian Police Research Center (CPRC) as the Project Manager for our national Conducted Energy Weapon (Taser) / Excited Delirium Project here in Canada. I was also one on the lead investigators seconded to the British Columbia Office Of The Police Complaint Commissioner, that also looked into the safety concerns surrounding Taser technology (http://www.opcc.bc.ca/Reports/2005 reports expense claims/TASER Final Report June 14th 2005.pdf ) The CPRC was tasked last year by the Canadian Association Of Police Chiefs to conduct an investigation, in co-operation with the BC Team, to conduct a comprehensive international review to confirm the state of current knowledge regarding safety of Conducted Energy Weapons, and to make recommendations specific to:
· Safety concerns
· Use and Contraindications / limitations
· Training
· Further Research
To conduct the research into this technology, we followed a specific protocol that included:
· Gather as much of the medical and scientific literature as possible which included:
§ Vendor sponsored testing
§ Independent Testing
§ On going Research
· We also surrounded ourselves with a medical advisory panel which included:
§ Cardiac Electrical Physiologists
§ Forensic Pathologists
§ Emergency Room Physicians
§ Dr of Pharmacy
§ Neurologist
§ Forensic Psychiatrist
§ Exercise Physiologist
§ Medical Geneticist
§ ALS Paramedics
§ Epidemiologist
· We also worked with Investigative teams in the United Kingdom and the United States who were conducting similar Taser safety reviews
As police officers, we are experts in the area of evidence gathering, WE ARE NOT doctors and therefore, specific to safety issues and medical contra-indications, we recognized very quickly that only the medical and scientific community could make comment specific to the medical implications of this technology. Each one of the above noted medical experts were important to our investigation to date, because each one held a piece of the puzzle that “MAY” explain and help us to understand why people are dying suddenly and unexpectedly proximal to Taser use. Working with these doctors I quickly learned that medicine is not holistic, but rather very Balkanized. A Cardiac Doc does not necessarily consult with a Forensic Pathologist; an Emergency Room Physician does not necessarily consult with an Exercise Physiologist. Having said this however, once we were able to bring this diverse group of medical experts together, the puzzle began to take form.
To date, July 21, 2005, our team has identified 151 deaths proximal to the use of a Conducted Energy weapon since the late 1980’s when Taser’s were first being used by the law enforcement community. 13 of these deaths have taken place here in Canada. In 8 coroner’s inquests to date here in Canada, none have found that the Taser was responsible for the death (we are still waiting on 5 more inquests). In the USA, we were able to locate 9 cases where pathologists cited the Taser as a “cause” or “contributing factor.
To put these deaths into perspective, in Canada there are an average of 10-15 sudden and unexpected deaths proximal to police restraint every year where a firearm or Taser was not used. In the United States this number ranges from between 50-150. In the 1970’s many of these deaths were being attributed to Neck Restraints, in the 1980-90’s the deaths were being attributed to OC sprays, and now in the new millennium these deaths are being attributed to Taser. Sudden and unexpected death proximal to police restraint has been an unfortunate reality since policing became a profession. It is also important to note that deaths, very similar to what we are seeing in law enforcement, are also being experienced in places such as psychiatric care facilities where Taser’s or OC is not used. What became very apparent to our team was the fact it was not necessarily the force option causing these deaths, but rather the underlying medical condition known as Excited Delirium.
Please refer to my paper on Excited Delirium located at:
http://www.cprc.org/index.cfm?sector=news&page=read&newsid=6
VENDOR RESEARCH
Although any vendor’s research has to be treated with a grain of salt, our team did believe that there was one research study, known as the PACE Report, that did meet the criteria of external medical peer review.
The PACE report was released in early 2005 and was conducted by Dr Wayne McDaniel (University of Missouri-Columbia). Unfortunately Dr Stratbucker, Taser International’s lead medical consultant was also involved in this research and it is because of this fact, that it took some criticism over its true independence. What is IMPORTANT to note however, was that before it was published in the PACE supplement, it was externally and independently peer reviewed.
The PACE report utilized anesthetized swine (pigs) and the X26 Taser, that was applied for a full five-second cycle in an attempt to cause ventricular fibrillation. It is important to note from an ethics standpoint, such testing cannot be conducted on humans thus the reason for using swine. In the lowest weighted pig (66lbs) they needed to turn the current from a X-26 fifteen times its normal output before any kind of fibrillation was medically noted. In the highest weighted pig (257 lbs) the researchers needed to turn the current from the X-26 forty-two times its normal output before any kind of fibrillation was medically noted
INDEPENDENT RESEARCH:
Our team located over 20 independent medical and scientific research papers, discussion papers, and articles specific to Taser technology. Many supported the hypothesis that Taser’s are safe from a cardiac standpoint in “normal” subjects, but some did raise questions specific to Taser interaction with street drug consumption. Some of the more relevant research includes:
Joint Non-Lethal Weapons Human Effects Center Of Excellence (HECO Report 2004)
The HECO report was a US Department of Defence Sponsored study, that like the PACE report, has taken some criticism due to the fact that Taser International representatives also played a small role to HECO as a consultant to their product.
HECO, much like the BC Team, utilized both medical and scientific experts to conduct an external review of research that had been conducted to date; in other words, they did not conduct any new research. HECO reported :
· Experimental data is too limited to evaluate probabilities to “susceptible” populations (drug induced)
· The Taser “may” cause some contra-indicators albeit with estimated low probabilities of occurrence. (fall injuries, seizures, probe hit to the eyes)
· Ventricular fibrillation is not expected to occur in otherwise “healthy” population
Again, the HECO study was fairly supportive of the Taser being safe from a cardiac standpoint, but did raise some questions specific to those under the influence of drugs.
BRITISH HOME OFFICE (DOMILL 2005)
If there is one thing that British Policing has over us in North America, is the fact that they independently scientifically and medically peer review and test all force options that are used by British officers before they are issued and used on the street. We have corresponded on several occasions with the British team, who we believe have shown investigative diligence, and truly independent medical study of current Taser technology.
The DOMILL report specifically looked at Ventricular Fibrillation issues surrounding Taser, and utilized Guinea-pig hearts which are much more susceptible to electrical current. In their peer-reviewed research, DOMILL found a safety margin greater than 70 fold from the M26 Taser before ventricular fibrillation was caused. The DOMILL report supported both the HECO and PACE report findings specific to ventricular fibrillation issues.
The DOMILL study went even further in so far as it also looked at the medical effect of drugs of abuse on cardiac function combined with Taser application. Drugs tested included: Ecstasy, PCP, Cocaine, Methamphetamine, and Marijuana. DOMILL reported that specific to these drugs of abuse they all have the potential to contribute to cardiac related morbidity NO MATTER what force option used. This MUST be stressed again…….. when people are high on these drugs IT DOES NOT MATTER what force option is used, OC, Baton, Hands on Control, Taser, the stress of the restraint process makes one more susceptible to a cardiac event.
SOCIETY OF ACADEMIC EMERGENCY MEDICINE 2005:
This was a medical prospective study conducted by Dr Chan et al. In this research study they utilized 24 healthy human male volunteers who they hooked up to a continuous ECG machine. The research team recorded heart issues before, during, and after a five second application from an X-26. The results of this study found that there were no significant cardiac dysrhythmias identified in this study. Again this study supported the findings (specific to cardiac issues) of DOMILL, HECO, and PACE.
Part II to Follow
Last edited: