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Conductive Energy Devices
  1. Kenneth Nugent, MD*,
  2. Satish Bagdure, MD, MPH, MBBS,
  3. Mohammad Otahbachi, MD*,
  4. Cihan Cevik, MD
  1. From the *Department of Internal Medicine, Texas Tech University Health Sciences Center; †Texas Department of State Health Services, Lubbock, TX; and ‡Texas Heart Institute at St. Luke’s Episcopal Hospital, Division of Adult Cardiology, Baylor College of Medicine, Houston, TX.
  1. Received April 29, 2011, and in revised form August 21, 2011.
  2. Accepted for publication August 21, 2011.
  3. Reprints: Kenneth Nugent, MD, Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th St, Lubbock, TX. E-mail: Kenneth.nugent{at}ttuhsc.edu.
  4. The authors have no conflicts of interest to declare.
  5. The authors did not receive financial support for this study.

A Review of Use and Deaths in the United States

Abstract

Background Conductive energy devices (CEDs) have been temporally associated with morbidity and mortality in police work, but the frequency of use and of complications is not certain.

Methods This is a literature review using PubMed and Google Scholar searches to identify population-based CED studies, studies reporting morbidity and mortality with CEDs, and studies in healthy volunteers.

Results Recent studies indicate that CEDs are used approximately 83 to 338 times per million population per year in the United States. The subjects have a typical profile, including young men with belligerent or bizarre behavior who often have a psychiatric disorder or are intoxicated with drugs. The mortality estimates range from 0.0% to 1.4% of subjects controlled with CEDs. Limited information from autopsy studies indicates that death is frequently associated with confounding factors, especially intoxication with illicit drugs.

Conclusions Conductive energy devices are used frequently during police work and are associated with a low but definite mortality rate. The use of CEDs and the management of at-risk subjects need more study.

Key Words
  • electric injury
  • electronic weapons
  • conductive energy device
  • immobilization
  • death
  • excited delirium

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