Evidence map›Paper›PMID 29956100›Full record

SynthesisForensic science, medicine, and pathology2018

Cardiac and skeletal muscle effects of electrical weapons : A review of human and animal studies.

Sebastian N Kunz, Hugh Calkins, Jiri Adamec, Mark W Kroll

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Forensic science, medicine, and pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Electrical weapons and rhabdomyolysis.Forensic science, medicine, and pathology · 2021
    Article
  4. A Shocking Tale.JACC. Case reports · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 3 countries.

Sebastian N KunzDepartment of Forensic Pathology, Landspítali University Hospital, v/Barónstíg 101, Reykjavik, Iceland. sebastian@landspitali.is.
Hugh CalkinsJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Jiri AdamecInstitute of Forensic Medicine, Ludwig-Maximilians University Munich, Munich, Germany.
Mark W KrollDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN, USA.
California Polytechnic State University · USJohns Hopkins University · USLudwig-Maximilians-Universität München · DEReykjavík University · IS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conducted Electrical Weapons (CEWs) are being used as the preferred non-lethal force option for police and special forces worldwide. This new technology challenges an exposed opponent similarly to the way they would be challenged by physical exercise combined with emotional stress. While adrenergic and metabolic effects have been meta-analyzed and reviewed, there has been no systematic review of the effects of CEWs on skeletal and cardiac muscle. A systematic and careful search of the MedLine database was performed to find publications describing pathophysiological cardiac and skeletal muscle effects of CEWs. For skeletal muscle effects, we analyzed all publications providing changes in creatine kinase, myoglobin and potassium. For cardiac effects, we analyzed reported troponin changes and arrhythmias related to short dart-to-heart-distances. Conducted electrical weapons satisfy all relevant electrical safety standards and there are, to date, no proven electrocution incidents caused by CEWs. A potential cardiovascular risk has been recognized by some of the experimental animal data. The effects on the heart appear to be limited to instances when there is a short dart-to-heart-distance. The effect on the skeletal muscle system appears to be negligible. A responsible use of a CEW on a healthy adult, within the guidelines proposed by the manufacturer, does not imply a significant health risk for that healthy adult.

Indexed as

Conducted Energy Weapon InjuriesAnimalsCreatine KinaseDefibrillators, ImplantableHumansMuscle ContractionMyoglobinPacemaker, ArtificialTroponinVentricular FibrillationCreatine KinaseMyoglobinTroponinConducted electrical weaponElectrocutionForensic medicineTASERVentricular fibrillation

Identifiers

PMID29956100
OpenAlexW2810111638

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.