title: Ventricular fibrillation risk estimation for conducted electrical weapons: critical convolutions.
abstract: The TASER® Conducted Electrical Weapon (CEW) is used by law enforcement agencies about 900 times per day worldwide and has been shown to reduce suspect and officer injuries by about 65%. However, since a CEW delivers rapid electrical pulses through injected probes, the risk of inducing ventricular fibrillation (VF) has been considered. Animal studies have shown that the tip of the probe must come within a few millimeters of the surface of the heart for the CEW to induce VF in a typical animal application. Early calculations of the CEW VF risk in humans used sophisticated 3-D chest models to determine the size of the probe landing areas that had cardiac tissue within a given distance of the inner surface of the ribs. This produced a distribution of area (cm(2)) vs. mm of depth. Echocardiography was then used to determine the shortest distance from the skin surface to the cardiac surface. This produced a population distribution of skin-to-heart (STH) distances. These 2 distributions were then convolved to arrive at a probability of inducing VF for a typical human CEW application. With 900, 000 probe-mode field uses to date, epidemiological results have shown that these initial VF risk estimates were significant overestimates. We present model refinements that take into account the gender and body-mass-index (BMI) of the target demographics and produce VF risk estimates concordant with the epidemiological results. The risk of VF is estimated at 0.4 per million uses with males.
authors.affiliation: Biomedical Engineering Dept, University of Minnesota, Minneapolis, MN 55454, USA. kroll051@umn.edu
authors.forename: Mark W
authors.initials: MW
authors.lastname: Kroll
authors.forename: Dhanunjaya
authors.initials: D
authors.lastname: Lakkireddy
authors.forename: Peter S
authors.initials: PS
authors.lastname: Rahko
authors.forename: Dorin
authors.initials: D
authors.lastname: Panescu
mesh_terms: D000818:Animals; D015897:Comorbidity; D057667:Conducted Energy Weapon Injuries / Q000453:epidemiology* / Q000503:physiopathology* / Q000517:prevention & control; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008955:Models, Cardiovascular; D015995:Prevalence; D016016:Proportional Hazards Models; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D014693:Ventricular Fibrillation / Q000453:epidemiology* / Q000503:physiopathology