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Correspondence

Ventricular Fibrillation after Stun-Gun Discharge

N Engl J Med 2005; 353:958-959September 1, 2005

Article

To the Editor:

The question of the safety of the use of “stun guns” by law-enforcement agencies has been raised in the news.1 Deaths after discharges from such devices (Tasers) have been reported, although no definite causative link between death and the use of a stun gun has been made.2,3

An adolescent was subdued with a Taser stun gun and subsequently collapsed. Paramedics found the adolescent to be in ventricular fibrillation (Figure 1AFigure 1Electrocardiogram after Discharge from a Stun Gun.) and began performing cardiopulmonary resuscitation within two minutes after the collapse. After four shocks and the administration of epinephrine, atropine, and lidocaine, a perfusing rhythm was restored (Figure 1B). The adolescent made a nearly complete recovery and was discharged from the hospital several days later. This case of ventricular fibrillation after a discharge from a stun gun suggests that the availability of automated external defibrillators to law-enforcement personnel4 carrying stun guns should be considered.

Paul J. Kim, M.D.
Wayne H. Franklin, M.D.
Children's Memorial Hospital, Chicago, IL 60614

4 References
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    White RD, Hankins DG, Bugliosi TF. Seven years' experience with early defibrillation by police and paramedics in an emergency medical services system. Resuscitation 1998;39:145-151
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    S. Fieseler, B. Zinka, O. Peschel, S.N. Kunz. (2011) Elektrowaffe Taser®. Rechtsmedizin
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    Jared Strote, Mimi Walsh, Matthew Angelidis, Amaya Basta, H. Range Hutson. (2010) Conducted Electrical Weapon Use by Law Enforcement: An Evaluation of Safety and Injury. The Journal of Trauma: Injury, Infection, and Critical Care 68:5, 1239-1246
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    Sara Multerer, John W. Berkenbosch, Bibhuti Das, Christopher Johnsrude. (2009) Atrial Fibrillation After Taser Exposure in a Previously Healthy Adolescent. Pediatric Emergency Care 25:12, 851-853
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    Jeffrey D. Ho. (2009) Can There Be Truth About TASERs?. Academic Emergency Medicine 16:8, 771-773
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    William P. Bozeman, William E. Hauda, Joseph J. Heck, Derrel D. Graham, Brian P. Martin, James E. Winslow. (2009) Safety and Injury Profile of Conducted Electrical Weapons Used by Law Enforcement Officers Against Criminal Suspects. Annals of Emergency Medicine 53:4, 480-489
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    Byron K. Lee, Eric Vittinghoff, Dean Whiteman, Minna Park, Linda L. Lau, Zian H. Tseng. (2009) Relation of Taser (Electrical Stun Gun) Deployment to Increase in In-Custody Sudden Deaths. The American Journal of Cardiology 103:6, 877-880
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    Kyle A. Richards, L. Peter Kleuser, Jeffrey Kluger. (2008) Fortuitous Therapeutic Effect of Taser Shock for a Patient in Atrial Fibrillation. Annals of Emergency Medicine 52:6, 686-688
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    Jeffrey D. Ho, Donald M. Dawes, Robert F. Reardon, Anne L. Lapine, Benjamin J. Dolan, Erik J. Lundin, James R. Miner. (2008) Echocardiographic Evaluation of a TASER-X26 Application in the Ideal Human Cardiac Axis. Academic Emergency Medicine 15:9, 838-844
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    MARK S. LINK, N. A. MARK ESTES. (2008) Cardiac Safety of Electrical Stun Guns: Letting Science and Reason Advance the Debate. Pacing and Clinical Electrophysiology 31:4, 395-397
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    Donald M. Dawes, Jeffrey D. Ho, Mark A. Johnson, Erik Lundin, Timothy A. Janchar, James R. Miner. (2008) 15-Second conducted electrical weapon exposure does not cause core temperature elevation in non-environmentally stressed resting adults. Forensic Science International 176:2-3, 253-257
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    J.A. Stockman. (2008) Risk of Aborted Cardiac Arrest or Sudden Cardiac Death During Adolescence in the Long-QT Syndrome. Yearbook of Pediatrics 2008, 230-233
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    S J Holden, R D Sheridan, T J Coffey, R A Scaramuzza, P Diamantopoulos. (2007) Electromagnetic modelling of current flow in the heart from TASER devices and the risk of cardiac dysrhythmias. Physics in Medicine and Biology 52:24, 7193-7209
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    Mark Kroll, Richard M. Luceri, Hugh Calkins. (2007) To the Editor:. Journal of Cardiovascular Electrophysiology 18:12, E29-E30
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    Saul D. Levine, Christian M. Sloane, Theodore C. Chan, James V. Dunford, Gary M. Vilke. (2007) Cardiac Monitoring of Human Subjects Exposed to the Taser®. The Journal of Emergency Medicine 33:2, 113-117
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    MICHAEL CAO, JEROLD S. SHINBANE, JEFFREY M. GILLBERG, LESLIE A. SAXON. (2007) Taser-Induced Rapid Ventricular Myocardial Capture Demonstrated by Pacemaker Intracardiac Electrograms. Journal of Cardiovascular Electrophysiology 18:8, 876-879
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    Anthony J. O'Brien, Brian G. McKenna. (2007) Concerns About the Use of TASERs® On People with Mental Illness in New Zealand. Journal of Forensic Nursing 3:2, 89-92
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    Jeehyun Lee, Jin Keun Seo, Eung Je Woo. (2007) Mathematical framework for current density imaging due to discharge of electro-muscular disruption devices. ESAIM: Mathematical Modelling and Numerical Analysis 41:3, 447-459
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    Mark W. Kroll, Hugh Calkins, Richard M. Luceri. (2007) Electronic Control Devices and the Clinical Milieu. Journal of the American College of Cardiology 49:6, 732
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    Kumaraswamy Nanthakumar, Ian M. Billingsley, Stephane Masse, Paul Dorian, Douglas Cameron, Vijay S. Chauhan, Eugene Downar, Elias Sevaptsidis. (2006) Cardiac Electrophysiological Consequences of Neuromuscular Incapacitating Device Discharges. Journal of the American College of Cardiology 48:4, 798-804
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    Jeffrey D. Ho, James R. Miner, Dhanunjaya R. Lakireddy, Laura L. Bultman, William G. Heegaard. (2006) Cardiovascular and Physiologic Effects of Conducted Electrical Weapon Discharge in Resting Adults. Academic Emergency Medicine 13:6, 589-595
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