Electrical weapons and rhabdomyolysis.
Adult
Alanine Transaminase
/ blood
Alkaline Phosphatase
/ blood
Aspartate Aminotransferases
/ blood
Bilirubin
/ blood
Biomarkers
/ blood
Blood Proteins
/ analysis
C-Reactive Protein
/ analysis
Conducted Energy Weapon Injuries
/ complications
Creatine Kinase
/ blood
Female
Globulins
/ analysis
Humans
Lactic Acid
/ blood
Male
Middle Aged
Myoglobin
/ blood
Prospective Studies
Rhabdomyolysis
/ blood
Serum Albumin
Young Adult
Alkaline phosphatase
C-reactive protein
CEW
Electrical weapon
Lactate dehydrogenase
Myoglobin
Rhabdomyolysis
Taser®
Journal
Forensic science, medicine, and pathology
ISSN: 1556-2891
Titre abrégé: Forensic Sci Med Pathol
Pays: United States
ID NLM: 101236111
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
accepted:
03
09
2020
pubmed:
19
9
2020
medline:
11
8
2021
entrez:
18
9
2020
Statut:
ppublish
Résumé
It has been suggested that an application of a conducted electrical weapon (CEW) might cause muscle injury such as rhabdomyolysis and an acute inflammatory response. We explored this hypothesis by testing the effects of electrical weapons on circulating markers of inflammation and muscle damage. In a prospective study, 29 volunteers received a full-trunk 5-s TASER® X26(E) CEW exposure. Venous blood samples were taken before, 5 min after, and at 24 h following the discharge. We tested for changes in serum levels of C-reactive protein (CRP), alkaline phosphatase (ALP), myoglobin, albumin, globulin, albumin/globulin ratio, aspartate and alanine aminotransferase, creatine kinase, total protein, bilirubin, and lactic acid dehydrogenase. Uncorrected CRP and myoglobin levels were lower in the immediate post exposure period (CRP levels 1.44 ± 1.39 v 1.43 ± 1.32 mg/L; p = 0.046 and myoglobin 36.8 ± 11.9 v 36.1 ± 13.9 μg/L; p = 0.0019) but these changes were not significant after correction for multiple comparisons. There were no changes in other biomarkers. At 24 h, CRP levels had decreased by 30% to 1.01 ± 0.80 mg/L (p = 0.001 from baseline). ALP was unchanged immediately after the CEW application but was reduced by 5% from baseline (66.2 ± 16.1 to 62.7 ± 16.1 IU/L; p = 0.0003) at 24 h. No other biomarkers were different from baseline at 24 h. A full-trunk electrical weapon exposure did not lead to clinically significant changes in the acute phase protein levels or changes in measures of muscle cellular injury. We found no biomarker evidence of rhabdomyolysis.
Identifiants
pubmed: 32946064
doi: 10.1007/s12024-020-00311-7
pii: 10.1007/s12024-020-00311-7
doi:
Substances chimiques
Biomarkers
0
Blood Proteins
0
Globulins
0
Myoglobin
0
Serum Albumin
0
Lactic Acid
33X04XA5AT
C-Reactive Protein
9007-41-4
Aspartate Aminotransferases
EC 2.6.1.1
Alanine Transaminase
EC 2.6.1.2
Creatine Kinase
EC 2.7.3.2
Alkaline Phosphatase
EC 3.1.3.1
Bilirubin
RFM9X3LJ49
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
58-63Subventions
Organisme : U.S. Military
ID : PR No. W911QY-08-C-0023.
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