Restraint asphyxia. An analysis of the circumstances and mechanism of death in agitated, physically restrained individuals.

Tomasz Konopka, Krzysztof Woźniak, Artur Moskała, Paweł Kopacz, Marcin Strona, Ewa Rzepecka-Woźniak, Piotr Kluza, Ewa Juźwik-Kopacz, Filip Bolechała
{"title":"Restraint asphyxia. An analysis of the circumstances and mechanism of death in agitated, physically restrained individuals.","authors":"Tomasz Konopka,&nbsp;Krzysztof Woźniak,&nbsp;Artur Moskała,&nbsp;Paweł Kopacz,&nbsp;Marcin Strona,&nbsp;Ewa Rzepecka-Woźniak,&nbsp;Piotr Kluza,&nbsp;Ewa Juźwik-Kopacz,&nbsp;Filip Bolechała","doi":"10.4467/16891716AMSIK.22.002.16231","DOIUrl":null,"url":null,"abstract":"<p><p>Recent years saw frequent media reports of young people who die while they are being arrested by the police. Death in these circumstances affects people who are agitated and restrained with the use of force, with their autopsies indicating no unequivocally traumatic cause of death. The goal of this study was to identify the mechanism and circumstances of sudden deaths in agitated individuals who are being restrained. Ten cases evaluated at our center since 2010 were included in this study: nine involved forensic postmortem examination and one involved casefile analysis. In each case there was sudden cardiac arrest or at least a loss of consciousness, and the cardiopulmonary resuscitation proved ineffective. In six cases the cause of agitation was acute psychosis, in four it was an effect of narcotics, usually in high concentration. Conjunctival petechiae were detected in only five cases. The most probable cause of death in the evaluated cases was the combination of physical exertion caused by pathological psychomotor agitation and forcible restraint, hindering the function of the respiratory system. This mechanism is known as restraint asphyxia.</p>","PeriodicalId":35709,"journal":{"name":"Archiwum Medycyny Sadowej i Kryminologii","volume":"72 1","pages":"3-27"},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archiwum Medycyny Sadowej i Kryminologii","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4467/16891716AMSIK.22.002.16231","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Recent years saw frequent media reports of young people who die while they are being arrested by the police. Death in these circumstances affects people who are agitated and restrained with the use of force, with their autopsies indicating no unequivocally traumatic cause of death. The goal of this study was to identify the mechanism and circumstances of sudden deaths in agitated individuals who are being restrained. Ten cases evaluated at our center since 2010 were included in this study: nine involved forensic postmortem examination and one involved casefile analysis. In each case there was sudden cardiac arrest or at least a loss of consciousness, and the cardiopulmonary resuscitation proved ineffective. In six cases the cause of agitation was acute psychosis, in four it was an effect of narcotics, usually in high concentration. Conjunctival petechiae were detected in only five cases. The most probable cause of death in the evaluated cases was the combination of physical exertion caused by pathological psychomotor agitation and forcible restraint, hindering the function of the respiratory system. This mechanism is known as restraint asphyxia.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
克制窒息。对激动、身体受约束的个体的死亡情况和机制的分析。
近年来,媒体经常报道年轻人在被警察逮捕时死亡。这些情况下的死亡影响的是被激怒和被武力约束的人,他们的尸检没有明确的创伤性死亡原因。本研究的目的是确定被约束的激动个体猝死的机制和情况。本研究纳入本中心自2010年以来评估的10例病例,其中9例涉及法医尸检,1例涉及案件档案分析。在每个病例中,都出现了心脏骤停或至少失去意识,心肺复苏被证明无效。在六个病例中,躁动的原因是急性精神病,在四个病例中,这是麻醉剂的作用,通常是高浓度的。结膜积点仅5例。在评估的病例中,最可能的死亡原因是病理性精神运动性激动引起的体力消耗和强制约束的结合,阻碍了呼吸系统的功能。这种机制被称为抑制性窒息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
12
审稿时长
12 weeks
期刊介绍: Archiwum Medycyny Sądowej i Kryminologii przyjmuje w języku polskim: prace doświadczalne, poglądowe, kazuistyczne, artykuły o charakterze szkoleniowym z medycyny sądowej, kryminologii i dziedzin pokrewnych, opracowania z zakresu etyki i deontologii lekarskiej, streszczenia prac obcych, oceny książek, sprawozdania z działalności PTMSiK, sprawozdania ze zjazdów krajowych i zagranicznych, komunikaty Zarządu Głównego PTMSiK, listy do Redakcji. Autor powinien podać, do jakiej kategorii zalicza tekst nadesłanej pracy. Przyjmowane do druku będą również prace autorów zagranicznych w języku angielskim.
期刊最新文献
Supplement to the work „Smoothbore hunting ammunition – a historical overview” Pro Memoria: Prof. Roman Mądro (1943-2023) Pro Memoria: prof. Jerzy Jan Janica (1939-2022) Review of the experiences of users of methaqualone and methaqualone derivatives. An analysis of online forums. COVID-19-related excess mortality - an overview of the current evidence.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1