II. Definitions
- Conducted Energy Weapon (e.g. TASER)- Device delivers electrical energy to a target
- Intended to subdue target
 
III. Types
- Ranged Devices (fired probes embed in target)- Stun gun
- TASER
 
- Electrical Batons (electrical shock delivered from baton shaft)- Shock baton or stun baton
- Cattle prod
 
IV. Mechanism: Ranged Devices
- Paired electrical probes are fired from device (propelled by pressurized gas)- Effective target range typically 6 to 11 meters (19 to 36 feet)
 
- Electrical probes embed in targets skin, embedded via fishhook-like barbs- Embedded pair of barbed probes complete an electrical circuit- Newer devices may deliver 2 pairs of probes
- Probes must embed at least 9 inches apart for maximal effect
 
- Delivers rapidly cycling, electrical alternating current pulses- Duration 5 seconds (but may be extended by holding down the trigger)
- Electrical pulses incapacitate the target, inflicting significant pain and loss of motor control
 
 
- Embedded pair of barbed probes complete an electrical circuit
V. Findings: Injuries Related to Conducted Energy Weapons
- Small Electrical Burns at probe sites
- Serious injury is uncommon (<3%)- Majority of patients require no monitoring/observation, telemetry or laboratory testing
- Cardiac Arrhythmias (e.g. Atrial Fibrillation, Ventricular Tachycardia, Asystole) are rare
- Rhabdomyolysis is unlikely to occur- Device studies have shown no increase in Creatine Kinase, C-Reactive Protein or myoglobin
 
- Ocular injury- Well documented case reports
- Among the more serious complications (including risk of blindness)
 
- Penetrating Injuries
 
VI. Management
- No monitoring or lab testing needed in most cases
- Wound management
- Probe Removal- Probes embedded in sensitive regions (e.g. eyes, hands, genitals) may require emergency specialty management
- Old Model Probe removal- Hold skin taut
- Gently pull embedded probe upward at 90 degree angle
 
- New Model Probe removal- Specialized probe removal devices are needed
 
 
VII. References
- Vedula and Jasani (2025) Crit Dec Emerg Med 39(5): 4-14
- Baliatsas (2021) JAMA Netw Open 4(2):e2037209 +PMID: 33576818 [PubMed]
- Vilke (2019) J Emerg Med 57(5):740-6 +PMID: 31500994 [PubMed]
