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HEPA filter means high-efficiency particulate air filters that are rated to achieve a minimum initial particle-removal efficiency of 99.97 per cent using ASTM F 1471– 93 or equivalent standard;
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Their website contains fire statistics, the National Fire Incident Reporting System (NFIRS), and the National Fire Department Census Database.
The probes of the new TASER 7 device differ from previous models in a number of ways, but the key change for clinicians lies in the two-part construction of the probes. Earlier versions of TASER CEDs have employed solid, one-piece probes in which the shaft is attached to the probe body (figure 1).
Disaster Recovery Services means the Services embodied in the processes and procedures for restoring the provision of Services following the occurrence of a Disaster, as detailed further in Call Off Schedule 8 (Business Continuity and Disaster Recovery);
Small Diversity business concern means a small business concern that is at least fifty-one (51) percent unconditionally owned by one or more individuals who are both socially and economically diverse, or a publicly owned business that has at least fifty-one (51) percent of its stock unconditionally owned by one or more socially and economically diverse individuals and that has its management and daily business controlled by one or more such individuals. This term also means a small business concern that is at least fifty-one (51) percent unconditionally owned by an economically diverse Indian tribe or Native Hawaiian Organization, or a publicly owned business that has at least fifty-one (51) percent of its stock unconditionally owned by one of these entities, that has its management and daily business controlled by members of an economically diverse Indian tribe or Native Hawaiian organization.
Probes in particularly vulnerable areas (eg, the eyes, head, neck or genitalia) should always be removed by medical professionals only, ideally in a hospital setting.
In the UK, the medical effects of CEDs are considered by the Scientific Advisory Committee on the Medical Implications of Less-Lethal Weapons (SACMILL), a government-sponsored independent advisory committee. SACMILL assesses the medical impacts of less-lethal weapons, including CEDs, used by police in the UK, and makes recommendations regarding their use.
CEDs are now routinely used by UK Police and can cause effects of which the emergency clinician should be aware, in particular the differences relating to the new TASER 7.
X26TASER
The TASER 7, which will progressively replace the older devices, diverges from both older devices due to its novel probe design.
Critical Energy Infrastructure Information means all information, whether furnished before or after the mutual execution of this Agreement, whether oral, written or recorded/electronic, and regardless of the manner in which it is furnished, that is marked “CEII” or “Critical Energy Infrastructure Information” or which under all of the circumstances should be treated as such in accordance with the definition of CEII in 18 C.F.R. § 388.13(c)(1). The Receiving Party shall maintain all CEII in a secure place. The Receiving Party shall treat CEII received under this agreement in accordance with its own procedures for protecting CEII and shall not disclose CEII to anyone except its Authorized Representatives.
Incident Report means a written report of any injury, accident, acts of physical aggression, or unusual incident involving an individual.
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TASER7
Electronic Subcontracting Reporting System (eSRS) means the Governmentwide, electronic, web-based system for small business subcontracting program reporting. The eSRS is located at http://www.esrs.gov.
Home Office statistics for England and Wales indicate that police officers fired probes on nearly 3250 occasions in the 12-month period to March 2021.2 In contrast, drive-stun was used less than 80 times during the same period.2
General purpose radiographic x-ray system means any radiographic x-ray system which, by design, is not limited to radiographic examination of specific anatomical regions.
Taser was introduced into UK policing in 2003 to bridge the operational gap between use of incapacitant sprays and firearms. Use of force reporting in the UK indicates that Taser is relatively safe provided that it is used lawfully. Taser use can result in injuries and has been implicated in a small number of deaths. The latest version of the weapon, the TASER 7, has entered UK policing. The TASER 7 uses a novel probe that has implications for the medical community. A review of Taser medical effects and probe removal for TASER 7 are presented.
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Conventional filtration treatment means a series of processes including coagulation, flocculation, sedimentation, and filtration resulting in substantial particulate removal.
Annual estimates of national fires and fire losses involving ignition of a mattress or bedding are based on data from the U.S. Fire Administration’s National Fire Incident Reporting System (‘‘NFIRS’’) and the National Fire Protection Administration’s (‘‘NFPA’’) annual survey of fire departments.
Where the probes of the TASER X26 and TASER X2 have penetrated the skin in an uncomplicated anatomical region, they may be removed by tensing the skin around the probe-penetration site and tugging firmly on the body of the probe. The removal of probes that have penetrated sensitive areas, or have become entrapped in bone, may require the attention of specialist medical staff and it is then that patients may present to the ED. Sensitive areas where probe injuries have been described include the eyes, genital area, mouth, neck and head.
Automated data acquisition and handling system or "DAHS" means that component of the continuous emission monitoring system, or other emissions monitoring system approved for use under section 11 of this rule, designed to interpret and convert individual output signals from pollutant concentration monitors, flow monitors, diluent gas monitors, and other component parts of the monitoring system to produce a continuous record of the measured parameters in the measurement units required by section 11 of this rule.
Their Website contains fire statistics, the National Fire Incident Reporting System (NFIRS), and the National Fire Department Census Database.
Other Eligibility Criteria National Fire Incident Reporting System (NFIRS)NFIRS reporting is not a requirement to apply for any FP&S Program; however, fire departments that receive funding under this program must agree to provide information to the NFIRS for the period covered by the assistance.
Locational Deliverability Area Reliability Requirement means the projected internal capacity in the Locational Deliverability Area plus the Capacity Emergency Transfer Objective for the Delivery Year, as determined by the Office of the Interconnection in connection with preparation of the Regional Transmission Expansion Plan, less the minimum internal resources required for all FRR Entities in such Locational Deliverability Area.
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Adverse reaction means an unexpected outcome that threatens the health or safety of a patient as a result of a medical service, nursing service, or health-related service provided to the patient.
The plastic tool issued to police officers should be used to remove a tissue-embedded probe in non-sensitive areas of the body. This was found to be easier than using a needle holder from a suture pack. A TASER 7 police officer should be able to provide the removal tool to medical staff.
Mobile crisis outreach team means a crisis intervention service for minors or families of minors experiencing behavioral health or psychiatric emergencies.
TASERX26P
2024118 — Taser maker Axon Enterprises (AXON) guided high late Thursday after smashing earnings estimates for the third quarter. Axon stock rocketed on Friday.
While there are differences in the electrical discharge output of the various TASER devices, a major distinction between the TASER X26 and the later TASER devices is that the TASER X26 has a single cartridge, while the TASER X2 and TASER 7 have twin cartridges. The twin cartridge devices offer the user a rapidly deployable second shot back-up in the event of a probe miss on the first shot.
Clinicians need to consider any medical, toxicological or psychiatric conditions that preceded CED deployment (particularly acute behavioural disturbance-excited delirium).
The Administrator shall update the National Fire Incident Reporting System to ensure that the information in the system is available, and can be updated, through the Internet and in real time.(Pub.
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Coordinated licensure information system means an integrated process for collecting, storing, and sharing information on nurse licensure and enforcement activities related to nurse licensure laws that is administered by a nonprofit organization composed of and controlled by licensing boards.
Conducted energy devices (CEDs), also known as conducted electrical weapons, are hand-held electronic devices widely used by law enforcement agencies in the USA, Canada, the UK, Europe, Australia and elsewhere. Together with less-lethal impact rounds, CEDs are designed to bridge the gap between close quarter options, such as batons and irritant sprays, and lethal firearms in helping to resolve serious and violent incidents.
The most common brand of CED is manufactured by Axon Enterprise, Inc, under the TASER trademark. Devices include the TASER X26 (launched by Axon in 2003 and discontinued in 2014), the TASER X2 (launched in 2011) and the TASER 7 (launched in late 2018).
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Adverse Drug Experience means any of: an “adverse drug experience,” a “life-threatening adverse drug experience,” a “serious adverse drug experience,” or an “unexpected adverse drug experience,” as those terms are defined at either 21 C.F.R. § 312.32 or 21 C.F.R. § 314.80.
Clinical evaluation means a systematic and planned process to continuously generate, collect, analyse and assess the clinical data pertaining to a device in order to verify the safety and performance, including clinical benefits, of the device when used as intended by the manufacturer;
Root Cause Analysis Report means a report addressing a problem or non-conformance, in order to get to the ‘root cause’ of the problem, which thereby assists in correcting or eliminating the cause, and prevent the problem from recurring.
Adverse System Impact means a negative effect that compromises the safety or reliability of the electric distribution system or materially affects the quality of electric service provided by the electric distribution company (EDC) to other customers.
Since their introduction into UK policing in 2003, the use of CEDs has been associated with non-fatal injuries and a small number of deaths, with one death being attributed solely to CED use. In this case, the electrical discharge from the CED ignited fuel that the subject had poured on himself.2 There have also been a small number of fatal outcomes in the UK where the electrical discharge from the CED was considered to have played a contributory role.3–8
Partly because of the range of potential injuries that have been associated with CED discharge, the UK Faculty of Forensic and Legal Medicine (FFLM), together with other bodies representing UK healthcare practitioners, have recently introduced guidance and specialist training around the effects of CEDs and the medical assessment of those in police custody who have been exposed to CED discharge.10 For patients attending the ED after exposure to CED, they should undergo an ECG, and cardiac monitoring should be considered in patients with a significant cardiac risk or pacemaker (although delayed dysrhythmias are thought to be extremely rare). Injuries may be present that were sustained prior to CED discharge and therefore a thorough clinical assessment should be undertaken. Specialist assistance might be necessary for the removal of CED barbs in sensitive body areas. Pregnant patients are advised to undergo obstetric review following exposure to CED. Perhaps the most important aspect of assessment and management of these patients in the ED relates to the assessment of acute behavioural disturbance, acute psychosis or drug-related issues that led to the circumstances in which CED was deployed.
The mass and velocity, and hence the kinetic energy and momentum, of the TASER 7 probe is greater than that of its predecessors. This means that the probe shaft may embed deeper into tissue, even though the barbed point is of the same length.
Considering that probes have been deployed on more than 26 000 occasions in the 4 years to March 2021, CEDs appear to be relatively safe weapons provided that they are used lawfully by the police in situations in which less injurious options for use of force are inappropriate or unlikely to succeed in resolving a violent encounter. There remains a paucity of prospective studies on their use in the operational setting and it is unclear whether certain vulnerabilities increase the risk of morbidity and mortality.
TASER10 civilian
Further information on potential probe removal methods may be found on the FFLM website along with more detailed information on the clinical effects of CEDs.11
Adverse drug reaction means any undesirable or unexpected medication related event that requires discontinuing a medication or modifying the dose, requires or prolongs hospitalization, results in disability, requires supportive treatment, is life-threatening or results in death, results in congenital anomalies, or occurs following vaccination.
Data Incident means a breach of Google’s security leading to the accidental or unlawful destruction, loss, alteration, unauthorized disclosure of, or access to, Customer Data on systems managed by or otherwise controlled by Google.
Online ISSN: 1472-0213Print ISSN: 1472-0205 Copyright © 2024 BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved.
TASERself defense
The deployment of probes can be expected to cause small electrical burns around the skin contact sites and could be followed by secondary injury from uncontrolled falls3 which are among a number of injury mechanisms that have been identified.3 9
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Correction notice Since this paper was published online changes have been made. The manufacturer of TASER devices is Axon Enterprise, Inc (not Axon International). The funding source should have been listed as the Home Office and not DSTL. The article refers to the use of an animal model to investigate the interaction of TASER probes with tissue. For additional context, the probes were fired into a section of porcine thorax/abdomen obtained from an animal that had been humanely slaughtered at a licensed abattoir. References to T7 in the abstract should read TASER 7. The author B Sheridan has been updated to Robert D Sheridan.
CED discharge has two principal effects on the subject. First, in ‘drive-stun’ mode, or when the probes are narrowly spaced, the discharge results in pain; second, when the fired probes are more than about 9 inches (23 cm) apart, the subject will experience pain and so-called neuromuscular incapacitation, stiffening up and falling to the ground, unable to maintain voluntary control of their movement.
Discrepancies incident to shipment means any differences (e.g., count or condition) between the items documented to have been shipped and items actually received.
A deformed barb may require removal by a medical professional in hospital as it may not come out easily with the plastic tool.
Common Reporting Standard (CRS) means the Standard for Automatic Exchange of Financial Account Information (“AEOFAI”) in Tax Matters and was developed in response to the G20 request and approved by the Organisation for Economic Co-operation and Development (OECD) Council on 15 July 2014, calls on jurisdictions to obtain information from their financial institutions and automatically exchange that information with other jurisdictions on an annual basis. It sets out the financial account information to be exchanged, the financial institutions required to report, the different types of accounts and taxpayers covered, as well as common due diligence procedures to be followed by financial institutions.
CEDs may be used in a number of ways to de-escalate incidents. Drawing the device from its holster, aiming it at a subject, producing a high-voltage arc display at the front of the device (‘arcing’) or painting a laser aiming dot on the subject may all have deterrent value.1 As a last resort, however, CEDs may be used to administer an electrical discharge to a subject. The discharge, which takes the form of brief, repetitive pulses, may be delivered either by direct application of the front end of the weapon to the subject (drive-stun) or by firing two electrically tethered projectiles (probes) of opposite polarity up to a distance of 21–25 feet, depending on the model. The front end of each probe is designed to penetrate the skin or to attach to an individual’s clothing. By far the vast majority of uses in which people are subjected to electrical discharge involve the firing of probes.1
TASER10
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We conducted a small study using an animal model to assess different methods of removal of tissue-embedded TASER 7 darts.10 The probes were fired into a section of porcine thorax/abdomen obtained from an animal that had been humanely slaughtered at a licensed abattoir. Removal of embedded probes using a needle holder from a standard suture pack was technically far more difficult than using the police-issued removal tool: using a needle holder also made it more difficult to produce an axial force on the probe, resulting in the shaft twisting in the underlying tissue and the potential for increasing tissue damage. We also identified that the shaft of the TASER 7 probe may bend on impact with underlying bone and that the probe body can separate into its two component parts on impact or in flight (figure 7).
When probes are fired from the cartridge at the front end of the CED, the top probe flies towards the subject in line with the ‘muzzle’ of the CED, while the lower probe diverges downward. This means that the spread of the probes increases as they approach their target. The spread of the probes is required for the discharge to exert its desired effect.1
In the new TASER 7 device, the probe shaft is fixed to a base plate which sits on the end of a cylinder from which the stored cable pays out during flight. At its front end, the cylinder is attached to the front assembly at six crimp points around the circumference of the base plate. The base plate/shaft assembly can detach from the cylinder during flight and on impact. Figures 2–5 illustrate the probes.
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Unlike its predecessors, skin-embedded TASER 7 probes should not be removed by simply tugging the probe body. Instead, police officers are issued with a plastic tool specifically designed for the purpose of probe removal. Because the tool is dual purpose—it also serves as the carrier used to store unused cartridges—it should be readily available from police officers in hospital settings on request (figure 6). An alternative probe removal tool, which operates on the same principle as the cartridge carrier, is marketed by the manufacturers of the TASER 7.
Pursuant to VSA Title 20, Section 2833 - Reports to fire marshal, incident reports must be submitted to the National Fire Incident Reporting System (NFIRS) within 15 days after the end of the previous month as a condition for any and all grant awards.