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European Journal of Trauma and Emergency Surgery

Published in:

14-02-2023 | Original Article

Manhandling injuries during legal interventions

Authors: Panagiotis Liasidis, Meghan Lewis, Dominik A. Jakob, Kenji Inaba, Demetrios Demetriades

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2023

Abstract

Introduction

Data concerning injuries resulting from physical force during legal interventions are scarce. The purpose of this study was to examine manhandling injuries occurring in both civilian suspects and law enforcement officials (LEO).

Methods

Retrospective cross-sectional study using data from the National Trauma Data Bank. All patients who sustained manhandling injuries during legal interventions were identified using ICD-10 e-codes. The study groups were injured civilian suspects and LEO. The primary outcomes were type and severity of injuries among the groups.

Results

A total of 507 patients were included in the study, 426 (84.0%) civilians and 81 (16.0%) LEO. Overall, median age was 37 years (IQR: 28–48) and 90.3% were male. The median ISS was higher in civilians compared to LEO (5 [4–10] vs 4 [4–9], p = 0.023). Civilians were more likely to sustain injuries to the face (49.8% vs 35.9%, p = 0.024) and abdomen (8.3% vs 1.3%, p = 0.028). LEO were more likely to sustain tibia/fibula fractures (3.5% vs 9.9%, p = 0.019). The mortality was 1.2% (5/426) in civilians and there were no deaths in LEO. The overall complication rates and hospital length of stay were similar between the groups.

Conclusion

Injury patterns and severity of injuries sustained from the use of physical force during legal interventions are different in civilians and law enforcement officials. Further research and more comprehensive data are warranted to better understand and prevent these injuries.

American College of Surgeons Board of Regents. Call to Action on Racism as a Public Health Crisis: An Ethical Imperative. Available at: https://www.facs.org/about-acs/responses/racism-as-a-public-health-crisis. Accessed September 18, 2022.

Law enforcement: use of force, A.B. 48, California Legislative Information (October 1, 2021). Available at: https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB48. Accessed September 18, 2022.

Peace officers: certification: civil rights, S.B. 2, California Legislative Information. (October 1, 2021). Available at: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB2. Accessed September 18, 2022.

Bozeman WP, Stopyra JP, Klinger DA, Martin BP, Graham DD, Johnson JC, Mahoney-Tesoriero K, Vail SJ. Injuries associated with police use of force. J Trauma Acute Care Surg. 2018;84(3):466–72.CrossRefPubMed

Loder RT, Leiser A. Injury patterns and demographics due to legal intervention seen in US emergency departments. J Forensic Leg Med. 2021;79: 102150.CrossRefPubMed

Chang DC, Williams M, Sangji NF, Britt LD, Rogers SO. Pattern of law enforcement–related injuries in the United States. J Trauma Acute Care Surg. 2016;80(6):870–6.CrossRefPubMed

Holloway-Beth A, Forst L, Lippert J, Brandt-Rauf S, Freels S, Friedman L. Risk factors associated with legal interventions. Inj Epidemiol. 2016;3(1):2.CrossRefPubMedPubMedCentral

Holloway-Beth A, Rubin R, Joshi K, Murray LR, Friedman L. A 5-Year Retrospective Analysis of Legal Intervention Injuries and Mortality in Illinois. Int J Health Serv. 2019;49(3):606–22.CrossRefPubMed

Liasidis PK, Lewis M, Jakob DA, Inaba K, Demetriades D. Firearm injuries during legal interventions: Nationwide analysis. J Trauma Acute Care Surg. 2021;91(3):465–72.CrossRefPubMed

10.

Schellenberg M, Liasidis P, Inaba K, Demetriades D. Gunshot wounds sustained during legal intervention versus those inflicted by civilians: A comparative analysis. J Trauma Acute Care Surg. 2022;92(2):436–41.CrossRefPubMed

11.

Schellenberg M, Inaba K, Cho J, Tatum JM, Barmparas G, Strumwasser A, Grabo D, Bir C, Eastman A, Demetriades D. Injuries sustained during contact with law enforcement: An analysis from US trauma centers. J Trauma Acute Care Surg. 2017;83(6):1124–8.CrossRefPubMed

12.

Lyons K, Radburn C, Orr R, Pope R. A profile of injuries sustained by law enforcement officers: a critical review. Int J Environ Res Public Health. 2017;14(2):142.CrossRefPubMedPubMedCentral

13.

Tiesman HM, Konda S, Grieco J, Gwilliam M, Rojek J, Montgomery B. Resistance-related injuries among law enforcement officers: addressing the empirical gap. Am J Prev Med. 2020;59(6):e231–8.CrossRefPubMed

14.

American College of Surgeons. National Trauma Data Bank. Available at: https://www.facs.org/quality-programs/trauma/tqp/center-programs/ntdb/about. Accessed September 18, 2022.

15.

American College of Surgeons. National Trauma Data Standard Data Dictionary. Available at: https://www.facs.org/quality-programs/trauma/tqp/center-programs/ntdb/ntds. Accessed September 18, 2022.

16.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495–916.CrossRef

17.

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). External cause of injury codes. Available at: https://www.cdc.gov/nchs/icd/icd-10-cm.htm. Accessed September 18, 2022.

18.

U.S. Department of Justice. US National Commission On Law Observance And Enforcement Report No 11 - Report On Lawlessness In Law Enforcement. Date Published: 1931. Available at: https://www.ojp.gov/ncjrs/virtual-library/abstracts/us-national-commission-law-observance-and-enforcement-report-no-11. Accessed September 18, 2022.

19.

Shane JM. Improving police use of force: a policy essay on national data collection. Crim Justice Policy Rev. 2018;29(2):128–48.CrossRef

20.

Federal Bureau of Investigation. National Use of Force Data Collection. Available at: https://www.fbi.gov/services/cjis/ucr/use-of-force. Accessed September 18, 2022.

21.

George Floyd Justice in Policing Act of 2021, H.R.1280, 117th Congress (March 3, 2021). Available at: https://www.congress.gov/bill/117th-congress/house-bill/1280. Accessed September 18, 2022.

22.

Livingston DH, Lavery RF, Lopreiato MC, Lavery DF, Passannante MR. Unrelenting violence: an analysis of 6,322 gunshot wound patients at a Level I trauma center. J Trauma Acute Care Surg. 2014;76(1):2–9.CrossRefPubMed

23.

Morrison C, Gross B, Horst M, Bupp K, Rittenhouse K, Harnish C, Vellucci A, Rogers FB. Under fire: gun violence is not just an urban problem. J Surg Res. 2015;199(1):190–6.CrossRefPubMed

24.

Manley NR, Croce MA, Fischer PE, Crowe DE, Goines JH, Sharpe JP, Fabian TC, Magnotti LJ. Evolution of firearm violence over 20 years: integrating law enforcement and clinical data. J Am Coll Surg. 2019;228(4):427–34.CrossRefPubMed

25.

Paddock E, Jetelina KK, Bishopp SA, Gabriel KP, Reingle Gonzalez JM. Factors associated with civilian and police officer injury during 10 years of officer-involved shooting incidents. Inj Prev. 2020;26(6):509–15.CrossRefPubMed

26.

Crifasi CK, Pollack KM, Webster DW. Assaults against U.S. law enforcement officers in the line-of-duty: situational context and predictors of lethality. Inj Epidemiol. 2016;3(1):29.CrossRefPubMedPubMedCentral

27.

Liu W, Taylor B. The effect of body armor on saving officers’ lives: an analysis using LEOKA data. J Occup Environ Hyg. 2017;14(2):73–80.CrossRefPubMed

28.

Kaufman EJ, Karp DN, Delgado MK. US Emergency Department encounters for law enforcement-associated injury, 2006–2012. JAMA Surg. 2017;152(6):603.CrossRefPubMedPubMedCentral

Title: Manhandling injuries during legal interventions
Authors: Panagiotis Liasidis
Meghan Lewis
Dominik A. Jakob
Kenji Inaba
Demetrios Demetriades
Publication date: 14-02-2023
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2023
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-023-02241-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Manhandling injuries during legal interventions

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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