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Published on: May 31, 2021
Injuries associated with police use of force
William P Bozeman1, Jason P Stopyra, David A Klinger
1From the Department of Emergency Medicine (W.P.B., J.P.S.), Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Criminology (D.A.K.), University of Missouri-St. Louis, St. Louis, Missouri; Department of Emergency Medicine (B.P.M., D.D.G.), LSU Shreveport, Shreveport, Louisiana; Department of Physician Assistant Studies (J.C.J.), High Point University, High Point, North Carolina; Department of Emergency Medicine (K.M.-T.), St. Luke's University Health Network, Fountain Hill, Pennsylvania; and Department of Surgery (S.J.V.), Maricopa Medical Center, Phoenix, Arizona.
Police use of force (UOF) is rare, with most incidents resulting in minor injuries. Firearm and canine use were most associated with significant injuries, while conducted energy weapons (CEWs) showed no significant injuries.
Area of Science:
- Law Enforcement and Public Health
- Injury Epidemiology
- Forensic Medicine
Background:
- Police use of force (UOF) can lead to severe injuries and fatalities.
- The comparative risk of injury across different police force modalities is not well-defined.
- Understanding UOF incidence and injury risk is crucial for officer and public safety.
Purpose of the Study:
- To determine the incidence of police use of force.
- To compare the likelihood of significant injury associated with various UOF modalities.
- To analyze injury severity and hospitalization rates following UOF incidents.
Main Methods:
- Prospective, multicenter observational study of all UOF incidents.
- Mandatory UOF investigations across three mid-sized police agencies over two years.
- Expert physician review of police and medical records using standardized injury severity criteria.
Main Results:
- 893 UOF incidents occurred, with unarmed physical force and conducted energy weapons (CEWs) being most common.
- Significant injuries were rare (1.8%), most associated with firearm and canine use.
- No significant injuries were observed with CEW use (0%); one fatality resulted from firearm use.
Conclusions:
- Police use of force is infrequent, with unarmed techniques and CEWs being primary methods.
- Significant injuries resulting from police UOF are uncommon.
- Medical transport is an unreliable indicator of UOF-related injury severity.
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