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Physiological effects of a spit sock.

Marie Lutz1, Christian M Sloane2, Edward M Castillo2

  • 1UCSD School of Medicine, 9500 Gilman Dr., La Jolla, CA 92093, United States.

The American Journal of Emergency Medicine
|November 13, 2018
PubMed
Summary

Spit socks, used by law enforcement and healthcare providers, did not significantly impact breathing in healthy individuals during a 15-minute trial. This study found no clinically significant changes in vital signs or respiratory parameters, suggesting safety for short-term use.

Keywords:
Mesh hoodPhysical restraintPoliceSpit guardSpit hoodSpit maskSpit sock

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Area of Science:

  • Medical Devices
  • Public Health
  • Forensic Medicine

Background:

  • Spit socks are employed by healthcare providers and law enforcement to mitigate the risk of communicable disease transmission via bodily fluid projection from agitated individuals.
  • Anecdotal reports suggest potential risks, including death, linked to airway obstruction from spit sock use.
  • There is a lack of formally published research on the safety and efficacy of spit socks.

Purpose of the Study:

  • To investigate the physiological impact of wearing a spit sock on breathing in healthy subjects.
  • To determine if spit sock usage leads to clinically significant alterations in respiratory and vital sign parameters.

Main Methods:

  • Fifteen healthy subjects wore a spit sock for 15 minutes.
  • Vital signs and ventilatory parameters (heart rate, oxygen saturation, end-tidal pCO2, respiratory rate, systolic and diastolic blood pressure) were recorded at 5, 10, and 15 minutes.
  • Data were statistically compared to baseline measurements using Student's t-test.

Main Results:

  • No significant changes were observed in heart rate, oxygen saturation, end-tidal pCO2, or diastolic blood pressure.
  • Respiratory rate showed no significant difference at 5 and 10 minutes but decreased at 15 minutes (p=0.048).
  • Systolic blood pressure was lower at 5 and 10 minutes (p<0.05) but normalized by 15 minutes.

Conclusions:

  • Wearing a spit sock for up to 15 minutes did not produce clinically significant adverse effects on breathing or vital signs in healthy individuals.
  • The study suggests that spit socks are safe for short-term use in healthy populations.
  • Further research may be warranted to explore effects in individuals with pre-existing respiratory conditions.