Browsing Electronic Theses and Dissertations by Author "A. Nelson Avery, M.D."
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ItemMeasurement of accelerations experienced by rough stock riders(2008-04-15) Sharmila Devi Watkins; Robert Johnson, M.D., M.P.H., M.B.A.; Jonathan Clark, M.D., M.P.H.; A. Nelson Avery, M.D.Introduction: Head injury is common in many sports, but it is of particular concern in professional rodeo events. Rough stock events (bareback, saddle bronc, and bull riding) provide multiple opportunities for injury. Head injuries sustained during a rough stock event may be the result of whiplash effects or impact with the animal. Although there are a few recent studies investigating the incidence of head injury in rodeo events, little is known about the acceleration profile experienced by the riders.\r\n\r\nMethods: This study was conducted at the 2007 Houston Livestock Show and Rodeo. Two subjects were enrolled: one bull rider and one bareback rider. The subjects were fitted with custom-molded accelerometers and a waist mounted data recorder. The head accelerations experienced during the subjects’ scheduled rodeo events were then measured and recorded. The motions of the riders were also captured on video.\r\n\r\nResults: This study demonstrated the ability to record both the magnitude and direction of the head accelerations experienced. Data were obtained from both subjects and revealed significant accelerations in all axes, particularly the z-axis. The maximum resultant acceleration for the bull rider was 258 m/s2 (26 g’s), while the bareback rider experienced a greater magnitude acceleration of 450 m/s2 (46 g’s).\r\n\r\nConclusions: Head accelerations experienced by rough stock riders are high in magnitude and have the potential to result in injury. Further studies of accelerations experienced during actual rough stock events are needed.\r\n ItemTaser subjects: Identification of high-risk individuals(2008-04-21) Steven John Gaydos; Laura Rudkin, Ph.D.; Kjell Lindgren, M.D., M.P.H.; Alvah Cass, M.D., S.M.; A. Nelson Avery, M.D.Taser® devices are used by many police forces as a nonlethal means of subduing individuals. These devices use conducted electrical energy to cause neuromuscular incapacitation. Tasers have been associated with adverse clinical outcomes and death, and their use remains controversial. Current national level policing policies exhibit heterogeneity with respect to the clinical disposition of individuals subjected to Tasers. Critical review of the published medical literature concerning the human effects of Tasers suggests the delineation of certain groups potentially more vulnerable to adverse medical outcome and injurious clinical sequela. Policy changes mandating that these “high-risk” groups receive clinical evaluation post-incident may increase public safety with respect to Tasers.