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Record W4411291200 · doi:10.1177/00258024251348719

Physiology and biomechanics of prone restraint respiration

2025· review· en· W4411291200 on OpenAlexaff
Theodore E. Milner, Geoffrey T. Desmoulin

Bibliographic record

VenueMedicine Science and the Law · 2025
Typereview
Languageen
FieldMedicine
TopicRestraint-Related Deaths
Canadian institutionsMcGill University
Fundersnot available
KeywordsBiomechanicsRespirationMedicineRespiratory physiologyPhysiologyAnatomyRespiratory system

Abstract

fetched live from OpenAlex

There is a debate over whether the effect of prone restraint on respiration can lead to cardiac arrest. In itself, the prone or prone restrained posture does not likely compromise ventilation to any clinically significant degree for a detainee who is passive and calm, as a number of prone restraint studies have shown. However, these studies were not able to replicate an anxious, distressed or intoxicated (alcohol or drugs) detainee who is struggling and being actively held down. This review examines the physiology and biomechanics of respiration, highlighting the differences between upright position respiration and prone respiration and the effect of restraint on respiration. In addition, the findings of research on the effects of struggling, obesity, anxiety or panic and drug intoxication on the consequent carbon dioxide (CO 2 ) production and the work of breathing are presented. The limitations which each of these factors place on the ability to remove CO 2 from the blood are discussed. The evidence suggests that severe respiratory or metabolic acidosis could arise as the result of the combined effects of several factors and that cardiac arrest, if it occurs, would be more likely due to hypercapnia than hypoxia.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.944
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.006
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.362
Teacher spread0.321 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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