Oleoresin capsicum (OC), or pepper spray, has gained wide
acceptance as standard police equipment in law enforcement as a swift
and effective method to subdue violent, dangerous suspects in the
field. As a use-of-force method, however, OC spray has been alleged in
the media to have been associated with a number of in-custody
deaths. The goal of this study was to assess the safety of a
commercially available OC spray in use by law enforcement agencies
nationwide. The study was conducted as a randomized, cross-over,
controlled trial on volunteer human subjects recruited from the local
law enforcement training academy in San Diego County,
California. Subjects participated in four different experimental
trials in random order over two separate days in a pulmonary function
testing laboratory: (a) placebo spray exposure followed by sitting
position, (b) placebo spray exposure followed by restraint position,
(c) OC spray exposure followed by sitting position, and (d) OC spray
exposure followed by restraint position. Prior to participation,
subjects completed a short questionnaire regarding their health
status, history of lung disease and asthma, smoking history,
medication use, and respiratory inhaler medication use. Prior to
exposure, subjects also underwent a brief screening spirometry in the
sitting position by means of a portable spirometry device to determine
baseline pulmonary function. Subjects then placed their heads in a 5'
x 3' x 3' exposure box that allowed their faces to be exposed to the
spray. A one-second spray was delivered into the box from the end
opposite the subject (approximately five feet away). Subjects remained
in the box for five seconds after the spray was delivered. During this
time, subjects underwent impedance monitoring to assess whether
inhalation of the OC or placebo spray had occurred. After this
exposure period, subjects were placed in either the sitting or prone
maximal restraint position. Subjects remained in these positions for
ten minutes. Repeat spirometric measurements were performed, oxygen
saturation, blood pressure, end-tidal carbon dioxide levels, and pulse
rate were recorded, and an arterial blood sample was drawn. A total of
34 subjects completed the study, comprising 128 separate analyzable
study trials. Variables provided in all three parts of this collection
include subject's age, gender, ethnicity, height, weight, body mass
index, past medical history, tobacco use history, and history of
medication use, as well as OC spray or placebo exposure and sitting or
restraint position during the trial. Part 1 also includes tidal
volume, respiratory rate, and heart rate at baseline and at 1, 5, 7,
and 9 minutes, and systolic and diastolic blood pressure at baseline
and at 3, 6, and 9 minutes. Additional variables in Part 2 include
predicted forced vital capacity and predicted forced expiratory volume
in 1 second, and the same measures at baseline, 1.5 minutes, and 10
minutes. Derived variables include percent predicted and mean percent
predicted values involving the above variables. Part 3 also provides
end-tidal carbon dioxide and oxygenation levels, oxygen saturation,
oxygen consumption at baseline and at 1, 5, 7, and 9 minutes, blood
pH, partial pressure of oxygen, and partial pressure of carbon dioxide
at 8 minutes.