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Seminar Title:  
Dangerous Restraint Techniques

DATES:  1/27/2021 through 1/27/2021

INSTRUCTOR(S):  Elena Bulakhtina

LOCATION:  Webinars - , , WEB  

HOTEL:   - ,   


COURSE REGISTRATION FEE:  $75.00 Includes all training materials, and a Certificate of Completion.

Instructor Bio

Elena Bulakhtina, MD, FRCPC, is a Forensic Pathologist certified by the American Board of Pathology and by the Royal College of Physicians and Surgeons of Canada. Dr. Bulakhtina received her medical degree from I.M. Sechenov Moscow Medical Academy in 1997, followed by a postgraduate training in Critical Care Medicine, and, later, in Pathology. Outside of work, she volunteered as an emergency physician at sporting and cultural events. Dr. Bulakhtina continued her training in the United States where she completed a residency in Anatomical and Clinical Pathology (2006-2010), and a fellowship in Forensic Pathology (2010-2011). In 2011 she moved to Canada where she has been practicing Forensic Pathology ever since. Dr. Bulakhtina regularly testifies in court as an expert witness. She is interested in Clinical Forensic Medicine and she serves as a consultant to police and Crown Attorneys in cases that require assessment of the living.


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Course Objectives

The use of force by police in the execution of theirduty is unavoidable, contrary to the expectations of the general public. Everylaw enforcement officer would likely use some type of restraint more than onceduring his or her career. Some people will suddenly die while being restrained,or shortly after. Could such deaths be avoided? Did the person die solelybecause of restraint? If not, did restraint contribute to death? Such questionscould not be answered by yes or no. What could be done is to minimize the riskof death and injury of a person in custody by learning why some restraintmethods are more dangerous than others.

The training manual of the Minneapolis PoliceDepartment classified neck restraint as a non-deadly force option and chock holdas a deadly force option. The author(s) of the manual provided falseinformation. Both methods are potentially deadly, as they involve compressionof the carotid arteries. The Minneapolis police banned chock holds and carotidsleeper holds in summer 2020. By then, hundreds of officers had been trained touse the neck restraint without knowing the consequences.

During my career as a forensic pathologist, I’veencountered police officers who would say: “Doc, I know not to apply pressureto the neck, but I don’t know why it is dangerous. People would pass out andrecover quickly. What is the big deal?” Or, “Can you explain positionalasphyxia?” I will cover both topics and more in my presentation.

  • Restraint methods commonly used by police

  • Current and prohibited

  • Restraint devices

  • Definition of asphyxia and its types

  • Potentially deadly complicationsassociated with certain types of restraint (neck compression, hog-tie)

  • Role of excited delirium in sudden deathin restraint

  • Is prone position per se dangerous?

  • Experiments on healthy volunteers andobservation studies – are they useful?

  • Basic Life Support (BLS) covid-adaptedalgorithm (always good to refresh!)



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