PATIENT
RESTRAINT &
RESTRAINT
ASPHYXIA
NEWZ!

A Comprehensive Directory of
Restraint Techniques and Restraint Asphyxia Information

(Positional Asphyxia, Compressional Asphyxia, Traumatic Asphyxia,
Hobble or Hogtie, In-Custody Death, Sudden Custody Death,
Prone Restraint, Floor Restraint, Holding Deaths)

TODAY IS:

NEWZ FLASH!

The Restraint Asphyxia
Resources Have Been
THREATENED!

Please visit the
RA Resources Defense Fund Page
to learn more!

In early JUNE of 2009, charlydmiller.com
Moved to a New Website HOST SERVER.
  • If you click on a link and find a Page or an Image missing,
    Plz notify me via Email, identifying the web address of
    the missing Page, or the page missing an Image.
  • After the move, Webpage Visit Counters will ONLY be available on
    PRIMARY PAGES” – such as Directory Pages, or specific Pages
    I particularly want to track the traffic of.
    I'm not going to recode Visit Counters for EVERY page!
    So, when a “non-Directory page” shows a broken image for its
    Visit Counter, Plz don't worry (or Email me) about it.
Thank You for helping me Troubleshoot!

THE PATIENT RESTRAINT &
RESTRAINT ASPHYXIA NEWZ DIRECTORY:

VS. VS.

CHAS’ RESTRAINT ASPHYXIA LIBRARY
In my “RA Library” I’ve posted many of the Restraint-Asphyxia-Related journal articles, magazine
and newspaper articles (or otherwise-published “reports”) I’ve accumulated over the years.
Included in this collection are: MEDICAL & FORENSIC publications; LAW ENFORCEMENT
& SECURITY publications (including Taser info); NURSING and PSYCHIATRIC publications…
Basically, ANY publication I’ve found that contains information important to developing a better
understanding of
(and hopefully furthering the PREVENTION of) RESTRAINT ASPHYXIA DEATHS
is posted in this library!

PLZ NOTE: Anyone with a “BEEF” about the posting of ANY item in my RA Library
should FIRST visit this website’s
DISCLAIMER / COPYRIGHT PAGE.
After that, if you STILL think you should pursue some kind of “law suit” against me,
PLZ speak with your attorney about it, at your earliest convenience!

“RESTRAINT ASPHYXIA – SILENT KILLER”
A Three-Part article about Restraint Asphyxia:
Why It Happens, and How To AVOID Causing It!!! (Explained In Plain English!)

Restraint Asphyxia – Silent Killer; The Presentation!
An educational program invaluable to ALL emergency responders:
Prehospital EMS providers; Law Enforcement and Correctional personnel; Emergency
Department and Inhospital staff, Psychiatric Hospital staff; Employees of Residential or
School facilities serving developmentally-disabled individuals.
JJ Wohlers now offers Several Versions of THIS CLASS!

“All Tied Up And No Place To Go”
The Three Parts of this “GENERIC” Patient Restraint article address:
Medicolegal restraint & involuntary treatment issues, as well as
Detailed Explanations of safe and effective patient restraint TECHNIQUES.
NEW 2005 OPTION!:
A PDF File of “All Tied Up And No Place To Go”
All 3 parts in ONE place; thanx to Dustin Gammon, of Springfield, Missouri!
This material originally posted on September 1st, 1998.
The current version was last UPDATED in February, 2001.

All Tied Up And No Place To Go – The Presentation!
Patient Restraint and Involuntary Treatment Issues & Techniques
information, for all Prehospital and Inhospital Responders/EMS providers.
JJ Wohlers now offers THIS CLASS!

The A to Z of Patient Restraint!
Charly’s Half-Day and Full-Day Workshops on patient restraint.
Designed for all Prehospital and Inhospital Responders/EMS providers.
JJ Wohlers now offers THIS CLASS!

Restraint Asphyxia Near-Death Case Study
This SLENDER, entirely healthy, 20-year-old male entered RESPIRATORY ARREST
after being forcefully restrained in a PRONE POSITION – WITHOUT “Hogtie”!
for more than 2 minutes, but LESS THAN 3 MINUTES!
This material was originally posted here on August 30th, 1998.
An UPDATED file was posted here on January 1st, 2007.

The Undeniably BOGUS and SHAM Website That Falsely
Claims To Offer the “Truth” About Prone Restraint Techniques

When he created it, Bruce Chapman attempted to hide his relationship to this website,
most likely because he is the President and Founder of a company that continues to train
people to perform … [insert drum roll here]Forceful PRONE Restraint.
It is My Opinion that; Chapman’s Bogus and Sham Website is nothing more
than an atrociously SleaZy Internet INFOMERCIAL!
However, unlike glamorous hair “Bump-Its” and super-absorbent “Sham Wows,”
the product Chapman promotes is potentially LETHAL.

The Original Version of this Opinion Paper was posted here on May 25, 2009.
An Updated Version was posted on June 19, 2009.

Two VITAL TIPS to Help Law Enforcement Officers
Avoid Causing Restraint Asphyxia

Citation: Miller CD; Two vital tips to help law enforcement officers avoid causing restraint asphyxia.
Restraint Asphyxia Newz Directory; January 1, 2007 (http://www.charlydmiller.com/RA/LEvitalTips.pdf).
If any law enforcement, security, or correctional (prison) service adopts these two Vital Tips as part of their
restraint protocol, their risk of personnel causing restraint asphyxia will become almost non-existent.
I apologize for not posting this SOONER!!!
This PDF file originally posted here on January 1st, 2007.

OH!Handcuffing Procedures & Preventing Restraint Asphyxia
CITATION: Campbell RK; Handcuffing Procedures
Miller CD; Preventing Restraint Asphyxia
“The Journal” Spring 2007; pgs 79-81.
I can’t find this POLICE journal online, and the story of how I received this segment
of its “Spring 2007” issue is rather BIZARRE!
Basically, this Houston-based Journal’s editor slightly EDITED and then PUBLISHED my
material – without asking my permission to do so! I never would have learned of this (I don’t
subscribe to this journal and it isn’t online). But, after publication, the editor received an
Email from an attorney who had read The Journal, and wished to speak me about my
material! So, the editor contacted me to accomplish that, and only THEN did I learn that
they’d published my material!
Since the essence of my Two Vital Tips remained unchanged, I didn’t grouse about their
unauthorized publication. Furthermore, RK Campbell entirely failed to address prone
handcuffing procedure dangers. So, it is good that my material was added to his! LOL

This article is in PDF form, and was originally posted in June, 2007.

A VIDEO of a DEATH
that Occurred Due To Forceful-Prone-Restraint
Application by Law Enforcement Officers!

WARNING!!!: This is a “SNUFF” film!
This video is a GRAPHIC record of an individual’s DEATH caused by forceful-prone-restraint. It was filmed by a “COPS” TV program crew that accompanied West Palm Beach (Florida) Officer Raymond Shaw on October 19th, 2005.
The full video is just over 14 minutes long. It begins with Lewis awake and physically capable of running all over the place. However, due to forceful-prone-restraint, Donald Lewis was irretrievably DEAD within 7 minutes of the video’s start.

From a March 18th, 2008 Ruling document:
At just that moment, Lewis, who had been continuously groaning and writhing, suddenly became silent and motionless. … This occurs approximately six minutes and forty seconds into the video recording.
An edited (less graphic & shorter) version of this COPS VIDEO once was available on the Internet site of an ABC network West Palm Beach TV Channel WPDF TV 25, December 15, 2006 pdf While he was being restrained, Lewis told officers, "You're killing me."
Several minutes later [while still in forceful-prone-restraint], Lewis
stopped breathing, and officers began performing CPR. From the record evidence, a reasonable juror could conclude that the officers used constitutionally excessive force in their confrontation with Lewis. However, because plaintiff has not demonstrated that the allegedly-violated right was clearly established, the officers are entitled to qualified immunity http://www.emsonline.net/street2008/skillsvideos/edvid.html

VIDEOS Showing Children’s Lives Being Threatened With Restraint

A 10:33 min “COURT TV” Video Segment that aired July 20th, 2000:
Restraint & Seclusion – Violent Lessons
[Oooh! A very young NANCY GRACE “anchored” this segment!]

A 3:42 min “HARD COPY” Video Segment (? aired in 1999):
Restraint & Seclusion – Deadly Restraints

Both of the above programs feature Jean Bowden’s daughter, ABBIE, and
Melanie Lyon’s son, MATTHEW – children who survived the asphyxial forms
of restraint they were subjected to.
The Hard Copy segment also features an Interview of a child who survived
to grow older and tell her story, as well as an Interview of a Mother who’s child
DIED due to restraint asphyxia.

SURVIVORS SPEAK OUT

A NEAR-DEATH Forceful-Prone-Restraint SURVIVOR’s Story!
For the FIRST TIME, in more than 12 years, a deadly restraint event “SURVIVOR”
contacted me, and provided a FIRST-HAND account of what it was like to suffer
– and survive – incidents of forceful-prone-restraint!
“During the restraint I got to the point where I was having difficulty breathing.
I did try to tell the staff, but no one appeared to listen. …
I truly believed I was about to die.”

This account originally posted here on April 5, 2005.

A Near-Death “HOLDING THERAPY” SURVIVOR’s Story
This is a FIRST-HAND account, written by an adult who SURVIVED multiple
“HOLDING THERAPY” incidents while a CHILD.
“I could not communicate that I couldn't breathe,
and was coming to the conclusion that I was
going to die right there on the floor.”

This account was originally posted on October 27, 2005.

Another “HOLDING THERAPY” SURVIVOR’s Story
Another FIRST-HAND account by someone who SURVIVED multiple
“HOLDING THERAPY” incidents while a CHILD.
“They forcefully held me down and hurt me while I
screamed and tried to get away. … I later figured out I was
being video taped. … I was too embarrassed to tell anyone,
but deep down inside it still haunts me to this day.
I could not breathe. I almost died.”

This account was originally posted on March 06, 2007.

Another Forceful-Prone-Restraint SURVIVOR’s Story!
“Another thing I know is what would have happened if I had died.
There would be reports in the local news, both print and television.
Local people would have seen a seemingly-apologetic Jill Hahn
saying that she had no choice. "Look honey, they killed a retard
in some school," people would say over morning coffee, then forget
about me before the end of their commute. There might even be a
brief investigation, which would turn up ‘NO EVIDENCE OF
WRONGDOING’ on anyone's part.”

This account was originally posted on January 9, 2008.

If YOU are a “SURVIVOR” of a restraint application that caused you to believe
you were “GOING TO DIE,” PLEASE Email me an account of your experience(s)!
After reading the accounts I’ve already posted, you can see that your “anonymity”
is easy to preserve, should you wish your name and location to remain private.

Email Charly at: c-d-miller@neb.rr.com
Those are hyphens/dashes between the “c” and “d” and “miller”

Untangle the Knots Within:
A Woman’s Passage
to Find Answers to her
Sister’s Death
in Police Custody
In the very early hours of a Sunday morning, a woman is found running on a boulevard
with no clothes on and screaming for help.  She is found by a security guard patrolling
the area.  He calls it in as an assault, but what transpires after that call only ends in a quick
death for her by the responders of the county she was found in.  All tied up and no place
to go. Eight minutes is all it took many responders to end her life and change the lives of
those that loved her.

CITATION: Cynthia M. Andersen. Untangle the knots within: A woman’s passage to find
answers to her sister’s death in police custody. AuthorHouse; Jan 22, 2009.
Buy It Here for $18.70
I haven’t read this book. But, it sounds like a worthwhile read! PLUS …
A portion of the proceeds from the book will go to a fund to help others
with legal fees when loved one’s lives are lost in Police Custody.

This BOOK LINK was originally posted here on January 29, 2009.

THE DEFINITIVE (most EFFECTIVE & SAFE)
EMS PATIENT RESTRAINT PROTOCOLS

Are STILL UNDER CONSTRUCTION – HOWEVER

The “Directory” page (the major “OUTLINE” for these protocols) is completed …
The “Introduction” is completed …
SO, although the separate sections are in “rough draft” form
(and unlikely to be COMPLETED, since I’m now RETIRED!),
At least these files are SOMETHING for YOU to BEGIN working with!

FREE Restraint Asphyxia POWER POINT SLIDES!!!
Check out this offer, and then FOLLOW THE INSTRUCTIONS to receive a
FREE COPY of My Restraint Asphyxia PPT Slides!
(Instructions for the best use of these slides are also provided here!)
This page originally posted here on May 30th, 2002.
NEW SLIDES AVAILABLE since November, 2006!

“ASSUME THE POSITION” Exercise Directions and Safety Guidelines
Those who participate in these two exercises develop an impressive KINESTHETIC
sense (a personal “muscle memory”) of how it FEELS to be put into a position that:
Interferes with the BELLY’s ability to MOVE; and
Interferes with the function of the DIAPHRAGM
(the largest, most important, muscle of respiration); and
INTERFERES WITH THE ABILITY TO BREATHE!
Once participants have gained this personal MUSCLE MEMORY awareness of the adverse effects
caused by inappropriate restraint positioning, their receptiveness to – and UNDERSTANDING of –
ALL subsequent restraint asphyxia information is DRAMATICALLY ENHANCED!!!
This information was originally posted on May 30th, 2002.
This information was updated on November 10th, 2006.

ONE LETTER Yields Smart Changes!
This 2002 letter, sent by J T Stevens (of Douglasville, GA), is responsible for the inclusion of
Long Back Board Techniques in ALL my restraint articles and educational programs since then.
This is a demonstration of how important ONE LETTER can be!
[HEY! Any time YOU recognize something that ought to be changed, WRITE A LETTER!
Even “only one voice” CAN make a difference!!!]

This material originally posted here on February 21st, 2002.

OOOH! A Nasty-Gram is RECEIVED and REPLIED TO!
On Thursday, November 14, 2002, I was sent a rather NASTY Email from Paul Schmidt,
a co-author of “The Effects of Positional Restraint on Heart Rate and Oxygen Saturation.
J Emerg Med, March, 1999;17:777-82;203(1-2):1-9
.
This correspondence dramatically demonstrates how even “educated” individuals
(folks with big fat initials like “MS” or “MD” following their name) can harbor
entirely INAPPROPRIATE attitudes!
This material originally posted here on November 14th, 2002.

The Directory of Documents Related to Dr. Bryan E. Bledsoe’s
Medical License Suspension due to Narcotic Abuse and Addiction.

A collection of documents demonstrating (among other things) that Bledsoe admitted to having
been abusing narcotics as early as 1996 – during years when he was STILL engaged in the
active practice of medicine!

This Directory Page was originally posted on August 11, 2008.

Bledsoe’s 2003 ISSUES IN PATIENT RESTRAINT Slides
Sometime prior to December of 2005, Bledsoe removed the link to his July 10-13, 2003,
Clinical Conference on Prehospital Emergency Care, “Issues in Patient Restraint”
Slide Show, from his personal website.
Those slides are posted HERE for all those who need a reference demonstrating Dr. Bledsoe’s
patient-restraint- and restraint-asphyxia-related OPINIONS in (and after) JULY, 2003.

The file linked above contains ALL 111 Slides!
Click HERE to see a SELECTION of 10 “significant” Slides from that presentation

Well, HELLO! – As long as I’m at it:
Here are a few OTHER Bledsoe publications that may be of interest to those who
are researching his patient-restraint- and restraint-asphyxia-related OPINIONS:

“Theories about Patient Restraint” Opinions
Bledsoe’s July, 2003, MERGINET article:
“OUTDATED TEXTBOOKS
Many EMS personnel don’t know the right way to deal with these patients, Bledsoe said.
Partly to blame are the US Department of Transportation EMT and Paramedic curricula,
which, he said, are simply wrong. 'We have a lot of paramedics following guidelines and
getting sued because the guidelines are wrong,' he said. 'It’s in the textbooks. It takes
years to get that corrected.'”

Ohio Death Brings Renewed Focus on Restraint Issue
A December 2003 MERGINET article, reporting Bledsoe’s opinions of 41-year-old Nathaniel
Jones’s death while being restrained by Cincinnati police on Sunday, November 30, 2003:
“Mr. Jones had virtually all of the risk factors that lead to death from restraint asphyxia,”
said Bryan E. Bledsoe, DO, FACEP, EMT-P, a noted EMS expert, emergency physician
and Merginet medical advisor. “These risks include obesity, fighting against restraining
personnel and restraints when placed, positive stimulant use, placement in a prone position
during restraint, and the presence of excited delirium. In numerous studies of restraint
asphyxia, these risk factors were all highly associated with sudden death.” Bledsoe
described the outcome in the Jones case as common and predictable.

Curriculum Is Wrong; Lawsuits Could Follow
Within a December of 2003 EMS House of DeFrance article, Bledsoe wrote:
“I want to caution all in the US that the DOT EMT-B curriculum is wrong
and, if your students follow it, they may be sued or lose their license.”

Crucifixion and it’s relationship to positional asphyxia
Many people have asked me about this relationship – and yes, there is one!
So, here’s the information I’ve found that (reasonably) explains it.
This material originally posted here on July 1st, 1998.

DISCLAIMER & COPYRIGHT INFORMATION
REGARDING MATERIAL POSTED ON THIS WEB SITE:

If you have any intention, whatsoever, of reproducing anything posted on this web site
(or you’re thinking of SUEing me for something like “copyright infringement”),
Pul-lease go to the DISCLAIMER / COPYRIGHT PAGE
Trust me – It’s not a huge problem! Just the usual Legal Technicalities.

RETURN TO CHAS’ HOME PAGE

Email Charly at: c-d-miller@neb.rr.com
Those are hyphens/dashes between the “c” and “d” and “miller”

Although this page was first CREATED & POSTED in late 1997 or early 1998,
its COUNTER wasn’t started until August 31st, 1999.

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