The Guardian Mindset Podcast, hosted by Attorney Eric Daigle, discusses the critical issues surrounding prone restraint deaths, moving beyond outdated notions of positional asphyxia to focus on metabolic acidosis and its implications. This episode’s guest, Geoffrey Thor Desmoulin, Ph.D., R.Kin., P.L.Eng., of GTD Scientific, emphasizes the need to recognize the complexities of physiology, biomechanics, and the law when addressing these incidents.

Key Takeaways:

Metabolic Acidosis vs. Positional Asphyxia
Dr. Desmoulin explains that metabolic acidosis, characterized by the buildup of carbon dioxide in the body, is a more accurate explanation for deaths during prone restraint. This condition arises when individuals struggle against restraint, inhibiting their ability to breathe efficiently. He points out that conventional beliefs about weight on the back being inconsequential are misguided, as the physiological realities on the ground differ significantly from research findings.

Identifying Risk Factors
Key risk factors for officers to recognize include obesity, drug use, anxiety, and prolonged struggle. The podcast highlights that these factors compound the risk of deterioration in restrained individuals. The discussion underscores the importance of early recognition of these signs, advocating for a swift response that prioritizes medical assistance when necessary.

The Importance of Time and Recovery Positions
Dr. Desmoulin stresses the critical nature of time in managing restrained individuals. The faster officers can restrain a subject and transition them to a recovery position, ideally sitting up, the better their chances of preventing a metabolic crisis. While recovery positions are useful, sitting upright is deemed most effective for breathing.

Collaboration for Better Outcomes
Finally, the conversation highlights the need for law enforcement agencies to collaborate with medical professionals and researchers. This partnership is vital for developing training protocols that ensure officers are equipped to handle individuals in crisis effectively. By improving communication and understanding across these fields, they can enhance public safety and reduce the tragic outcomes associated with prone restraint incidents.