Acute electrical burns: a 10-year clinical experience

Burns, Including Thermal Injury
M L HanumadassT Matsuda

Abstract

We have reviewed 113 cases of electrical burns treated at the Cook County Hospital Burn Center during the past 10 years. There were 3265 acute burn admissions during this period. the incidence of electrical burns being 3.5 per cent. Low-voltage electrical burns occurred in 82 of the 113 patients (73 per cent). These were caused mostly by household electricity supplies, occurred in children, and were preventable. Arc burns of the perioral region were allowed to heal spontaneously. The surgical management of other arc burns and flash burns was similar to that for most deep burn wounds. The incidence of high-voltage electrical injuries was 27 per cent in our series. Over 50 per cent of these injuries were not work-related. These tended to occur outside the home in young adult males and were also frequently preventable. None of these patients developed acute renal failure. Early surgical debridement of devitalized tissue with allografting, followed by delayed definitive wound closure or amputation prevented septic complications. Early fasciotomy appeared to have little effect on complete limb salvage. Limb loss continues to be the major factor contributing to the high morbidity associated with these injuries. All 113 patients survi...Continue Reading

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Citations

Nov 1, 1995·Burns : Journal of the International Society for Burn Injuries·J HussmannW A Zamboni
Dec 1, 1995·Burns : Journal of the International Society for Burn Injuries·B H WallaceF T Caldwell
Sep 1, 1995·Burns : Journal of the International Society for Burn Injuries·M SengezerN Selmanpakoğlu
Sep 11, 2002·Burns : Journal of the International Society for Burn Injuries·R A DasguptaC M Ryan
Feb 1, 1997·Burns : Journal of the International Society for Burn Injuries·B CeliközN Selmanpakoğlu
May 6, 1998·Burns : Journal of the International Society for Burn Injuries·M TüregünM Nişanci
May 17, 2000·Burns : Journal of the International Society for Burn Injuries·I SternickI Pitanguy
Mar 29, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Peter J KennedyPeter A Haertsch
Jun 9, 2009·Burns : Journal of the International Society for Burn Injuries·D P LuzM C Ferreira
Aug 5, 2008·Burns : Journal of the International Society for Burn Injuries·William Dokov
Jan 26, 2016·International Journal of Critical Illness and Injury Science·S Satish KumarAmit Agrawal
Aug 1, 1994·Burns : Journal of the International Society for Burn Injuries·J Xiao, B R Cai
Dec 1, 1992·Burns : Journal of the International Society for Burn Injuries·R K Gang, J Bajec
Aug 10, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Hamid KarimiAhmad-Reza Dayani
Feb 1, 1993·Annals of Emergency Medicine·P B Fontanarosa
Jul 25, 2008·The Journal of Craniofacial Surgery·Michael P Ogilvie, Zubin Jal Panthaki
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Oct 1, 1991·Burns : Journal of the International Society for Burn Injuries·J Koller
Dec 13, 2006·Burns : Journal of the International Society for Burn Injuries·Sreevalli DegaD Mohan Krishna

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