Cardiac monitoring of high-risk patients after an electrical injury: a prospective multicentre study

Emergency Medicine Journal : EMJ
Benoit BaileyR L Thivierge

Abstract

To report our experience monitoring patients with previously identified theoretical risk factors of significant electrical injury. Patients who presented to one of 21 emergency departments between October 2000 and November 2004 were eligible to be enrolled in a prospective observational cohort study if after an electric shock they had one of several risk factors (transthoracic current, tetany, loss of consciousness or voltage source > or =1000 V) and therefore needed cardiac monitoring. Of the 134 patients enrolled, most were monitored because of transthoracic current (n = 60), transthoracic current and tetany (n = 39), tetany (n = 10), or voltage > or =1000 V (n = 10). There were 15/134 (11%) patients with abnormal initial ECGs. No patient developed potentially lethal late arrhythmia during the 24 hours of cardiac monitoring. Although only patients deemed at risk of late arrhythmias were monitored, none developed potentially lethal late arrhythmias. Asymptomatic patients with transthoracic current and/or tetany and a normal initial ECG do not require cardiac monitoring after an electrical injury with voltage <1000 V and no loss of consciousness.

References

Oct 7, 1988·Deutsche medizinische Wochenschrift·N Wrobel
Jan 1, 1987·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·J P GuinardJ Freeman
Mar 1, 1987·British Heart Journal·P J JensenU Baandrup
Feb 1, 1986·The Journal of Trauma·G F Purdue, J L Hunt
Jun 4, 1982·Deutsche medizinische Wochenschrift·W Kirchmair, F Dienstl
May 1, 1995·Annals of Emergency Medicine·B BaileyJ P Turgeon
Feb 1, 1993·Annals of Emergency Medicine·P B Fontanarosa
Dec 1, 1995·Burns : Journal of the International Society for Burn Injuries·B H WallaceF T Caldwell
Aug 1, 1997·Burns : Journal of the International Society for Burn Injuries·M Zubair, G E Besner
May 6, 1998·Burns : Journal of the International Society for Burn Injuries·J ArrowsmithW A Dickson
Oct 10, 1998·Journal of Paediatrics and Child Health·C M Wilson, D M Fatovich
Oct 24, 2000·The American Journal of Emergency Medicine·B BaileyR L Thivierge
Dec 4, 2001·Forensic Science International : Synergy·B BaileyP Gaudreault
Dec 6, 2003·Medicine, Science, and the Law·R RautjiT D Dogra

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Citations

Sep 29, 2007·Emergency Medicine Journal : EMJ·Daniel M Fatovich
Mar 2, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I ClaudetS Salanne
May 29, 2012·The American Journal of Emergency Medicine·Hakan AkilliHasan Gok
Apr 16, 2008·The American Journal of Emergency Medicine·Benoit BaileyRobert L Thivierge
Oct 27, 2015·Medizinische Klinik, Intensivmedizin und Notfallmedizin·C KrämerG Michels
Oct 19, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Andrea M PawlikChristian H Nickel
Feb 17, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·David PileckyEndre Zima
Jan 9, 2014·Deutsches Ärzteblatt International·Julia SearleMartin Möckel
Dec 29, 2020·Clinical Case Reports·Ofir KorenYoav Turgeman
Dec 3, 2020·Frontiers in Medicine·Alexandra-Maria WarenitsKonstantin D Bergmeister
Apr 19, 2020·Journal of Electrocardiology·Mustafa YenerçağOnur Osman Seker
Aug 8, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jamal AhmedWaleed Ghanima

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