Electrical shock and lightning strike

Annals of Emergency Medicine
P B Fontanarosa

Abstract

Cardiac arrest from electrical shock or lightning strike is associated with significant mortality and requires modification and extension of standard advanced life support measures to achieve successful resuscitation. Patients who experience electrical shock or lightning strike may sustain cardiac and respiratory arrest secondary to the direct effects of current. However, the majority of victims have associated multisystem involvement, including neurologic complications, cutaneous burns, and associated blunt trauma. As a result, a combination of advanced cardiac life support measures and advanced trauma life support techniques is indicated. Victims with cardiac arrest from electrical shock or lightning strike require prompt, aggressive resuscitation using standard methods for airway control, ventilation, and chest compressions, as well as usual measures for defibrillation and cardiac pharmacotherapy. Unique considerations include vigorous fluid resuscitation and spinal immobilization for victims of electrical shock and reversal of normal multiple casualty triage priorities when managing several lightning strike victims. Because the majority of victims are relatively young and seldom have significant underlying cardiac disease, ...Continue Reading

References

Dec 1, 1978·American Journal of Surgery·C Wilkinson, M Wood
Dec 15, 1978·JAMA : the Journal of the American Medical Association·J P Kleiner, J H Wilkin
Apr 1, 1977·The Journal of Trauma·E J StrasserM J Menchey
Jul 1, 1977·The Journal of Trauma·L SolemR G Strate
Jul 1, 1977·American Journal of Surgery·E D Butler, T D Gant
May 11, 1976·The Journal of Trauma·J L HuntB A Pruitt
Aug 1, 1991·The Laryngoscope·D T JonesG F Moore
Sep 2, 1991·The Medical Journal of Australia·D M Fatovich, K Y Lee
Nov 1, 1991·American Heart Journal·N XenopoulosW C Reeves
Jan 11, 1991·Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association·J E JonesG B Miller
Jun 3, 1991·The Medical Journal of Australia·P A Cunningham
Oct 1, 1990·Hypertension·J J Marshall, H A Kontos
Sep 1, 1990·International Journal of Epidemiology·P J Duclos, L M Sanderson
Oct 1, 1990·Medicine, Science, and the Law·M N RobinsonG D Renshaw
Jan 1, 1990·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·S VedungA Hedlund
Mar 1, 1990·Critical Care Medicine·N C ChandraA M Munster
Sep 1, 1989·The Journal of Emergency Medicine·D T StuelandD A Cleveland
Jun 1, 1989·Postgraduate Medicine·K T Ghezzi
Nov 1, 1988·Southern Medical Journal·J S Hammond, C G Ward
Jan 1, 1989·American Journal of Diseases of Children·M D Baker, C Chiaviello
Feb 1, 1986·The Journal of Trauma·M Haberal
Dec 1, 1988·The American Journal of Forensic Medicine and Pathology·A Eriksson, L Ornehult
Apr 4, 1988·The Medical Journal of Australia·A S WaltonG L Coggins
Jun 1, 1988·The Journal of Surgical Research·R C LeeD A Israel
Mar 1, 1987·British Heart Journal·P J JensenU Baandrup
Nov 1, 1987·Plastic and Reconstructive Surgery·R C Lee, M S Kolodney
Aug 1, 1986·Burns, Including Thermal Injury·M L HanumadassT Matsuda
Jan 11, 1985·JAMA : the Journal of the American Medical Association·B W AmyB A Pruitt
Jan 1, 1985·The Journal of Emergency Medicine·A A Cwinn, S V Cantrill
Feb 1, 1986·The Journal of Trauma·G F Purdue, J L Hunt
Feb 14, 1986·JAMA : the Journal of the American Medical Association·J W McBrideI F Goldenberg
Apr 25, 1986·JAMA : the Journal of the American Medical Association·K T MoranA M Munster
Feb 1, 1985·The Journal of Trauma·T A HousingerG D Warden
Nov 1, 1974·American Journal of Surgery·C P Artz
Jun 1, 1974·The Journal of Trauma·D B ApfelbergD W Robinson
Dec 1, 1970·The Surgical Clinics of North America·C R Baxter
Jan 28, 1971·The New England Journal of Medicine·C F StarmerR E Whalen
Jun 1, 1968·Annals of Internal Medicine·H B Taussig

❮ Previous
Next ❯

Citations

Sep 1, 2005·Der Anaesthesist·W Lederer, G Kroesen
Nov 1, 1995·Injury·D LeiboviciS C Shapira
Nov 1, 1995·The American Journal of Emergency Medicine·A WagnerM Frass
Aug 30, 2001·Survey of Ophthalmology·M E NormanB R Younge
Feb 14, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·A M Lewis
Dec 4, 2001·Forensic Science International : Synergy·B BaileyP Gaudreault
Aug 31, 2000·Pediatric Emergency Care·M A Hostetler, C O Davis
Apr 7, 2007·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Jonathan A DreznerBarry J Maron
Jan 13, 2010·The Journal of Trauma·Todd L SlesingerJamie S Falkowitz
Jun 6, 2009·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Roheena Kamyar, Jonathan D Trobe
Sep 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M A Cohen
Apr 25, 2007·Emergency Medicine Journal : EMJ·Benoit BaileyRobert L Thivierge
May 16, 2013·Journal of Athletic Training·Katie M WalshUNKNOWN National Athletic Trainers' Association
Apr 17, 2013·Biomechanics and Modeling in Mechanobiology·T I Zohdi
Jan 1, 1997·Applied Neuropsychology·W D CrewsP A McArdle
Jul 7, 2007·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jonathan A DreznerUNKNOWN Inter Association Task Force
Feb 14, 2016·Der Nervenarzt·K M GruhnMatthias Sczesny-Kaiser
May 31, 2011·Burns : Journal of the International Society for Burn Injuries·Shagun AggarwalPeter Kennedy
Oct 18, 2008·The American Journal of Emergency Medicine·Zafer KilbasTurgut Tufan
Oct 12, 2007·Burns : Journal of the International Society for Burn Injuries·Vittorio FineschiIrene Riezzo
Mar 17, 2007·International Journal of Cardiology·Martín J García-GonzálezJulio J Ferrer-Hita
Apr 3, 2007·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jonathan A DreznerUNKNOWN Inter-Association Task Force
Nov 1, 1995·Annals of Emergency Medicine·C T GarciaK Fernandez
Nov 1, 2005·International Journal of Cardiology·Vittorio FineschiEmanuela Turillazzi
Nov 26, 2005·Burns : Journal of the International Society for Burn Injuries·J J García GutiérrezF J Gabilondo
May 1, 1995·Annals of Emergency Medicine·B BaileyJ P Turgeon
Mar 7, 2006·Angiology·Omer AlyanDeniz Demirkan
Aug 1, 1995·The Physician and Sportsmedicine·Aaron RubinWarren B Howe
Jun 1, 2006·The Laryngoscope·Gordon H SunDavid L Mandell
Jan 26, 2006·The Tohoku Journal of Experimental Medicine·Yasar TirasciFuat Gurkan
Jun 17, 2014·The American Journal of Forensic Medicine and Pathology·Shuiping LiuXinbiao Liao
Sep 15, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Semanur OzdelTülin Revide Sayli
Jun 7, 2003·Annals of Plastic Surgery·Gennaro SelvaggiPhillip Blondeel
Oct 19, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Andrea M PawlikChristian H Nickel
Mar 10, 2010·The American Journal of Forensic Medicine and Pathology·Ardeshir SheikhazadiMohammad H Ghadyani
Apr 1, 1995·Annals of Emergency Medicine·M Cherington

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