Emergency treatment of injuries following lightning and electrical accidents

Der Anaesthesist
W Lederer, G Kroesen

Abstract

The pattern of injuries following electrical accidents and the treatment by emergency teams differ depending on whether exposure was to a low-voltage or high-voltage power source or to a lightning bolt. Tissue damage results from the direct effect of current on cell membranes and from conversion of electrical energy into heat. Depending on the magnitude of electrical energy and the duration of exposure, cardiac dysrhythmia, damage to nerve tissue, extensive burns and shock may occur. Multi-system injury is frequently observed, either directly related to electrical shock or secondary to concurrent trauma. Extrication of victims from the energy field must be performed under strict observance of self-protection measures for the rescuers. In high-voltage incidents the rescuers must wait at a distance until the power supply has been turned off and demonstrably grounded. Analgesia, anxiolysis and administration of crystalloid fluids are needed, especially for injuries from high-voltage power sources. Severe burns of the face and neck call for early intubation and ventilation. Monitoring is performed with pulsoximetry, blood pressure measurement and ECG, giving highest priority to the unconscious patient with cardiac and respiratory a...Continue Reading

References

Nov 1, 1975·Archives of Dermatology·C W BartholomeS C Ramchand
Aug 17, 1992·The Medical Journal of Australia·G Andrews, G E Wilkins
Nov 1, 1991·American Heart Journal·N XenopoulosW C Reeves
Sep 1, 1990·International Journal of Epidemiology·P J Duclos, L M Sanderson
Jul 1, 1990·Plastic and Reconstructive Surgery·D L BhattR C Lee
Jan 1, 1989·American Journal of Diseases of Children·M D Baker, C Chiaviello
Jul 1, 1985·American Journal of Surgery·P F ParshleyS H Miller
Aug 17, 1984·JAMA : the Journal of the American Medical Association·L D Budnick
Feb 1, 1993·Journal of the American College of Cardiology·R LichtenbergP Scanlon
Feb 1, 1993·Annals of Emergency Medicine·P B Fontanarosa
Nov 1, 1995·Injury·D LeiboviciS C Shapira
Sep 1, 1995·Seminars in Neurology·M A Cooper
Mar 1, 1996·Burns : Journal of the International Society for Burn Injuries·M HaberalN Bilgin
Jun 1, 1996·Journal of Occupational and Environmental Medicine·T Ore, V Casini
Dec 1, 1995·Seminars in Neurology·M Cherington
Jul 1, 1997·Archives of Pediatrics & Adolescent Medicine·J T RabbanR L Sheridan
Nov 20, 1997·Current Problems in Surgery·R C Lee
Jan 24, 2002·Der Unfallchirurg·T MuehlbergerP M Vogt

❮ Previous
Next ❯

Citations

Apr 17, 2013·Biomechanics and Modeling in Mechanobiology·T I Zohdi
Jan 1, 2012·Journal of Craniovertebral Junction and Spine·Ashish KumarBarada P Sahu
Jun 6, 2012·Emergency Medicine International·Carmen A PfortmuellerAristomenis K Exadaktylos
Jan 13, 2010·Prehospital and Disaster Medicine·Luc J M MortelmansStefaan Hoflacks
Jul 26, 2017·Journal of Medical Case Reports·Paschal Awingura ApangaJoseph Bayewala Yiranbon

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.