8 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... System: CNS - Seizure ... shoulder - AC), rhabdomyolysis ... compartment syndrome ... hemotympanum #Electrical
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - ... , Compartment syndrome ... , Electrical injury ... exertion/training, Seizures ... Neuroleptic malignant syndrome
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
• Euvolemic (Low ... insipidus (central or nephrogenic ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - ... - Compartment syndrome ... - Electrical ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
coagulation, compartment syndrome ... CNS- stroke, seizure ... arrest (arrthymia), seizure ... monitoring, check for rhabdomyolysis ... electrical injury
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... sweat Heat Injury ... heat illness → Hypernatremia ... consciousness, Coma/seizure
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
Lightning Strike Electrical ... Injury Types of ... Low-Voltage <1000V ... coagulation, compartment syndrome ... CNS- stroke, seizure
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... tachycardia • Seizures ... • Rhabdomyolysis