6 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
of Electrical Injury ... coma, spinal cord injury ... high voltage Cardiac ... - Vfib/asystole ... especially with AC
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... (< 5% pts with afibb ... ventricular hypertrophy, pericardial ... identify left atrial thrombus ... TEE to exclude thrombus
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
type of current (AC ... (lightening) AC ... CARDIAC: asytole ... or Vfib prehospital ... most common is Afib
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... ) 48 year old woman ... blood cultures, cardiac ... #A4C #clinical
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
type of current (AC ... Electric Arc- associated ... (lightening) AC ... or Vfib prehospital ... most common is Afib
Ventricular Fibrillation on POCUS - Apical 4 Chamber View

A 50-year-old woman with a history of cardiac
A 50-year-old woman ... with a history of cardiac ... #VFib #Ventricular ... cardiology #clinical #a4c