Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage, amperage, resistance, type of current (AC/DC), duration, pathway.
INJURY TYPES:
1. Low-Voltage <1000V
2. High-Voltage >1000V - typically seen in industrial settings or power line injuries.Associated with electrical burns
3. Lightning Strike
4. Electric Arc- associated with high voltage source
5. Blast force may result in trauma.
DC- direct current (lightening)
AC- alternating (household)
ORGAN SYSTEMS:
1. CARDIAC: asytole or Vfib prehospital. At presentation, most common is Afib.
2. VASC: necrosis, coagulation, compartment syndrome
3. CNS- stroke, seizure, syncope
4. ORTHO- fracture/dislocate
5. OCULAR- cataracts (later on)
6. GI
7. DERM - various burns
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