Toaster Electrocution Electrical Injury 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 IMMEDIATELY: cardiac arrest (arrthymia), seizure, respiratory arrest. KEYS: reverse triage -> mutliple patients, start with those in cardiac/respiratory arrest. . EKG, labs, cardiac monitoring, check for rhabdomyolysis . DISCHARGE->asymptomatic patients with normal ECG on presentation after a low-voltage electrical injury. ADMIT-> all patients with high-voltage injuries (even if asymptomatic). Patients with low-voltage injury if symptomatic (e.g. LOC, severe burns, ECG changes, ↑ CK). Abnormal ECG or observed dysrhythmia..Cardiac biomarkers positive. Persistent chest pain, paresthesias, or hypoxia .Cardiac arrest..History of significant cardiac disease or CAD risk factor. WARNING: do NOT recreate video. the_resuscitationist @the_resuscitationist #Toaster #Electrocution #Electrical #Injury #clinical #video #nsfw
