Closely follow urinary output as an indicator of hemodynamic status and kidney function. 190115-overview
Fontanarosa PB. Electrical injury occurs when an electric current runs through a portion of the body, usually from either a man-made source or lightning. The optimal management of these wounds has evolved to initial debridement, decompression (fasciotomy), and aggressive planned debridement and early skin coverage with the goal of preserving vital structures.Fasciotomy serves a dual role as both a therapeutic tool and a diagnostic tool in the treatment of electrical injuries.
Other associated injuries carry their own list of complications.Treat wound infections in the standard manner.
Cardiac problems associated with electrical injury.
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High-voltage (7600 V) alternating current nominal. Electrical and Lightning Injuries Back to Publications ELECTRICAL AND LIGHTNING INJURIES Mary Ann Cooper Timothy G. Price PERSPECTIVE Electrical Injury I njuries from artificial electricity have been reported for almost 300 years.
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Myocardial necrosis by electrocution: evaluation of noninvasive methods.
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It can be very important in helping determine the extent of muscular necrosis.
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Dega S, Gnaneswar SG, Rao PR, Ramani P, Krishna DM. 0000008170 00000 n
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2002
Fish JS, Theman K, Gomez M. Diagnosis of Long-Term Sequelae After Low-Voltage Electrical Injury. This is treated with fluids (initiating diuresis) and bicarbonate.Administer bicarbonate at 1-2 mEq/kg.
The outside of the person’s body may appear to have only minor injuries, but internal injuries may still be significant. The patient may need tetanus prophylaxis. <<
3) How long should patients be monitored on telemetry? Lee RC, Zhang D, Hannig J. Biophysical injury mechanisms in electrical shock trauma.
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Bicarbonate treats the underlying acidosis and alkalinizes the urine, making myoglobin more soluble.Additional diuretics may be administered. 0000008854 00000 n
electrical injuries are down by more than 60% from their 1992 level.
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Repeat assessment, either during the operation or at dressing changes, can help prevent secondary infection.
electrical injuries be admitted to the hospital, even if there is no evidence of cardiac abnormality? Secondary coverage may be needed, and consulting a plastic or reconstructive surgeon may be helpful.Hopefully, compartment syndrome can be avoided.
The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous coauthor, Joseph McCadams, MD, to the development and writing of this article.
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Electrical injuries: current concepts.
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Alternatives include myocutaneous, fasciocutaneous, and muscle flaps, with a split thickness skin graft serving as an intermediate biological cover or as a definitive procedure.Bring patients to the operating room after aggressive resuscitation has reversed shock, assured oxygen delivery, restored circulating volume, and reestablished end-organ perfusion.
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Contact electrical burn.
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Serious cardiac complications from electrical injury relatively uncommon.
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