Paper| Volume 26, ISSUE 9, P623-627, November 1995

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Electrical injuries: current concepts

  • D. Leibovici
    DF Medical Corps, Tel Aviv, Israel
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  • J. Shemer
    DF Medical Corps, Tel Aviv, Israel

    Department of Internal Medicine, Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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  • S.C. Shapira
    Requests for reprints should be addressed to: Shmuel C Shapira MD, Department of Anesthesia, Hadassah University Hospital, POB 12000, Jerusalem 91120, Israel.
    DF Medical Corps, Tel Aviv, Israel

    Department of Anesthesia, Hadassah Medical Center, Hebrew University, School of Medicine, Jerusalem, Israel
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      Electrical injuries are often dramatic accidents and are potentially fatal. The systemic involvement which characterizes many of these injuries, requires familiarity with the broad spectrum of clinical manifestations and possible complications. While many victims of electrocution are killed before help can be provided, survivors may suffer severe injuries that need proper treatment. The pathophysiological aspects of electrical injuries and therapeutic principles are therefore discussed in this review as well as preventive measures.
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        • Fontanarosa PB
        Electrical shock and lightning strike.
        Ann Emerg Med. 1993; 22: 378
        • Baker SP
        • O'Neill B
        • Ginsburg MJ
        • et al.
        Occupational injury.
        in: Baker SP O'Neill B Ginsburg MJ Injury Fact Book. 2nd Ed. Oxford University Press, New York1992: 114-133
        • Patten BM
        Lightning and electrical injuries.
        Neurol Clin. 1992; 10: 1047
        • Herndon DN
        • Randi LR
        • William E
        • et al.
        Environmental injuries.
        in: Eichelberger MR Pediatric Trauma Prevention, Acute Care Rehabilitation. Mosby, St. Louis1993: 585
        • Browne BJ
        • Gaash WR
        Electrical injuries and lightning.
        Emerg Med Clin North Am. 1992; 10: 211
        • Baker MD
        • Chiaviello C
        Household electrical injuries in children — epidemiology and identification of avoidable hazards.
        Am J Dis Child. 1989; 143: 59
        • Abrante M
        • Cohen IL
        • Lumb PD
        Cardiovascular problems in the post operative trauma patient.
        in: Grande CM Textbook of Trauma, Anesthesia and Critical Care. Mosby, St. Louis1993: 773-775
        • Weber CA
        • Bryan CL
        Electrical injuries.
        in: Civeta JM Taylor RW Kirby RR Critical Care. 2nd Ed. Lippincott, Philadelphia1992: 947-950
        • Helou BN
        • Carlson RW
        Electrical and lightning injuries.
        in: Carlson RW Geheb M Principles & Practice of Medical Intensive Care. WB Saunders, Philadelphia1993: 1645
        • Viener SL
        • Barrett J
        Lightning related injuries and electrical burns.
        in: Viener SL Barrett J Trauma Management for Civilian and Military Physicians. WB Saunders, Philadelphia1986: 446-451
        • Suttclife AJ
        Burn patients.
        in: Grande CM Textbook of Trauma, Anesthesia and Critical Care. Mosby, St. Louis1993: 596-598
        • Chandra NC
        • Siu CO
        • Munster AM
        Clinical predictors of myocardial, damage after high voltage electrical injury.
        Crit Care Med. 1990; 18: 293
        • Homma S
        • Gillam LD
        • Weyman AE
        Echocardiographic observations in survivors of acute electrical injury.
        Chest. 1990; 97: 103
        • Xenopoulos N
        • Movahed A
        • Hudson P
        • et al.
        Myocardial injury in electrocution.
        Am Heart J. 1991; 122: 1481
        • Schein RM
        • Kett DH
        • De-Marchena EJ
        • et al.
        Pulmonary edema associated with electrical injury.
        Chest. 1990; 97: 1248
        • Lutalo SK
        • Pratt GP
        Acute pulmonary edema caused by lightning.
        Centr Afr J Med. 1989; 35: 534-537
        • James TN
        • Riddick L
        • Embry JH
        Cardiac abnormalities demonstrated post mortem in four cases of accidental electrocution and their potential significance relative to non fatal electrical injuries of the heart.
        Am Heart J. 1990; 120: 143
        • Ku CS
        • Lin SL
        • Hsu TI
        • et al.
        Myocardial damage associated with electrical injury.
        Am Heart J. 1989; 118: 621
        • Salter RR
        • Peterson HD
        Bilateral femoral neck fractures after electrical injury: a case report and literature review.
        J Burn Care Rehabil. 1990; 11: 240
        • American College of Surgeons, Committee on Trauma
        2nd Ed. ATLS Student Manual. ACS, Washington1993: 253-254
        • Grube BJ
        • Heimbach DM
        • Engrav LH
        • et al.
        Neurological consequences of electrical burns.
        J Trauma. 1990; 30: 254
        • Patel A
        • Lo R
        Electrical injury with cerebral sinus thrombosis. Case report and review of literature.
        Stroke. 1993; 24: 903
        • Koller J
        • Orsagh J
        Delayed neurological sequela of high tension electrical burns.
        Burns. 1989; 15: 175
        • Hugo PJ
        Biological effects of high voltage electric field.
        South Afr Med J. 1993; 89: 920
        • Grossman AR
        • Tempereau CE
        • Brones MF
        • et al.
        Auditory and neuropsychiatric behaviour after electrical injury.
        J Burn Care Rehabil. 1993; 14: 169
        • Epperly TD
        • Stewart JR
        The physical effects of lightning injury.
        J Fam Pract. 1989; 29: 267
        • Boozalis GT
        • Purdue GF
        • Hunt JL
        • et al.
        Ocular changes from electrical burn injuries. A literature review and report of a case.
        J Burn Care Rehabil. 1991; 12: 458
        • Kumar S
        • Thomas S
        • Lehri S
        Abdominal wall and stomach perforation following accidental electrocution with high tension wire: a unique case.
        J Emerg Med. 1993; 11: 141
        • American Medical Association
        Guidelines for cardiopulmonary resuscitation emergency cardiac care.
        JAMA. 1985; 268: 2171
        • Gang RK
        • Bajec J
        Electrical burns in Kuwait: a review and analysis of 64 cases.
        Burns. 1992; 18: 497
        • Ghezzi KT
        Lightning injuries, a unique treatment challenge.
        Postgrad Med. 1989; 85: 197
        • Amy BW
        • McManus WF
        • Goodwin CW
        • et al.
        Lightning injury with survival in five patients.
        JAMA. 1985; 253: 243
        • Taussig HB
        ‘Death’ from lightning and the possibility of living again.
        Ann Intern Med. 1968; 68: 1345