Assessment of risk factors for death in electrical injury

Dokov, William

doi:10.1016/j.burns.2008.05.005

Cited by 20 publications

(8 citation statements)

References 12 publications

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“…Data reveal that 0.5% of deaths are related to electrical shocks, and of these deaths, 60%–70% are caused by low-voltage power supplies, including the occasional short circuit of the storage batteries of cars in America and China [7, 8]. …”

Section: Discussionmentioning

confidence: 99%

The Clinical and Medicolegal Analysis of Electrical Shocked Rats: Based on the Serological and Histological Methods

Liu

Wang

Zhao

et al. 2016

BioMed Research International

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This research was aimed at discovering the serological and histological changes in cardiac and hepatic tissue after electric shock. The CK-MB, ALT, and AMS indexes were tested with serological methods. Moreover, the Bcl-2, Bax, and Hsp-60 expression levels were carefully measured. An electrical injury model was established by giving rats electric shocks at 110 V with alternating electric current. Blood samples from the rats were analyzed for the biochemical indexes. The degrees of pathological changes in the heart and liver were evaluated using IHC staining for Bcl-2, Bax, and Hsp-60. The levels of CK-MB in the electrical injury group rapidly peaked at 0.5 hours after the electric shock. Additionally, the levels of Bcl-2, Bax, and Hsp-60 in the cardiac and hepatic tissues changed regularly after the electrical injury and exhibited apparent differences from the levels in the control group. CK-MB, ALT, and AMS were altered regularly after electric shock, and these results provide significant information for clinical and medicolegal practice. This research has shed light on the assessment of electrical injury without obvious electrical burns. Furthermore, the findings obtained for Bcl-2/Bax and Hsp-60 can also facilitate pathological diagnosis and the identification of antemortem and postmortem electrical injury.

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Section: Discussionmentioning

confidence: 99%

The Clinical and Medicolegal Analysis of Electrical Shocked Rats: Based on the Serological and Histological Methods

Liu

Wang

Zhao

et al. 2016

BioMed Research International

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“…A target urine volume of approximately 3 mL/kg per h is in accordance with the treatment for crush syndrome 86 The most common causes of fatal electrocution are contact with the power transmission grid and lightning strikes 83,85 …”

Section: Cq15: How Should Burns Caused By Electric Shock Be Treated?mentioning

confidence: 98%

“…It is difficult to make comparisons between patients as the cause of injury, site of injury, pathway of electrical current, duration of contact and so forth vary on a case‐to‐case basis. Given that the available reports are primarily retrospective cohort studies and case collection studies, 82–85 the evidence level is IVb. The recommendation level for inpatient treatment is 1C as the encroachment on the body is evident in cases of high‐voltage electric shock. When examining electric shock patients, monitoring and blood tests must be serially performed in accordance with the individual patient 84,85 .…”

Section: Cq15: How Should Burns Caused By Electric Shock Be Treated?mentioning

confidence: 99%

Wound, pressure ulcer and burn guidelines – 6: Guidelines for the management of burns, second edition

Yoshino

Hashimoto

Ikegami

et al. 2020

The Journal of Dermatology

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“Wound, pressure ulcer and burn guidelines – 6: Guidelines for the management of burns, second edition” is revised from the first edition which was published in the Japanese Journal of Dermatology in 2016. The guidelines were drafted by the Wound, Pressure Ulcer and Burn Guidelines Drafting Committee delegated by the Japanese Dermatological Association, and intend to facilitate physicians’ clinical decisions in preventing, diagnosing and treating burn injury. All sections are updated by collecting documents published since the publication of the first edition. Especially, the recommendation levels of dressing materials newly covered by the Japanese national health insurance are mentioned. In addition, the clinical questions (CQ) regarding the initial treatment of electrical (CQ15) and chemical burns (CQ16), and also the use of escharotomy (CQ22), are newly created.

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“…Worldwide, more than 100 lightning strikes occur each second [ 3 , 4 ]. Nevertheless, lightning accidents make up only 2–4% of all high-voltage accidents [ 5 ]. Lightning may either strike a person outdoors directly or it may be transmitted from a nearby object, such as a tree, a building, through a telephone wire, or even from another person as a contact injury.…”

Section: Introductionmentioning

confidence: 99%

Lightning accidents in the Austrian alps – a 10-year retrospective nationwide analysis

Ströhle

Wallner

Lanthaler

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundLightning strikes are rare but potentially lethal. The risk for suffering a lightning strike in a mountain environment is unknown. The aim of this nationwide study was to analyse all lightning accidents in the Austrian Alps from 2005 to 2015, to assess the circumstances of the accident, the injury pattern as well as the outcome.MethodsFrom 2005 to 2015, data from the national Austrian Alpine Police database as well as the Clinical Information System of Innsbruck Medical University Hospital were searched for the keywords lightning injury, lightning strike, lightning as well as ICD-10 Code T75.0. Additionally, the archive data of Innsbruck Medical University Hospital was searched manually.ResultsThe Austrian Alpine Police database, containing 109.168 patients for the years 2005–2015, was screened for lightning accidents. Sixty-four patients had been hit by lightning in the Austrian Alps, 54 were male. Four persons died on scene; survival rate was 93.8%. Two deceased persons were hunters, who were killed by the same lightning strike. Sixty-three patients suffered a lightning strike while doing a recreational activity, mostly hiking (n = 55), a few hunting and only one doing occupational timberwork. Sixty-three patients suffered a lightning strike between June and August with nearly half (46.9%) of the accidents happening on a Saturday or Sunday, and mainly (95.3%) between 12:00 and 22:00 h.DiscussionPersons who perform recreational outdoor and occupational activities in an alpine environment during summer and after noon incur a higher risk of sustaining a lightning strike. The primary risk group includes young male mountaineers and hunters. The mortality rate was low.Trial registrationThe study was approved by the Ethics Committee of the Medical University of Innsbruck (AN4757 315/4.4) and retrospectively registered with Clinical Trials NCT03405467, January 19, 2018.

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Assessment of risk factors for death in electrical injury

Cited by 20 publications

References 12 publications

The Clinical and Medicolegal Analysis of Electrical Shocked Rats: Based on the Serological and Histological Methods

The Clinical and Medicolegal Analysis of Electrical Shocked Rats: Based on the Serological and Histological Methods

Wound, pressure ulcer and burn guidelines – 6: Guidelines for the management of burns, second edition

Lightning accidents in the Austrian alps – a 10-year retrospective nationwide analysis

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