Electrical injuries, with special reference to the upper extremities

Butler, Edmond D.; Gant, Thomas D.

doi:10.1016/0002-9610(77)90290-2

Cited by 101 publications

(10 citation statements)

References 9 publications

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“…We assessed whether single or MOF may contribute to this phenomenon but conclude that there is no specific influence of single or MOF on length of hospitalization in our patient population. The number and types of operations that our patients underwent are in accordance with the findings of others (3,9,20). Unfortunately, major extremity amputation remains a common procedure after electrical injury, especially HV injury.…”

Section: Discussionsupporting

confidence: 91%

“…Although arrhythmia and other cardiac dysfunction are frequently a complication of electrical injury, only a low incidence of cardiac complications has been described during first 24 h in electrically injured adults (19,20). Pediatric patients demonstrate virtually no serious cardiac complications that are relatable to the electric current according to published reviews (3,21).…”

Section: Discussionmentioning

confidence: 99%

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The occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns

Hundeshagen

Wurzer

Forbes

et al. 2017

Journal of Trauma and Acute Care Surgery

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Background Multiple organ failure (MOF) is a major contributor to morbidity and mortality in burned children. While various complications induced by electrical injuries have been described, the incidence and severity of single organ failure (SOF) and MOF associated with this type of injury are unknown. The study was undertaken to compare the incidence and severity of SOF and MOF as well as other complications between electrically and thermally burned children. Patients and Methods Between 2001 and 2016, two hundred eighty-eight pediatric patients with electrical burns (EB, N=96) or thermal burns (CTR, N=192) were analyzed in this study. Demographic data, length of hospitalization, number and type of operations, amputations, and complications were statistically analyzed. Incidence of SOF and MOF was assessed using the DENVER2 classification in an additive mixed model over time. Compound scores and organ-specific scores for lung, heart, kidney, and liver were analyzed. Serum cytokine expression profiles of both groups were also compared over time. Significance was accepted at p<0.05. Results Both groups were comparable in age (CTR 11±5 years vs. EB 11±5 years), percent total body surface area burned (CTR 33±25% vs. EB 32±25%), and length of hospitalization (CTR 18±26 days vs. EB 18±21 days). The percentage of high voltage injury in the EB group was 64%. The incidence of MOF was lower in the EB group (2/96, 2.1%) than the CTR group (20/192, 10.4%; p<0.05). The incidence of single organ failure was comparable between groups. Incidence of pulmonary failure was comparable in both groups, but incidence of inhalation injury was significantly higher in the CTR group (p<0.0001). Patients in the EB group had more amputations (p<0.001), major amputations (p=0.001), and combined major amputations (p<0.01). Mortality was comparable between the groups. Serum cytokine expression profiles were also comparable between groups. Conclusions In pediatric patients, electrical injury is associated with a lower incidence of MOF than other thermal burns. Early and radical debridement of nonviable tissue is crucial to improve outcomes in the electrical burn patient population.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns

Hundeshagen

Wurzer

Forbes

et al. 2017

Journal of Trauma and Acute Care Surgery

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“…3 In general, the greater the voltage, the more extensive the injury, and the pathway of the current usually correlates well with the local tissue damage along with the development of complications and sequelae. 2,5 In our case, the entry point of the current was easily found, but the exit point could not be located because it was a low-voltage electrical burn.…”

Section: Discussionmentioning

confidence: 78%

Subscapularis tendon tear after an electrical burn: A case report

Kim

et al. 2008

Journal of Shoulder and Elbow Surgery

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“…Abnormal ECG findings of patients following an electrical shock were detected in Arrowsmith et al (9) and Al et al (13) studies in approximately 3%, and 67.9% respectively. In some other studies ECG abnormalities range from 14% to 54%t (9,10,14), the highest percentages arising from a series of high voltage injuries. Non-specific ST segment changes and sinus tachycardia are the most commonly reported ECG findings (13,15,16).…”

Section: Discussionmentioning

confidence: 89%

A Rare Complication of Electric Shock: Myocardial Infarction

Al¹,

Yarbil²,

Özer³

et al. 2012

JAEMCR

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Myocardial infarction is one potential outcome after an electric shock although it is seen relatively rarely and its pathogenesis remains controversial. Coronary arteriography is the most helpful investigation in assessing the physiopathology of the rare event. These patients merit a careful scrutiny due to an increased death rate because of cardiopulmonary arrest. Here, we reported a man with inferior myocardial infarction following electrical shock. Although he had frankly normal coronary arteries by coronary angiography, myocardial infarction was objectively evident by cardiac enzymes, electrocardiography and echocardiography. Amputation was performed on his left wrist from the elbow and fasciotomy was performed on his right wrist due to compartment syndrome. Electrocardiography changes returned to normal level within 6th hours of electric shock. He was discharged in good health after stabilization. ÖZETPatogenezi tartışmalı olmasına ve nadiren görülmesine rağmen, miyokart enfarktüsü bir elektrik çarpmasından sonra potansiyel bir sonuçtur. Bu nadir olayın patofizyolojinin değerlendirilmesinde koroner arteriografi en iyi yardımcı araştırma yöntemidir. Bu hastalar kardiyopulmoner arresten dolayı artan bölüm oranlarından dolayı ciddi bir bakımı hak ediyorlar. Burada elektrik çarpmasını takibe miyokart enfarktüsü gelişen bir vaka bildirdik. Koroner anjiyografisi tamamen normal olmakla beraber miyokart enfarktüsü kardiyak enzimler ve elektrokardiyografi ile objektif olarak kanıtlandı. Sol el bileği dirsekten itibaren ampute edildi ve sağ el bileğine kompartman sendromundan dolayı fasiyotomi uygulandı. Elektrik çarpmasının altıncı saatinde elektrokardiyografideki değişiklikler normale döndü. Hasta stabilize edildikten sonra şifa ile taburcu edildi.

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Electrical injuries, with special reference to the upper extremities

Cited by 101 publications

References 9 publications

The occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns

The occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns

Subscapularis tendon tear after an electrical burn: A case report

A Rare Complication of Electric Shock: Myocardial Infarction

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