Injuries and deaths from lightning

Blumenthal, Ryan

doi:10.1136/jclinpath-2020-206492

Cited by 31 publications

(22 citation statements)

References 35 publications

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“…Cardiovascular pathologies vary from benign changes to sudden cardiac death. The ST elevation, cardiomyopathy, atrial fibrillation, and QT prolongation may occur 10 . In patients who are unconscious, have head burn, or have abnormal neurologic examination, head CT should be performed because of the increased risk of intracranial hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Isolated Liver Injury Due to Ground Current Effect of Lightning Strike

Kartal

ÇÖPELCİ

Kalaycı

2022

Journal of Emergency Medicine Case Reports

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A 26-year-old shepherd man was admitted to the emergency department in June 2020 after ground current effect of lightning strike. With the severity of the trauma, the patient fell to the ground and then fainted. Since the severity of the trauma was not known exactly, there was an open wound in the head, and the patient had dyspnea and elevated liver function tests. Cranial, thorax and abdominal computed tomography (CT) were performed. On CT scan, approximately 7-cm-in length grade 3 liver laceration, extending between segment V and segment VIII was seen without intra-abdominal pathology. The patient was admitted to the intensive care unit (ICU). During the follow-up, liver function tests returned to normal. Liver laceration was managed conservatively. The patient was discharged. On the 6th day of his hospitalization, the patient was discharged without any complications or signs of massive bleeding (the patient's hemoglobin level was 12.4 g/dL before discharge), his vital signs were stable, and his symptoms improved..

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Section: Discussionmentioning

confidence: 99%

Isolated Liver Injury Due to Ground Current Effect of Lightning Strike

Kartal

ÇÖPELCİ

Kalaycı

2022

Journal of Emergency Medicine Case Reports

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“…Lightening causes injury by way of five different mechanisms: thermal, electrical, explosive, magnetic field, and blunt damage from falls; however, the precise mechanism behind lightning injury remains unknown. The most serious clinical manifestation is most likely to result from direct hits [ 5 ]. The second mechanism produces a blast wave as a result of abrupt and significant changes in temperature.…”

Section: Discussionmentioning

confidence: 99%

Lightning Strike Presenting As Fatal Lung Contusion: A Case Report

Patel¹,

Yelne²,

Gaidhane³

et al. 2022

Cureus

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Environmental electrical damage from a lightning strike has significant rates of morbidity and fatality. Highvoltage injuries including those caused by lightning strikes are pulmonary edema, pulmonary contusion, acute respiratory distress syndrome, and pulmonary hemorrhages. Patients that are injured experience secondary trauma in addition to direct and indirect injury. In this case, we report a 62-year-old male patient brought with complaints of shortness of breath, vomiting, and hoarseness of voice. The patient's treatment included airway protection, antibiotics, corticosteroids, and supportive care, but the patient did not survive due to a severe lung contusion.

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“…The electrical component of lightning may cause somewhat unusual spark‐like lesions on the skin of victims [6]. Small punctate burns of a few millimeters in diameter, occurring in clusters and commonly seen with electrical arcing can also be seen.…”

Section: Discussionmentioning

confidence: 99%

A unique case of direct lightning strike

Wankhede

2021

Journal of Forensic Sciences

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This is a report of death due to direct lightning strike that was witnessed, with description of the injuries. The associated clothing and jewelry were examined microscopically for lightning‐related findings. For the first time, we report a lightning strike on a victim that led to crater formations in the brass clasp of the basil wood bead necklace, brass teeth, and brass button of the zipper. Blackening, fissuring, and charring of basil wood beads were noted. There was blackening and fusion of cowrie shell teeth, which were in the black thread necklace. The silver necklace chain vaporized and caused deep burns on the nape of neck. A few links of the silver chain necklace were found embedded in the clothing. All this damage provides important insight into the behavior of lightning.

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Injuries and deaths from lightning

Abstract: This paper reviews recent academic research into the pathology of trauma of lightning. Lightning may injure or kill in a variety of different ways. Aimed at the trainee, or practicing pathologist, this paper provides a clinicopathological approach.

Cited by 31 publications

References 35 publications

Isolated Liver Injury Due to Ground Current Effect of Lightning Strike

Isolated Liver Injury Due to Ground Current Effect of Lightning Strike

Lightning Strike Presenting As Fatal Lung Contusion: A Case Report

A unique case of direct lightning strike

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