Lightning injuries: prevention and on-site treatment in mountains and remote areas

Zafren, Ken; Durrer, Bruno; Herry, J.-P.; Brugger, Hermann

doi:10.1016/j.resuscitation.2004.12.014

Cited by 83 publications

(33 citation statements)

References 18 publications

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“…Two cases of severe skeletal muscular pain were observed in our study. This may be caused by sudden skeletal muscular contractions due to electrical shock [19]. …”

Section: Discussionmentioning

confidence: 99%

“…Zafren et al reported that superficial current often resembles skin flashover [19]. Internal current flow leading to deep tissue necrosis is uncommon [19].…”

Section: Discussionmentioning

confidence: 99%

“…Zafren et al reported that superficial current often resembles skin flashover [19]. Internal current flow leading to deep tissue necrosis is uncommon [19]. Also, the extremely short duration of exposure to electrical current (0.0001–0.003 s) may prevent deep burns [11, 12].…”

Section: Discussionmentioning

confidence: 99%

“…Also, the extremely short duration of exposure to electrical current (0.0001–0.003 s) may prevent deep burns [11, 12]. Zafren et al did, however, also report third-degree burns, especially at the entry and exit points of the electrical current [19]. …”

Section: Discussionmentioning

confidence: 99%

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Injuries, Sequelae, and Treatment of Lightning-Induced Injuries: 10 Years of Experience at a Swiss Trauma Center

Pfortmueller

Yikun

Haberkern

et al. 2012

Emergency Medicine International

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Principals. Lightning is one of the most powerful and spectacular natural phenomena. Lightning strikes to humans are uncommon but can cause devastating injuries. We analyzed lightning-related admissions to our emergency department from January 2000 to December 2010 to review and highlight the main features of lightning-related injuries. Methods. All data were collected prospectively and entered in the emergency department' database (Qualicare Switzerland) and retrospectively analyzed. Results. Nine patients with lightning-related injuries presented to our emergency department. Four were female, and five were male. The most common site of injury was the nervous system (6 out of 9 patients) followed by the cardiovascular system (5 out of 9 patients). The third most common injuries occurred to the skin (3 out of 9 patients). Four of the patients had to be hospitalized for further observation. Conclusion. Reports of lightning strikes and related injuries are scarce. The establishment of an international register would therefore benefit the understanding of their injury patterns and facilitate specific treatment.

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“…Two cases of severe skeletal muscular pain were observed in our study. This may be caused by sudden skeletal muscular contractions due to electrical shock [19]. …”

Section: Discussionmentioning

confidence: 99%

“…Zafren et al reported that superficial current often resembles skin flashover [19]. Internal current flow leading to deep tissue necrosis is uncommon [19].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Injuries, Sequelae, and Treatment of Lightning-Induced Injuries: 10 Years of Experience at a Swiss Trauma Center

Pfortmueller

Yikun

Haberkern

et al. 2012

Emergency Medicine International

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show abstract

“…The victim was a 56 year old male who was climbing in a group when a lightning strike caused him to fall off the edge. To prevent accidents like this, authorities have recommended using a protective helmet and staying belayed in susceptible places [16]. In addition, mountaineers should receive training to recognize weather conditions and places high risk for lightning strike, and to take shelter during high risk conditions [16].…”

Section: Discussionmentioning

confidence: 99%

Fatalities Among Iranian High-altitude Outdoor Enthusiasts: Causes and Mechanisms

et al. 2012

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Purpose: This study was performed to determine the possible causes and mechanisms of fatalities among Iranian mountaineers during climbing.Methods: By contacting several sources, deceased mountaineers were identified. Data about the causes and mechanism of death was retrospectively obtained using a standard questionnaire for each case.Results: A total of 29 deaths were identified from March 2006 to June 2010. Deceased subjects had a mean age of 39 years (SD: 12.8, Range: 20-67). Falling was the most common accident leading to death of outdoor enthusiasts (n=14, 48%). Asphyxia (n=6, 24%) was the most common cause of death among the subjects, followed by heart attack, internal bleeding, cerebral hemorrhage and hypothermia (17%, 17%, 17% and 10%, respectively). Conclusions:Our findings suggest that education of medical service providers of the climbing groups on facing victims in high altitude areas, where they have limited resources, can be particularly helpful. In addition, a national program to educate mountaineers might help to reduce fatalities.

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Resuscitation in Special Situations

Jevon¹

2012

Paediatric Advanced Life Support

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Lightning injuries: prevention and on-site treatment in mountains and remote areas

Cited by 83 publications

References 18 publications

Injuries, Sequelae, and Treatment of Lightning-Induced Injuries: 10 Years of Experience at a Swiss Trauma Center

Injuries, Sequelae, and Treatment of Lightning-Induced Injuries: 10 Years of Experience at a Swiss Trauma Center

Fatalities Among Iranian High-altitude Outdoor Enthusiasts: Causes and Mechanisms

Resuscitation in Special Situations

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