Pediatric electrical injuries: A review of 38 consecutive patients

Çelik, Ahmet; Ergün, Orkan; Özok, Geylani

doi:10.1016/j.jpedsurg.2004.04.004

Cited by 66 publications

(61 citation statements)

References 9 publications

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“…Sex distribution is equal in this age group. Older children and adolescents sustain out-of-home electric shock by contact with high-voltage transmission lines or industrial electrical currents at the work place, and males predominate in this age group (9)(10)(11). Consistent with the literature, low-voltage electric shocks involved preschool and school-age children and high-voltage electric shocks involved adolescents.…”

Section: Discussionsupporting

confidence: 67%

Evaluation of children presenting to the emergency room after electrical injury

Yilmaz¹,

Köksal²,

Özdemir³

et al. 2015

Turk J Med Sci

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We retrospectively reviewed the medical records of the patients who presented to the Pediatrics Emergency Department in our hospital between May 2010 and May 2013 after sustaining an EI. The patients' data were investigated, including age, sex, location and form of exposure to electrical current, seasonal distribution, length Background/aim: To evaluate children who presented to the Pediatric Emergency Department with electrical injury and to discuss the follow-up of these cases and potential precautions that can be taken. Materials and methods:A total of 36 patients presented to the Pediatric Emergency Department with electrical injury between May 2010 and May 2013, and these cases were investigated retrospectively. The patients' age and sex, location and form of exposure to electric current, seasonal distribution, length of hospital stay, musculoskeletal and cardiovascular system complications, renal damage, and treatments were recorded. Results:The majority of the patients were exposed to low-voltage electrical current at home. When the patients were evaluated based on the type of electric current, alanine transaminase, aspartate transaminase, creatine kinase, and creatine kinase-myocardial isoenzyme levels were found to be significantly higher among patients who were exposed to high-voltage electric current. None of the patients died, and the mean length of hospital stay was 2.50 ± 1.06 days. Conclusion:Electrical injuries can present with a wide variety of problems, ranging from a simple injury to life-threatening severe multiple organ injury. Even simple precautions can prevent possible morbidity and mortality. We think that the public level of knowledge and awareness should be increased.

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Section: Discussionsupporting

confidence: 67%

Evaluation of children presenting to the emergency room after electrical injury

Yilmaz¹,

Köksal²,

Özdemir³

et al. 2015

Turk J Med Sci

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“…In an adult-pediatric case series of 18 patients with H1N1 infection, 63% were reported to have elevated CK, with the highest level reported being 5,122 IU/L [17]. Trauma can cause rhabdomyolysis through direct muscular injury due to crush or blunt injuries (e.g., natural disasters, child abuse) as well as by electrical or thermal burns [18,19]. Exercise-induced rhabdomyolysis pathophysiology is not fully understood; however, it is thought to occur when energy requirements exceed ATP production (e.g., strenuous activity) [20][21][22].…”

Section: Causes Of Rhabdomyolysismentioning

confidence: 99%

Rhabdomyolysis: pathogenesis of renal injury and management

2011

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“…This can be attributed to increased outdoor activity thereby exposing them to high voltage injuries by various means. [10][11][12][13] Alternating current is known to be more dangerous than direct current because it produces muscular contraction and relaxation with each cycle. Extreme muscular contractions may lead to secondary injuries and can complicate treatment.…”

Section: Discussionmentioning

confidence: 99%

Associated injuries in electrical burns: a 2 year retrospective study in a tertiary care burns unit

Rao¹,

Bedi²,

Patil³

et al. 2017

Int J Community Med Public Health

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Background: Electric burns are associated with a high degree of morbidity and mortality. The association of multiple injuries in burn patients further complicates the management problem. The injuries require prompt diagnosis and redressal for better outcomes.Methods: We decided to undertake a study to note characteristics of associated injuries in patients with electrical burns. A retrospective review was done of all patients admitted in Burn Unit of SMS Medical College and Hospital, Jaipur over a period of 2 years, who had sustained electric burns and had sustained associated injuries.Results: A total of 770 patients were admitted with electric burns over this duration. Associated injuries were noted in 4.15% of these patients. Young, male patients were more commonly affected, with a male to female ratio of 4:1.Conclusions: The incidence of associated injuries in electrical burns is not insignificant. A low threshold for suspicion is required in managing doctors to diagnose such injuries for optimal treatment and improved outcome in patients with electrical burns.

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Pediatric electrical injuries: A review of 38 consecutive patients

Cited by 66 publications

References 9 publications

Evaluation of children presenting to the emergency room after electrical injury

Evaluation of children presenting to the emergency room after electrical injury

Rhabdomyolysis: pathogenesis of renal injury and management

Associated injuries in electrical burns: a 2 year retrospective study in a tertiary care burns unit

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