Practice Guidelines for the Management of Electrical Injuries

Arnoldo, Brett D.; Klein, Matthew B.; Gibran, Nicole S.

doi:10.1097/01.bcr.0000226250.26567.4c

Cited by 104 publications

(64 citation statements)

References 39 publications

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“…The main reasons for high-voltage electrical burns in children have been reported to be climbing trees, utility poles, or transformers and contacting overhead wires directly or while flying kites (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Our data showed that the most common reason for high-voltage electrical burns in pediatric patients was climbing utility poles and that the second was overhead wires.…”

Section: Discussionmentioning

confidence: 65%

“…In cases of amputation of the distal phalanx of the little finger, amputations may cause only esthetic problems; the case of major or thumb amputations, it may lead to serious functionality loss (5,6). Amputation rates of between 10% and 68% have been reported in the literature by Arnoldo et al (13). The overall amputation risk ratio of burn patients was reported to be 2% by Gallagher et al (14) in a time period of 24 years.…”

Section: Discussionmentioning

confidence: 88%

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Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Özalp¹,

Calavul²

2017

Erciyes Med J

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Objective: Digit and extremity amputations are unwanted complications in burn injuries. Although some amputations cause only cosmetic and psychological problems in burn patients, they can lead to serious loss in functionality and impairment in the quality of life. The aim of this study was to investigate the epidemiologic features of amputations among burn patients in the southeastern region of Turkey. Materials and Methods:We conducted retrospective chart reviews of patients hospitalized in Dicle University Burn Center between January 2011 and January 2016 and evaluated patient demographics.Results: A total of 3315 (2063 male and 1252 female) patients were treated, and 41 patients (36 males and 5 females) with a mean age of 21.95 years (range: 3-58 years) underwent amputation. The amputation incidence was 1.23% over the 5-year period. In total, 19 of 41 patients were under 16 years, while 16 were male workers. There was a significant male dominance (p<0.05), with electrical burns being the most common etiological agent (p<0.001). The mean burned total body surface area was 12.4±7.9% (range: 2-60%), and major amputations were significantly higher (p<0.05) if the area exceeded 10%.Conclusion: Electrical burns were the most common etiological factor, and pediatric patients were the most affected group. Educating parents and taking safety measures for protecting children from electrical contact points are as important as educating workers for diminishing the incidence of electrical burn-related amputations.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 88%

Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Özalp¹,

Calavul²

2017

Erciyes Med J

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“…Some authors recommend ECG monitoring after every EI (3, 12) because ECG changes have been identified in past studies, whereas others state that this is necessary only in selected cases (17). Teodoreanu et al (18) stated that cardiac monitoring is indicated if cardiac arrest or loss of consciousness occurs, if the ECG is abnormal or if a dysrhythmia is present, if the patient has a history of cardiac disease or important cardiac risk factors before hospital admittance, and if the patient has severe injuries, chest pain, or hypoxia.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries

Günaydın¹,

Yıldız²,

Çağlar³

et al. 2016

EAJEM

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“…Inclusion criteria as well as the monitoring periods were different in the published studies. The monitoring periods in the studies are usually 6 h, [12] 6-8 h [9] and 24 h. [2,4,13] Some of the studies evaluated patients exposed to high-voltage [4,7,14] or low-voltage [9,12] electricity, while others focused on both low and high voltage. [2] Electrical current disrupts the normal electrophysiological system by causing thermal and ischemic myocardial injury.…”

Section: Discussionmentioning

confidence: 99%