"True" High-Tension Electrical Injuries

Luce, Edward A.; Gottlieb, Steven E.

doi:10.1097/00000637-198404000-00003

Cited by 58 publications

(11 citation statements)

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“…11 In addition, mannitol and sodium bicarbonate can be used to create an initial alkalinization and a rapid, osmotic diuresis to minimize pigment precipitation in the renal tubules. 12 Additionally, the invasive techniques, such as Swan-Ganz catheter, in our experience, could be used in the patients with burns more than 50% or severe inhalation injury or persistent presence of pigmented urine during the shock period. 13 The hemodynamic data derived from the invasive techniques are beneficial to ascertain cardiovascular performance and the endpoints of resuscitation and to direct therapy when noninvasive monitoring was felt to be inadequate.…”

Section: Discussionmentioning

confidence: 96%

Electrical Burns in Chinese Fishermen Using Graphite Rods Under High-Voltage Cables

Wang

Chen

Wang

et al. 2007

Journal of Burn Care & Research

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The 42 patients admitted to our Burn Center from January 1, 1994 to December 31, 2005, with electrical and fire burn injuries caused by electricity-conducting graphite-carbon fishing rods touching overhead high voltage electrical lines were epidemiologically studied retrospectively. All patients were men, with a mean age of 40.33 years. The majority of patients (59.5%) were burned with less than 10%, mostly deep burns. The hand was the predominant electricity "entry" point and foot was the most frequent "exit" point. Admissions increased from 5 in 6 years, 1994 to 2000, to 15 in 3 years, 2000 through 2002, to 22 cases in 3 years, 2003 through 2005. Spring and fall, and months May and October were times of highest incidence. The treatment was complex, difficult, long, and costly. Thirty-eight patients (90.4%) required operations, including early excision and graft (34 patients), and amputation (14 patients). Two patients had an inhalation injury that necessitated a tracheostomy and four victims had additional skin and soft-tissue injury. Thirty-two patients had a record of unconsciousness immediately after the electrical injury and atrial premature beats were a frequently found arrhythmia. A significant (P <.01) increase in serum creatine kinase MB fraction was found in 11 patients. The mean time in hospital of the survivors was 28.97 days. Acute renal failure was the commonest complication and one patient died of sepsis with giving a mortality rate of 2.4%. Caution and preventive measures are warranted while fishing near electrical wires, and improvements in electrical burn treatment are needed.

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Section: Discussionmentioning

confidence: 96%

Electrical Burns in Chinese Fishermen Using Graphite Rods Under High-Voltage Cables

Wang

Chen

Wang

et al. 2007

Journal of Burn Care & Research

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“…Several studies have called into question the concept of progressive tissue necrosis in burns which has, over the years, gained considerable acceptance amongst burn surgeons. These studies describe the clinical impression of progressive tissue necrosis as, in fact, being the result of inadequate initial explorations, inadequate fasciotomies, subjective observations of viability and debridement that devascularised surrounding muscle [20][21][22][23][24]. We ensured that thorough debridement was performed by excising non-bleeding tissue until a viable vascular bed was reached, taking extra care to ensure that we did not devascularise viable tissue.…”

Section: Discussionmentioning

confidence: 99%

Microvascular free tissue transfer in acute and secondary burn reconstruction

Jabir

Frew

Magdum

et al. 2015

Injury

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“…6,7 True high-tension injuries cause extensive damage to soft and bony tissues. Depending on the voltage and the resistance offered by skin there may be scorching, blackening, and even charring of the skin.…”

Section: Discussionmentioning

confidence: 99%

Arcing Injuries in a Fatal Electrocution

Nagesh¹,

Kanchan²,

Rastogi³

et al. 2009

American Journal of Forensic Medicine &Amp; Pathology

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Electric arc injuries tend to be very severe and can cause skin burns by direct heat exposure or by igniting clothes. It produces intense heat, and fatal lesions can occur even when the victim is several feet from the arc. A fatal case of accidental high-voltage electrocution is reported, where multiple skin to bone-deep oval and circular lesions of varying dimensions caused by arcing was present.

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"True" High-Tension Electrical Injuries

Cited by 58 publications

References 0 publications

Electrical Burns in Chinese Fishermen Using Graphite Rods Under High-Voltage Cables

Electrical Burns in Chinese Fishermen Using Graphite Rods Under High-Voltage Cables

Microvascular free tissue transfer in acute and secondary burn reconstruction

Arcing Injuries in a Fatal Electrocution

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