Electrocution: Difference between revisions
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(lip info, bite electrocution, kissing burn, treatment) |
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==Background== | ==Background== | ||
*Finger | |||
*Mouth | |||
**Electrical cord bite | |||
**Usually arc burns that may involve the orbicularis oris muscle, the oropharynx, and damage to the developing dentition | |||
*Extremities | |||
**Kissing burn: occurs at the flexor creases of the extremities due to current flowing across opposing skin surfaces as the extremity is forced into flexion by an electric shock | |||
*Lightning | |||
*Power Lines | |||
===End Organ Effects=== | ===End Organ Effects=== | ||
*Brain: lack of concentration | |||
*Eyes: cataracts | |||
*Ears: Ruptured TMs | |||
*Cardiac: Arrhythmia | |||
*Renal: ARI | |||
*Rhabdomyolysis | |||
*Mouth/Lip | |||
**Usually a child who bites an electrical cord | |||
**Significant risk of delayed bleeding from the labial artery exists when the eschar separates | |||
**occurs 3 to 14 days post injury | |||
==Treatment== | ==Treatment== | ||
*Burned tissue should not be debrided | |||
*Cleansed and a petroleum-based antibiotic ointment applied to exposed skin areas | |||
===Cardiac Monitoring Indications=== | ===Cardiac Monitoring Indications=== | ||
# [[Cardiac Arrest]] | # [[Cardiac Arrest]] | ||
Revision as of 16:13, 4 January 2015
Background
- Finger
- Mouth
- Electrical cord bite
- Usually arc burns that may involve the orbicularis oris muscle, the oropharynx, and damage to the developing dentition
- Extremities
- Kissing burn: occurs at the flexor creases of the extremities due to current flowing across opposing skin surfaces as the extremity is forced into flexion by an electric shock
- Lightning
- Power Lines
End Organ Effects
- Brain: lack of concentration
- Eyes: cataracts
- Ears: Ruptured TMs
- Cardiac: Arrhythmia
- Renal: ARI
- Rhabdomyolysis
- Mouth/Lip
- Usually a child who bites an electrical cord
- Significant risk of delayed bleeding from the labial artery exists when the eschar separates
- occurs 3 to 14 days post injury
Treatment
- Burned tissue should not be debrided
- Cleansed and a petroleum-based antibiotic ointment applied to exposed skin areas
Cardiac Monitoring Indications
- Cardiac Arrest
- loss of consciousness
- abnormal ECG
- dysrhythmias (prehospital or ED)
- suspicion of conductive injury
- hypoxia
- chest pain
Source
Rosen
