TY - CHAP M1 - Book, Section TI - Lightning and Electrical Injuries A1 - Cooper, Mary Ann A1 - Navarrete-Aldana, Norberto A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. Y1 - 2014 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - Even low-voltage electrical injuries can be fatal and often show no external burns.Higher-energy electrical injury can cause massive muscle damage and release of myoglobin.Sufficient fluid should be administered to maintain a urine flow of 1–1.5 mL/kg/h, 2 mL/kg/h until the urine is myglobin-free.Lip and oral commissure burns are initially bloodless and nearly painless, but as the eschar separates in 1–2 weeks, severe bleeding can occur as the labial artery is uncovered.Resuscitation of the apparently dead is the rule with lightning injuries. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1105687654 ER -