RT Book, Section
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.
SR Print(0)
ID 1105687654
T1 Lightning and Electrical Injuries
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105687654
RD 2024/04/19
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.