This episode of CRACKCast covers Chapter 134 of Rosen's Emergency Medicine (9th Ed.): Electrical and Lightning Injuries.
Core questions:
- What is the relationship between current, voltage and resistance? How does this relate to potential for injury from electrical and lightning injuries?
- What are the types of electrical injury? (based on type of current)
- Differentiate between AC and DC current injuries.
- List 4 types of electrical burns and 5 mechanisms of lightning injury
- List 5 expected injury patterns for high-voltage and lightning injuries
- List clinical findings (early and late) associated with electrical injuries.
- List clinical findings associated with lightning exposure.
- Describe the skin injuries associated with lightning and electricity.
- Describe the modifications in field triage of multiple victims following a lightning strike.
- Describe the prehospital management of electrical injuries
- List 6 admission criteria for electrical/lightning injuries
- List 6 complications of high-voltage injuries
- Tips to avoid getting hit by lightning
Wisecracks:
- List six mechanisms of lightning injury.
- ECG features of lightning strike.
- What is keraunoparalysis?
- Describe the management of a pregnant patient (1st trimester and 2nd /3rd trimester) in the setting of electrical injury.
- How are perioral electrical burns managed? List three early and three late complications.
