Presentation
SEM studies present a three-dimensional vision of the filamentous material that confirms and clarifies the cellular deformation as a whole. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Managing Burn Pain Burn pain can be one of the most intense and prolonged types of pain. Burn pain is difficult to control because of its unique characteristics, its changing patterns, and its various components. [webmd.com]
Pain medicine: You may be given a prescription medicine to decrease severe pain if other pain medicines do not work. Take the medicine as directed. Do not wait until the pain is severe before you take your medicine. [drugs.com]
- Falling
There was no associated fall or loss of consciousness. Debridement and grafting were required. The patient had some transient weakness of the muscles of his right arm associated with lower cervical nerve-root injury. This subsequently improved. [ncbi.nlm.nih.gov]
However, even fields such as technology or dentistry can inadvertently put workers in harm’s way as the electrical cords and electronic equipment can fall into disrepair. [burninjuryguide.com]
These can include: touching objects that are electrically live, short-circuits, inserting fingers into electrical sockets, and falling into electrified water. [azburnlaw.com]
Electrical burns can be caused by a variety of ways such as touching or grasping electrically live objects, short-circuiting, inserting fingers into electrical sockets, and falling into electrified water. [en.wikipedia.org]
[…] burn is based on three mechanisms, the local generation of heat causing coagulative necrosis of the cells and that due to direct passage of current causing disruption of cell membrane leading to cell death and tissue loss and injuries caused due to fall [ijburns.com]
- Unconsciousness
Electric shocks can cause little more than a fright and some pain, or they can be severe enough to knock someone unconscious and stop their heart. [healthdirect.gov.au]
“I was knocked unconscious and the electrical current set my clothes on fire and burned 50 percent of my body,” said Clarke. Clifton said at that time he felt like he was going to succumb to his injuries until he thought of one thing. [ktvu.com]
CPR should be started if the person is unconscious and you can't feel a pulse. Perform rescue breathing on a person who is unconscious and not breathing or is breathing ineffectually. 6. [nlm.nih.gov]
Turn off the power source suspected as the cause of electric burn/injury Evaluate an unconscious patient for possible cardiac arrest and institute cardiopulmonary resuscitation (CPR) Provide fluid resuscitation and pain management. [dermnetnz.org]
- Inflammation
A first degree burn is superficial and causes local inflammation of the skin. Sunburns often are categorized as first degree burns. The inflammation is characterized by pain, redness, and a mild amount of swelling. [medicinenet.com]
When your immune system overreacts to the infection, it can trigger widespread inflammation and blood clotting in tiny vessels throughout the body. This inflammation and clotting can cause multi-organ dysfunction. [pritzkerlaw.com]
Surgery: Debridement: Healthcare providers remove damaged tissue from your body to prevent infection, decrease inflammation, and improve your healing. Skin grafts and flaps: Healthcare providers cover or replace lost skin with healthy skin. [drugs.com]
- Severe Pain
Pain medicine: You may be given a prescription medicine to decrease severe pain if other pain medicines do not work. Take the medicine as directed. Do not wait until the pain is severe before you take your medicine. [drugs.com]
Gastrointestinal
- Overeating
How it really works is every time an enemy takes electrocute Damage Over Time, there's a chance they'll catch fire, too. [gaming.stackexchange.com]
A 19-year-old white man was burned over 7.5% of his body when he sustained an electric injury from a transformer. There was no associated fall or loss of consciousness. Debridement and grafting were required. [ncbi.nlm.nih.gov]
Thirty patients sustained injury over the trunk and upper limb, 15 over the scalp, hand, and face, 16 over hand only, 11 over lower limb only, 3 over genitals, 16 over lower limb, face, and trunk, and 8 patients involved more than 70% of body parts [Table [ijburns.com]
To treat a minor burn, run cool water over the area of the burn or soak it in a cool water bath (not ice water). Keep the area submerged for at least 5 minutes. [mountsinai.org]
Cardiovascular
- Tachycardia
Current through the heart disrupts the normal electric-driven beat of the heart, causing right-bundle branch block, tachycardia (speeding up of the heart beat), or arrhythmias. [pritzkerlaw.com]
The most common abnormalities seen on an electrocardiogram (ECG) are sinus tachycardia, nonspecific ST- and T-wave changes, heart blocks, and prolongation of the QT interval. [13] The most common electrical injury seen in children younger than 4 years [emedicine.medscape.com]
VF is the usual cause of immediate death from electrocution; this occurs immediately. [ 9 ] Other arrhythmias have been reported: right bundle branch block and nonspecific ST and T-wave changes occur most commonly. [ 6 ] There may be supraventricular tachycardia [patient.info]
- Hypertension
Cardiac complications in this type of patient range from reversible asystoles to systemic hypertension, hypovolaemic shock, and the rupture of aneurysms of large vessels. [medbc.com]
Permanent hypertension after renal homotransplantation in man. Clin Sci Mol Med. 1975 May. 48(5):391-403. [Medline]. Newsome TW, Curreri PW, Eurenius K. Visceral injuries: an unusual complication of an electrical burn. [emedicine.medscape.com]
- Hypotension
Massive edema may also cause hypovolemia and hypotension. Muscle destruction can result in rhabdomyolysis and myoglobinuria, and electrolyte disturbances. Myoglobinuria, hypovolemia, and hypotension increase risk of acute kidney injury. [msdmanuals.com]
Fluids Extravascular pooling of fluids through damaged endothelium leads to vascular hypovolemia and hypotension. Patients require fluid resuscitation with normal saline or lactated ringer. [dermaamin.com]
- Heart Failure
Atrial fibrillation may produce complications, either in the heart (heart failure, syncope) or in other organs (mainly causing embolism, the formation of blood clots in the cavities of the heart that may then travel to other places, for example the brain [healthdirect.gov.au]
[…] output may be prudent; again, with the goal of producing diuresis in the child with myoglobinuria Documented hypersensitivity; anuria; severe pulmonary congestion; progressive renal damage; severe dehydration; active intracranial bleeding; progressive heart [dermaamin.com]
Musculoskeletal
- Arthritis
In the rare case of diffuse electrical injury (DEI), there is no correlation between path of current and symptoms, such as muscle aches and tremors, incontinence, arthritis, and general fatigue, which may seem unrelated to the electrical contact and manifest [ecmweb.com]
Skin
- Blister
[…] the burn. 4 Do not break any blisters. [wikihow.com]
Second degree burns produce blistering, as seen here. Mild, or first degree burns cause only reddening of the epidermis (outer layer of the skin), as seen in this photograph. [mountsinai.org]
They can include: Blisters Pain (The degree of pain is not related to the severity of the burn, as the most serious burns can be painless.) [webmd.com]
Skin resistance heats up the tissue fluids and produces steam, leading to blister formation. When current ceases, the blister cools and collapses, thus producing the familiar lesion seen at autopsy. [howmed.net]
- Eruptions
After this age, the permanent lower incisors have erupted and alveolar bone growth is not significantly influenced by the tightness of the lower lip. [emedicine.medscape.com]
- Skin Disease
diseases See the DermNet NZ bookstore. [dermnetnz.org]
Psychiatrical
- Aggressive Behavior
Long-term neurologic complications include seizures, peripheral nerve damage, delayed spinal cord syndromes, and psychiatric problems from depression to aggressive behavior. [dermaamin.com]
Face, Head & Neck
- Facial Burn
Dressing Selection Follow Up & Referral Minor Facial Burns Minor Paediatric Burns Post Burn Care Minor Burn Wound FAQs Guidelines & Posters Patient Info Sheets Patients Charts Useful Links References Last Updated: The Alfred Hospital gratefully acknowledges [vicburns.org.au]
Some symptoms may be delayed, and can include: coughing a sore throat difficulty breathing singed nasal hair facial burns See recovering from burns and scalds for information on how serious burns are treated. [nhs.uk]
One patient with facial burn required skin grafting over the eyelid [Table 3]. [ijburns.com]
Patients may have perforated tympanic membranes, facial burn, and cervical spine injury. [dermaamin.com]
Urogenital
- Kidney Failure
Kidney Failure from Electrical Burn These injuries are also known to cause cataract formation, neurological damage, and kidney failure. The following are possible underlying causes of kidney failure: Hypovolemia. [pritzkerlaw.com]
Death is often due to acute kidney failure with massive myoglobinuria, to DIC (disseminated intravasal coagulation), or to direct damage caused by the electric current. [medbc.com]
Neurologic
- Headache
Even without visible burns, electric shock survivors may be faced with long-term muscular pain and discomfort, fatigue, headache, problems with peripheral nerve conduction and sensation, inadequate balance and coordination, and other additional symptoms [cetri.org]
Headache or dizziness. 8. Nausea. As seen, the symptoms can be mistaken, especially those which occur a while after accidents may be mistaken for other causes. [woundcaresociety.org]
Other symptoms include: Numbness or tingling Weakness Visible burns on the skin Headache Feeling disoriented The electrical current can also disrupt certain functions in the body which may cause: Low blood pressure which can lead to lightheadedness and [winchesterhospital.org]
If your baby suffers an electric shock, he may have skin burns; numbness or tingling; muscle contractions, pain, or weakness; a headache; or hearing impairment. [babycenter.com]
- Paresthesia
[…] injury Peripheral nerve injury may be involved by direct injury at the site of entrance or exit or in polyneuritic syndrome involving nerves far removed from the points of contact. [23] Typical symptoms include numbness and "pins and needles" sensation (paresthesia [emedicine.medscape.com]
Workup
WORKUP Lab Studies: If a significant electrical injury is suspected, order the appropriate studies to evaluate possible complications, including the following: Cardiac electrical abnormalities Cerebral edema Extent of deep tissue injury (despite an otherwise [mikeholt.com]
Treatment
The treatment in these eight cases with severe electric burns on special parts of the body was successful. [ncbi.nlm.nih.gov]
Swelling White or charred skin Treatment of Burns Burn treatment depends on the type of burn. [webmd.com]
Your doctor or hospital will evaluate the victim and determine whether or not there are injuries that need treatment. [legal-lookout.com]
Whichever bun one might experience, a right treatment will be needed for faster healing and death prevention. [woundcaresociety.org]
Prognosis
Abstract It was hypothesized that burn injuries electric in origin may have a poor prognosis for rehabilitation and return to work. [ncbi.nlm.nih.gov]
Early release of contractures should be undertaken in order to aid physiotherapy and rehabilitation to improve long-term prognosis. [ijburns.com]
What Is the Prognosis for Electric Shock? Recovery from electric shock depends on the nature and severity of the injuries. The percentage of the body surface area burned is the most important factor affecting prognosis. [emedicinehealth.com]
The percentage of the body surface area burned is the most important factor affecting prognosis. If someone who has received an electric shock does not suffer immediate cardiac arrest and does not have severe burns, he or she is likely to survive. [webmd.com]
Prognosis [ 1 ] Mortality : if the initial shock is survived, the chances of survival are excellent. [patient.info]
Etiology
The high frequency of psychological problems is very well established and may be multifactorial in etiology. [cetri.org]
[…] injuries present serious and common form of trauma with a unique etiology, pathophysiology and mechanism of injury. [degruyter.com]
Clinico-etiological profile and outcome of electric burns at RLJH, a tertiary care centre of South India. Indian J Burns 2014;22:79-82 How to cite this URL: Mohan A, Srinivasan K, Ashokan B. [ijburns.com]
CONCLUSION: This report highlights the rarity of the etiology of maculopathy and the need for campaigns for prevention not only of burns in general, but also especially of electrical burns. [scielo.br]
Epidemiology
Google Scholar Haberal, M., Kaynaroğlu, V., Öner, Z., Gülay, H., Bayraktar, U., Bilgin, N. (1989).Epidemiology of electrical burns in our center. Ann. Medit. Burns Club, 2, 14–16. [link.springer.com]
Rahman, Epidemiology of electrical injury: Findings from a community based national survey in Bangladesh, Injury, 43, 1, (113), (2012). [doi.org]
Epidemiology and outcome of Burns at Khyber Teaching Hospital Peshawar. Pak J Med Sci 2007;23(3):420–4. Khan N, Malik MA. Presentation of burn injuries and their management outcome. J Pak Med Assoc 2006;56:394–7. Martinez JA, Nguyen T. [jamc.ayubmed.edu.pk]
Electrical burns in times of economic crisis: A new epidemiologic profile. Elsevier et Masson.2016; 4975: 1-6. [hsd-fmsb.org]
Epidemiological studies of electrical injuries in Shaanxi Province of China: A retrospective report of 383 cases. Burns. Nov 18 2011;[Medline] 8. Fish R. Electric shock, Part II: Nature and mechanisms of injury. J Emerg Med. [ispub.com]
Pathophysiology
[…] injuries present serious and common form of trauma with a unique etiology, pathophysiology and mechanism of injury. [degruyter.com]
Support the Victorian Adult Burns Service Donate Now Emergency Numbers VSTS Major Trauma Guidelines ANZBA Referral Criteria ISBAR Outpatient Referral Wound Care Advice Burn Pathophysiology Burn Depth Burn %TBSA Burn Assessment Tips and Pitfalls Thermal [vicburns.org.au]
The exact pathophysiology of an electrical injury is very difficult to predict due to the large number of variables that cannot be measured or controlled when an electrical current passes through tissue. [cetri.org]
Joule heating and cell membrane disruption are two mechanisms important in understanding the pathophysiology of electrical injury. The degree of tissue damage is often more extensive than initially perceived on clinical exam. [doi.org]
Lee R.C., Gottlieb J., Krizak T.: Pathophysiology and clinical manifestations of tissue injury in electrical trauma. Adv. Plast. Reconstr. Surg., 8: 1, 1992. Luce E.A.: Electrical injury. [medbc.com]
Prevention
Prevention of Electrical Burns Three pronged electrical outlets that are grounded are one way to help prevent this type of serious injury. Another good source of prevention is to keep covers on all outlets that are not currently in use. [legal-lookout.com]
Your child may need to wear splints or casts to help prevent his muscles from shrinking. This may help prevent his joints and bones from becoming deformed. Massage therapy: A massage therapist may help your child feel less pain. [drugs.com]
Real-Life Example Five technicians were performing preventative maintenance on the electrical system of a railroad maintenance facility. [oshatrain.org]