Electrocution: a review of 155 cases with emphasis on human factors

P F Mellen1, V W Weedn, G Kao

  • 1Department of Pathology, Walter Reed Army Medical Center, Washington, D.C.

Insights

Human factors like carelessness and intoxication significantly contribute to electrocution incidents. This review of 155 cases highlights their role in both low and high-voltage electrical injuries.

Area of Science:

  • Forensic Pathology
  • Electrical Injury Analysis
  • Human Factors in Accidents

Background:

  • Electrocution poses a significant risk, with human factors often implicated in accidental deaths.
  • Understanding the specific roles of carelessness and intoxication is crucial for developing effective prevention strategies.
  • A comprehensive review of electrocution cases can elucidate common contributing elements.

Purpose of the Study:

  • To investigate the contribution of human factors, specifically carelessness and intoxication, to electrocution incidents.
  • To analyze the circumstances and pathological findings in a series of electrocution cases.
  • To differentiate contributing factors across various types of electrical injuries, including low-voltage, high-voltage, and lightning strikes.

Main Methods:

  • A retrospective review of 155 electrocution cases was conducted.
  • Cases were sourced from the Armed Forces Institute of Pathology repository (1955-1988).
  • Data analysis included circumstances, pathological findings, and classification by voltage (low/high) and lightning strike.

Main Results:

  • Human factors such as blatant carelessness, improper equipment use/maintenance, and intoxication were identified as significant contributors.
  • Analysis revealed distinct patterns in circumstances and findings across different electrocution categories.
  • The majority of cases involved high-voltage electrocution, followed by low-voltage and lightning strikes.

Conclusions:

  • Carelessness, intoxication, and equipment-related issues are key modifiable factors in electrocution fatalities.
  • Targeted interventions addressing these human factors are essential for reducing electrocution incidence.
  • Further research into specific high-risk scenarios could enhance prevention efforts.

Related Concept Videos

Conductors and Insulators01:19

Conductors and Insulators

Some materials may easily let electrical charges pass through them, while others obstruct their flow. The former are called conductors and the latter insulators. The atomic structures of materials determine whether they are conductors or insulators of electricity.
Most metals are conductors. Their atomic configuration is such that one or more electron(s) are loosely bound to the nucleus in each atom. Thus, a sea of mobile electrons are available in them, known as free electrons. Their easy...
Equipotential Surfaces and Conductors01:16

Equipotential Surfaces and Conductors

For a conductor in which all charges are at rest, the conductor's surface is equipotential. The electric field is always perpendicular to equipotential surfaces. Therefore, in a conductor with static charges, the electric field just outside the conductor is always perpendicular to the conductor's surface. Any tangential component of the electric field will cause charges to move inside the conductor, which will violate the electrostatic nature of the system. In an electrostatic situation, if a...
Electrocardiogram Fundamentals01:28

Electrocardiogram Fundamentals

Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...