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R Belmir1, N Fejjal, M El Omari
1Service de Chirurgie Plastique et Réparatrice, des Brûlés et de Chirurgie de la Main, Hôpital Ibn Sina, Rabat, Maroc.
Annals of Burns and Fire Disasters
|October 13, 2011
Summary
High-voltage electrical accidents cause severe, deep burns. Treatment often requires repeated surgeries and amputations, leading to significant functional impairments, highlighting the need for prevention.
Area of Science:
- Electrical injuries
- Trauma surgery
- Burn care
Context:
- High-voltage electrical accidents (AEHT) result in deep Joule effect burns along neurovascular bundles.
- These injuries present with severe damage between entry and exit points.
- A series of ten AEHT cases were analyzed at Ibn Sina Hospital in Rabat.
Purpose:
- To study the epidemiological, clinical, and therapeutic characteristics of high-voltage electrical accidents.
- To understand the management and outcomes of severe electrical burns.
- To identify key factors in AEHT cases.
Summary:
- Ten adult male patients (average age 31) with AEHT were treated, primarily due to contact with electricity distributors (70%).
- Burn surface area was less than 20% in most cases.
- Seventy percent of patients required iterative interventions, including amputation of necrotic limb segments, resulting in disabling functional sequelae.
Impact:
- AEHT lead to severe, often debilitating injuries requiring extensive surgical intervention.
- Amputation is a frequent outcome, causing significant long-term functional deficits.
- Prevention of AEHT, especially occupational accidents in exposed professions, is crucial.
