14,000 volt electrical injury to bilateral upper extremities: a case report

Area of Science:

• Plastic Surgery
• Trauma Surgery
• Burn Management

Background:

• High voltage electrical injuries (HVEI) are severe and often fatal.
• These injuries cause extensive deep tissue damage, leading to significant morbidity.
• Prompt and aggressive management is crucial for patient outcomes.

Observation:

• A 47-year-old electrical linesman sustained a 14,000-volt HVEI to both hands and wrists.
• The patient required extensive surgical intervention.
• Management was performed at the McGill University Health Center.

Findings:

• Surgical procedures included escharotomies, fasciotomies, and serial debridements.
• Bilateral pedicle groin flaps were utilized for reconstruction.
• Amputation of the left hand was ultimately necessary.

Implications:

• This case highlights the devastating effects of HVEI and the need for specialized care.
• Complex reconstructive techniques are often required for limb salvage.
• Multidisciplinary management is essential for optimizing outcomes in severe electrical burn patients.