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[Injuries caused by electricity].

C Lippestad1, J Erikssen, P Vaagenes

  • 1Medisinsk avdeling, Sentralsykehuset i Akershus, Nordbyhagen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 20, 1990
PubMed
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High voltage electrical injuries pose a significant risk, often causing severe tissue damage and cardiac arrest. Understanding the pathophysiology of electrical injuries is crucial for effective patient treatment and survival.

Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Electrical Injury Pathophysiology

Context:

  • Review of 18 electrical injury cases treated at Sentralsykehuset i Akershus, Norway, between 1978 and 1987.
  • All patients were male, with an average age of 33 years.
  • Injuries resulted from alternating current (AC), categorized into low and high voltage exposures.

Purpose:

  • To analyze the clinical outcomes and characteristics of electrical injuries.
  • To highlight the severity and mortality associated with high voltage electrical injuries.
  • To emphasize the importance of understanding electrical injury pathophysiology for optimal treatment.

Summary:

  • Seven low voltage injuries were relatively benign.
  • Eleven high voltage injuries resulted in severe deep tissue damage, particularly muscular, with a mortality rate of 18.2% (2/11 deaths).

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  • Key factors for mortality included respiratory arrest, cardiac arrest, and unconsciousness upon admission. Survival rates were significantly lower for patients experiencing cardiac arrest or respiratory arrest on admission.

    • Impact:

    • Underscores the critical difference in outcomes between low and high voltage electrical injuries.
    • Demonstrates the severe consequences of high voltage exposure, including deep tissue damage and life-threatening complications.
    • Stresses the necessity of specialized knowledge in managing electrical trauma to improve patient survival and recovery.