Lightning Strike Presenting as Fatal Lung Contusion: A Case Report.

Area of Science:

• Emergency Medicine
• Trauma Surgery
• Pulmonology

Background:

• Electrical injuries, particularly from lightning, pose significant risks of morbidity and mortality.
• High-voltage trauma can lead to severe pulmonary complications such as edema, contusion, ARDS, and hemorrhage.
• Patients often suffer secondary trauma alongside direct and indirect electrical injury.

Observation:

• A 62-year-old male presented with shortness of breath, vomiting, and hoarseness after a lightning strike.
• The patient received airway protection, antibiotics, corticosteroids, and supportive care.
• Despite medical intervention, the patient's condition deteriorated.

Findings:

• The primary cause of mortality was a severe lung contusion.
• The case illustrates the devastating impact of lightning strikes on respiratory function.
• Pulmonary complications represent a critical challenge in managing electrical injuries.

Implications:

• This case underscores the need for aggressive respiratory management in lightning strike victims.
• Early recognition and treatment of pulmonary complications are crucial for improving outcomes.
• Further research into advanced treatment strategies for severe lung contusions from electrical trauma is warranted.