Electrical injuries

Electrical injuries

Electrical injuries can have serious multisystemic consequences and have to be evaluated regardless of the extent of skin injuries. Emergency department treatment is complex with simultaneous use of ACLS (Advanced Cardiac Life Support) and ATLS (Advanced Trauma Life Support) algorithms, and with par...

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Bibliographic Details
Published in:Revue médicale suisse Vol. 7; no. 305; p. 1569
Main Authors: Grosgurin, O, Marti, C, Niquille, M
Format: Journal Article
Language:French
Published: Switzerland 24-08-2011
Subjects:
Advanced Cardiac Life Support - methods
Algorithms
Arrhythmias, Cardiac - etiology
Arrhythmias, Cardiac - therapy
Burns, Electric - complications
Burns, Electric - therapy
Critical Care
Humans
Monitoring, Physiologic
Patient Transfer
Practice Guidelines as Topic
Shock, Traumatic - etiology
Shock, Traumatic - therapy
Trauma Centers
Treatment Outcome
Unconsciousness - etiology
Unconsciousness - therapy
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Summary:Electrical injuries can have serious multisystemic consequences and have to be evaluated regardless of the extent of skin injuries. Emergency department treatment is complex with simultaneous use of ACLS (Advanced Cardiac Life Support) and ATLS (Advanced Trauma Life Support) algorithms, and with particular attention given to fluid resuscitation and musculoskeletal damage management. Beyond the recognized intensive care admission criteria like polytrauma or severe bums, documented arrhythmia or abnormal ECG on initial evaluation, loss of consciousness and high voltage electrical injuries (> 1000 V) each prompt a minimum of 24 hours cardiac monitoring. In addition, severely burned patients should be promptly transferred to specialized facilities.
ISSN:1660-9379