Electrical Burn InjuryElectrical injuries most often occur in industrial accidents and, occasionally, with children who curiously play with electrical outlets or cords (chew on electrical cord). About 93% of electrical injury victims are males. The groups highest at risk are electrical and construction workers most commonly injured by generated electricity. Golfers who stay outdoors in summer during lightning storms, comprise a significantly large group susceptible to lightning strikes.There are two types of electric currents: DIRECT (DC) and ALTERNATING (AC). Injuries which result from direct current occur mainly in industrial environments. The majority of homes are supplied with alternating current. The flow of electricity is from the point of contact to the ground. The injury is dependent on the distance and the resistance of the tissue involved. Alternating current is usually much more disruptive to tissue. Direct current produces a smaller entrance wound with a much larger exit. The greatest threat to life from an electrical injury is the development of a cardiac arrhythmia (irregular heart beat). Many secondary problems can occur with electrical injury. Some are related to the chemical changes in the body that take place with substantial tissue injury (electrolyte abnormalities from muscle breakdown). Kidney failure can also occur, indirectly, as a result of an electrical injury. TREATMENTThe first rule of treatment in electrical injuries is to SAFELY remove the victim from continued exposure. Occasionally, this may require paramedic or fire personnel. The patient will immediately need ambulance transportation to the hospital. Many of the problems these patients have with cardiac irregularity occur soon after injury. Hospital evaluation will include blood tests for: electrolytes, cardiac enzymes, complete blood counts, and blood clotting function. In most cases, an EKG will disclose a cardiac arrhythmia or heart damage. Tetanus vaccination must be within 5 years. Hospitalization for burn care and cardiac monitoring is common Hope this article will provide you information about electrical injury.
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