INTERESTING CASE ROUNDS

Alyssa Morris, R4August 5th, 2010

CASE THE CASE

THE A-TEAM

THIS DOESN’T FIT

ELECTRIC INJURIES

ELECTRIC INJURIES

7.19/55/55/20 Lactate 2.8 K 3.0 Hg 159

FACTORS DETERMINING ELECTRICAL INJURY

Type of circuitDuration Resistance of tissuesVoltageAmperagePathway of current

SOURCE CONTACT POINT GROUND CONTACT POINT

RESISTANCE OF BODY TISSUES LEAST

Nerves Blood Mucous membranes muscle

INTERMEDIATE Dry skin

MOST Tendon Fat Bone

AMPERAGE

P= I2Rt

I=V/R

MECHANISMS Of INJURY

PRIMARY INJURY1. Electrothermal heating2. Arc3. Flame4. Flash

SECONDARY INJURY Blunt trauma

CLINICAL FEATURES

Head and NeckCNSCardiovascularMSK Renal

Mx

ABCsECG +/- Cardiac monitoringBlood workFluid Resuscitation Burn wound careTetanus Call plastics early