1/40. High tension electrical injury from a telephone receiver.A high tension (13000 V) electrical injury to a young man from telephone receiver is described. The current entered the telephone circuit due to contact with a high tension live wire running close to the telephone wire 2 km away from the site of incidence.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
2/40. Physeal injury in a lightning strike survivor.Electrical injuries resulting in physeal injury in children are an uncommon but well-recognized clinical entity. Almost all these injuries are sustained from man-made electrical sources. To date, there have been no published cases of growth arrest after lightning strike. The authors report the case of a 12-year-old girl who survived a lightning strike 2 years ago and who presented with asymmetric growth arrest in both legs. The authors discuss the pathophysiology of lightning strike and consider the evidence for direct electrical injury versus ischemic insult to the physis as explanations for the cause of the growth arrest observed in this patient.- - - - - - - - - - ranking = 1.2keywords = injury (Clic here for more details about this article) |
3/40. Mountain medical mystery. Unwitnessed death of a healthy young man, caused by lightning.A healthy 20-year-old man failed to return home after a jog in the colorado mountains. His lifeless body was found the next day on an exposed mountain slope. The differential diagnosis in such mysterious, unwitnessed mountain deaths includes cardiac arrhythmia, cerebral hemorrhage, pulmonary embolism, seizures, trauma, high-altitude sickness, and hypothermia. The cause of death in this case was established on postmortem examination. The findings of ruptured tympanic membranes and a melted shoe established this as a case of lightning strike fatality. The National Lightning Detection Network can be a valuable resource to investigators by providing information on the location and date of lightning strikes in the vicinity of the victim.- - - - - - - - - - ranking = 2.1280286362018E-5keywords = trauma (Clic here for more details about this article) |
4/40. Lightning injury as a blast injury of skull, brain, and visceral lesions: clinical and experimental evidences.The present study attempts to better understand the mechanism of injuries associated with direct lightning strikes. We reviewed the records of 256 individuals struck by lightning between 1965 and 1999, including 56 people who were killed. Basal skull fracture, intracranial haemorrhage, pulmonary haemorrhage, or solid organ rupture was suspected in three men who died. Generally these lesions have been attributed to current flow or falling after being struck. However, examination of surface injuries sustained suggested that the true cause was concussion secondary to blast injury resulting from vaporization of water on the body surface by a surface flashover spark. To investigate this hypothesis, an experimental model of a lightning strike was created in the rat. Saline-soaked blotting paper was used to simulate wet clothing or skin, and an artificial lightning impulse was applied. The resultant lesions were consistent with our hypothesis that the blast was reinforced by the concussive effect of water vaporization. The concordance between the clinical and experimental evidence argues strongly for blast injury as an important source of morbidity and mortality in lightning strikes.- - - - - - - - - - ranking = 2.000831144862keywords = injury, brain (Clic here for more details about this article) |
5/40. A fifth mechanism of lightning injury.The four classic electrical mechanisms of lightning injury cannot account for all injuries. A fifth mechanism, injury by a weak upward streamer that does not become part of a completed lightning channel, has long been postulated in the engineering literature by lightning researchers. This paper reports a case of death where injury from a weak upward streamer is strongly suspected following forensic investigation. Neither high voltage nor any of the previously accepted mechanisms of lightning injury can explain this incident.- - - - - - - - - - ranking = 1.6keywords = injury (Clic here for more details about this article) |
6/40. Abnormal electroretinogram and abnormal electrooculogram after lightning-induced ocular injury.PURPOSE: To report a case of abnormal electrooculogram and abnormal electroretinogram after lightning-induced ocular injury. DESIGN: Interventional case report. methods: A 39-year-old man was struck on the left forehead by a bolt of lightning. After resuscitation, he regained consciousness. RESULTS: Ophthalmic examination disclosed a best-corrected visual acuity of right eye (RE): 20/25 and left eye (LE): 20/50, burned eyelashes, punctate keratitis, iridocyclitis, anterior subcapsular lens opacity, missing foveolar reflex, and macular pigment epithelial defect LE. fluorescein angiography revealed only an area of punctate leaking in the left eye. Electrooculogram showed reduced amplitudes, in the left eye. Arden ratio was RE: 2.04 and LE: 1.52. The amplitudes of scotopic and photopic electroretinogram b-waves were reduced in the left eye. After uneventful cataract surgery in the left eye, the follow-up electrooculogram and electroretinogram still showed reduced amplitude in the left eye. CONCLUSION: Lightning is an uncommon cause of ocular injury. This is the first report of abnormal electro-oculogram and abnormal electroretinogram after lightning-induced ocular injury.- - - - - - - - - - ranking = 1.4keywords = injury (Clic here for more details about this article) |
7/40. The neurological complications of electrical injury: a nursing case management perspective.High-energy electrical injury, whether from lightning strike or electrical shock, occurs primarily in the workplace. Neurological dysfunction can be a devastating complication of electrical injury. A review of the literature was undertaken to develop a better understanding of the epidemiology, mechanisms of injury and neuropathology associated with this type of injury. The numerous challenges inherent in the management of these complex cases were illustrated by three case studies.- - - - - - - - - - ranking = 1.6keywords = injury (Clic here for more details about this article) |
8/40. An unusual case of late ocular changes after lightning injury.We describe a case of late ocular changes after lightning injury. One year after the injury, complete ankyloblepharon, severe dry eye, corneal opacity, healed iritis and mature cataracts were noted in both eyes of the patient.- - - - - - - - - - ranking = 1.2keywords = injury (Clic here for more details about this article) |
9/40. lightning injuries.Lightning strikes may cause a constellation of injuries. Blunt head trauma, neurologic injury, and cardiac injury are common in these patients. In contrast to high-voltage electrocutions, blunt trauma after a lightning strike is common. Thorough evaluation of all organ systems is crucial. This report discusses mechanism of injury and describes initial evaluation and treatment of lightning strike victims.- - - - - - - - - - ranking = 0.60004256057272keywords = injury, trauma (Clic here for more details about this article) |
10/40. Electrical injury from Tasering and miscarriage.A case report is presented of a woman who was "Tasered" by law enforcement personnel while 12 weeks pregnant. The Taser (Thomas A. Swift's Electric Rifle) is an electronic immobilization and defense weapon that has been commercially available since 1974. The Taser was developed as an alternative to the .38 special handgun. The patient was hit with Taser probes in the abdomen and the leg. She began to spontaneously miscarry 7 days later and received a dilatation and currettage procedure 14 days later for incomplete abortion. The world's literature on electrical and lightning injury to pregnant women is reviewed, and the mechanism of action of Taser injury is discussed. As use of the Taser becomes more common, obstetrical clinicians may encounter complications from the Taser more often.- - - - - - - - - - ranking = 1.2keywords = injury (Clic here for more details about this article) |
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