1/9. Management and coordination of postacute medical care for electrical trauma survivors.The clinical spectrum of electrical injury ranges from the absence of any external physical signs to severe multiple trauma. Reported neuropsychiatric sequelae can vary from vague complaints, which may seem unrelated to the injury in their occurrence over time or by their apparent severity, to sequelae consistent with brain injury accompanying an electrical trauma. In this report, a case study and discussion are presented on the management and coordination of post-acute care of an electrical trauma survivor. Expertise and a multidisciplinary team are essential to cohesive patient care. Patient monitoring for progressive changes and prompt intervention are needed to address the potential difficulties experienced by trauma survivors as they rehabilitate to return to their work and their activities of daily living.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/9. A third-degree burn caused by a neurogenic motor-evoked potential monitoring electrode during spinal surgery: a case report.STUDY DESIGN: A case report is presented. OBJECTIVE: To report a previously undescribed complication related to use of a neurogenic motor-evoked potential monitoring electrode and electrosurgery during spinal surgery. SUMMARY OF BACKGROUND DATA: Although electrosurgery is one of the most commonly used technologies in the operating room, its electrophysical properties, including the potential for complications, are poorly understood by many surgeons. Complications related to the use of electrosurgical instruments, monitoring electrodes, and radiofrequency current are underreported in the literature. methods: Clinical case analysis and investigation report were used. RESULTS: A case of third-degree skin burn at the site of a neurogenic motor-evoked potential monitoring electrode during posterior spinal fusion surgery is described. CONCLUSIONS: A burn resulting from a neurogenic motor-evoked potential monitoring electrode is rare. However, surgeons and electrophysiologists should be familiar with this potential complication in order to prevent it.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/9. Full-thickness burn formation after the use of electrical stimulation for rehabilitation of unicompartmental knee arthroplasty.Electrical stimulation and interferential current are commonly used modalities in the physical rehabilitation of patients who have undergone joint arthroplasty surgery. Sparse data are available in the literature regarding potential complications from using these modalities. We report on a patient who underwent a unicompartmental knee arthroplasty with a subsequent full-thickness skin burn over the metal implant after electrical stimulation and interferential current modalities in physical therapy.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
4/9. Principles and hazards of electrocautery in otolaryngology.Electrocautery is used extensively in otolaryngology--head and neck surgery. Its commonplace use and excellent safety record may lull the surgeon from heeding the device's potential dangers. User error causes the majority of patient injuries. A thorough understanding of the electrophysical principles and hazards is essential for even the occasional user. Three cases of electrosurgical injury are reported to demonstrate problem areas in electrocautery usage. The basic electrophysical properties are described, and guidelines for prevention of injury to the patient are reviewed.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
5/9. Prosthetic rehabilitation in bilateral high above elbow amputation.rehabilitation in patients with bilateral high above elbow amputation presents a considerable prosthetic problem. A patient with high upper arm amputations after a high-voltage injury is presented. He was successfully fitted with multifunctional myoelectric hand prostheses. The problems in rehabilitation of adult bilateral arm amputees are discussed and the value of fitting these patients with electrically powered prostheses is assessed. The balance between technical and clinical aspects is discussed in relation to patient acceptance. In our case good acceptance and functional benefit was noted. The fact is stressed that the bilateral upper extremity amputee can regain considerable physical function with the fitting of suitable prostheses, even if the limb remnants are short and provide little or no function. An extensive team approach at specialized centres will favour the results.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/9. Conservative management of electric burns to the lips of children.Crucial to the proper care of a child sustaining electric trauma to the oral cavity are both a complete understanding of the possible systemic sequelae of this injury and knowledge of the management of the particular lesion. The physical properties of electricity, the systemic and regional effects of electric injuries, and the associated complications are reviewed. The methods of treatment are discussed and the benefit of delaying surgical intervention is emphasized.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
7/9. The management of fractures in thermally injured patients.The occurrence of fractures in association with burn wounds has been considered a formidable combination which compromises the care of both types of injuries. During a 5-year period, 42 fractures were treated in 22 patients admitted to the burn center. A variety of fracture management techniques were used on an individualized basis. When fracture stabilization was necessary, external fixation provided acceptable fracture care while permitting access to the burn wound for dressings, grafting, and physical therapy. The presence of an overlying burn wound has been considered an absolute contraindication to the performance of internal fixation of fractures. However, we have found that this procedure can be performed safely provided that consideration is given to a number of factors, including timing of the operation, the importance of intraoperative fluid resuscitation, and the appropriate indications for this method of treatment.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
8/9. Delayed sympathetically maintained pain caused by electrical burn at the current's entry and exit sites.It is not uncommon for sympathetically maintained pain (SMP) to follow electric burns at the site of current entry. The occurrence of SMP at the exit point has not been reported. This report describes a patient who was exposed transiently to a 220W electrical current. After a delay of 3 months, the typical manifestations of SMP appeared on the right hand (entry point); symptoms appeared on the left foot (exit point) after 11 months. ultrasonography was helpful in identifying the bony and soft tissue changes that occurred with SMP. Serial sympathetic blocks, oral phenytoin, and an intensive physical rehabilitation program were useful in treating this electrically induced SMP.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
9/9. Investigation of deaths related to electrical injury.Even though the use of electricity is an integral part of our lives, the number of accidents and deaths related to electricity is on the decline. This is due to increased awareness of electrical hazards and, in large part, to increased inclusion of safety mechanisms by manufacturers. However rare, electrical injury and related death can present a complicated case in the emergency department and for death investigators. Sometimes the circumstances of the physical scene are unclear because of intentional or accidental alterations or the investigator's inability to reconstruct events leading to the injury. This may hinder the initial clinical assessment. We present cases of typical and atypical deaths from electrical injury and review clinical and investigative procedures to assist in the treatment of patients with electrical injuries.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |