1/7. Experience of the treatment of severe electric burns on special parts of the body.The treatment in these eight cases with severe electric burns on special parts of the body was successful. Our experience can be summarized as follows: (1) The role of the immediate measures including resuscitation at the scene of the accident cannot be understated. If the patient presents with a complex injury such as open pneumothorax, first aid should be provided immediately and then the patient should be transferred to a specialized treatment center. (2) General conditions such as the presence of shock, water-electrolyte balance, renal function, and others should be continuously monitored. (3) Antibiotics should be suitably administered and combined with antianaerobic drugs. (4) For different wound sites, different plans of treatment, including various immediate and delayed procedures, could be appropriate. In life-threatening cases such as exposed carotid artery, perforative injury of the chest wall, spinal cord damage, and others, first-stage repair using skin flap or myocutaneous flap must be performed after early debridement. For other wound sites, such as oral area and tongue, eye socket, and penis, second-stage reconstruction may be more suitable for better cosmetic appearance and function. (5) Adequate nutritional supply and early treatment of anemia may expedite wound healing.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
2/7. Neuropsychiatric profile of a case of post traumatic stress disorder following an electric shock.Exposure to extraordinary stressors or life-threatening events has been shown to result in negative cognitive, behavioural and emotional outcomes including the cluster of symptoms constituting Post Traumatic Stress Disorder (PTSD). This disorder has most often been studied in military veterans and victims of abuse who also show high rates of comorbid conditions. We report a case of PTSD following an electrical injury in a patient with no past psychiatric history. Implications for a full range of examinations including comprehensive neuropsychiatric testing are discussed. Results suggest that such approach addresses the complexity of a differential diagnosis between organic and psychiatric dysfunctions.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
3/7. Cutaneous manifestations of lightning injury.This report calls attention to a bizarre, almost pathognomonic, cutaneous feature of lightning injury. It has been variously described as "lightning prints," "arborescent" burns, or "feathering," and has long been neglected in the dermatologic literature. Its recognition may be lifesaving in the unaccompanied comatose patient and is important because even delayed resuscitation of lightning victims can be very successful.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
4/7. Electrical injury as a possible cause of sick sinus syndrome.Electrical injury is a serious public health problem. heart is one of the most frequently affected organs. Electrical injury can cause life-threatening cardiac complications such as asystole, ventricular fibrillation, and myocardial rupture. In this case report, we present a 20-yr-old male patient with sick sinus syndrome that developed years after electrical injury.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
5/7. Implantable cardioverter defibrillator storm: nursing care issues for patients and families.Implantable cardioverter defibrillators (ICDs) are being used for primary and secondary prevention of life-threatening cardiac arrhythmias, and evidence suggests that increased use is likely in the future. ICD storm, the delivery of two or more shocks within 24 hours, occurs in 10% to 20% of patients who have ICDs and can have long-lasting psychological and physical consequences. An understanding of the factors associated with ICD storm, relevant assessment, and patient and family teaching and counseling can help clinicians to better meet the needs of patients who have experienced ICD storm.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
6/7. Accidental "cranial" defibrillation.A case of accidental shock to the head, caused by a cardiac defibrillator, is presented. The shock resulted in minor burns and symptoms similar to those of postelectro-convulsive shock therapy (ECT). A physician participating in an advanced life support course, and familiar with the equipment, was the victim. An assumption that the demonstration equipment was not real seems to have been the cause of the accident. Suggestions for prevention of further episodes are discussed.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |
7/7. Prediction of outcome after resuscitation in a case of electrocution.Electrical shocks commonly cause widespread acute and delayed tissue damage. Cardiac arrhythmias and respiratory arrest are the most life-threatening complications in the acute phase. Prediction of outcome after cardiopulmonary resuscitation is usually based on neurological findings compatible with anoxic encephalopathy. This report describes a case of electrocution followed by cardiopulmonary resuscitation. Although neurological signs on admission pointed towards severe brain injury, the patient fully recovered and was able to resume the level of cognitive functioning prior to the accident.- - - - - - - - - - ranking = 1keywords = life (Clic here for more details about this article) |