Publication de 4 numéros par an
ISSN Imprimer: 1050-6934
ISSN En ligne: 1940-4379
Indexed in
Modern Concepts of Treatment and Prevention of Lightning Injuries
RÉSUMÉ
Lightning is the second most common cause of weather-related death in the United States. Lightning is a natural atmospheric discharge that occurs between regions of net positive and net negative electric charges. There are several types of lightning, including streak lightning, sheet lightning, ribbon lightning, bead lightning, and ball lightning. Lightning causes injury through five basic mechanisms: direct strike, flash discharge (splash), contact, ground current (step voltage), and blunt trauma. While persons struck by lightning show evidence of multisystem derangement, the most dramatic effects involve the cardiovascular and central nervous systems. Cardiopulmonary arrest is the most common cause of death in lightning victims. Immediate resuscitation of people struck by lightning greatly affects the prognosis. Electrocardiographic changes observed following lightning accidents are probably from primary electric injury or burns of the myocardium without coronary artery occlusion. Lightning induces vasomotor spasm from direct sympathetic stimulation resulting in severe loss of pulses in the extremities. This vasoconstriction may be associated with transient paralysis. Damage to the central nervous system accounts for the second most debilitating group of injuries. Central nervous system injuries from lightning include amnesia and confusion, immediate loss of consciousness, weakness, intracranial injuries, and even brief aphasia. Other organ systems injured by lightning include the eye, ear, gastrointestinal system, skin, and musculoskeletal system. The best treatment of lightning injuries is prevention. The Lightning Safety Guidelines devised by the Lightning Safety Group should be instituted in the United States and other nations to prevent these devastating injuries.
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Saglam Hayrettin, Yavuz Yucel, Yurumez Yusuf, Ozkececi Gulay, Kilit Celal, A case of acute myocardial infarction due to indirect lightning strike, Journal of Electrocardiology, 40, 6, 2007. Crossref
-
Kilbas Zafer, Akin Murat, Gorgulu Semih, Mentes Oner, Ozturk Erkan, Kozak Orhan, Tufan Turgut, Lightning strike: an unusual etiology of gastric perforation, The American Journal of Emergency Medicine, 26, 8, 2008. Crossref
-
Evans Paige M., Armour Micki D., Dubielzig Richard R., Ocular lesions following suspected lightning injury in a horse, Veterinary Ophthalmology, 15, 4, 2012. Crossref
-
Spano Susanne J., Campagne Danielle, Stroh Geoff, Shalit Marc, A Lightning Multiple Casualty Incident in Sequoia and Kings Canyon National Parks, Wilderness & Environmental Medicine, 26, 1, 2015. Crossref
-
Rahmani Seyed Hesam, Faridaalaee Gholamreza, Jahangard Samira, Acute transient hemiparesis induced by lightning strike, The American Journal of Emergency Medicine, 33, 7, 2015. Crossref
-
Icheva V., Heimberg E., Stromunfälle in der Pädiatrie, Monatsschrift Kinderheilkunde, 163, 9, 2015. Crossref
-
Ghaffarzad Amir, Ala Alireza, Shahsavri Nia Kavous, Farajpour Ramin, Abdollahi Fariba, Pourasghary Sajjad, Study of Pre-hospital Emergency Care Assessment on Burned Patients Referred to Hospitals in Tabriz, Northwest Iran, Thrita, 6, 2, 2017. Crossref
-
van Ruler Rick, Eikendal Ties, Kooij Fabian O., Tan Edward C.T.H., A shocking injury: A clinical review of lightning injuries highlighting pitfalls and a treatment protocol, Injury, 53, 10, 2022. Crossref