Injuries Caused By Lightning

Among the injuries caused by lightning include cardiac arrest, loss of consciousness and temporary or permanent neurological deficits; serious burns and injuries of internal tissues are rare. The diagnosis is made clinically; for evaluating an ECG and cardiac monitoring are required. Treatment is supportive.

Although injuries and deaths have decreased in the last 50 years due to lightning, lightning strikes still cause about 30 deaths and hundreds of injuries each year in the United States. Flashes tend to be wrapped in large or isolated objects, including trees, towers, shelters, flagpoles, grandstands and fences. A person can be the tallest object in an open field. Although metal objects and water do not attract lightning, but can more easily conduct when they are hit once the current. Lightning can strike directly or the current can be transmitted through the ground or a nearby object to it a person. Lightning can also sources of electrical power or electrical lines that are outdoors, flowing to the electrical equipment in the houses or telephone lines. The power of the flash may throw away a person over several meters.

Among the injuries caused by lightning include cardiac arrest, loss of consciousness and temporary or permanent neurological deficits; serious burns and injuries of internal tissues are rare. The diagnosis is made clinically; for evaluating an ECG and cardiac monitoring are required. Treatment is supportive. Although injuries and deaths have decreased in the last 50 years due to lightning, lightning strikes still cause about 30 deaths and hundreds of injuries each year in the United States. Flashes tend to be wrapped in large or isolated objects, including trees, towers, shelters, flagpoles, grandstands and fences. A person can be the tallest object in an open field. Although metal objects and water do not attract lightning, but can more easily conduct when they are hit once the current. Lightning can strike directly or the current can be transmitted through the ground or a nearby object to it a person. Lightning can also sources of electrical power or electrical lines that are outdoors, flowing to the electrical equipment in the houses or telephone lines. The power of the flash may throw away a person over several meters. Since the physics of an injury from a lightning strike is different from the physics by an artificial power source, the knowledge about the effects of exposure to household power or high voltage lines is not transferable to injuries caused by lightning. For example, a violation is determined by lightning not of voltage or current. Although the electricity of lightning contains a high amount of energy, it flows only for a very brief moment (1 / 10,000 to 1/1000 seconds). Hence it is rarely, if ever, before they caused serious wounds on the skin; rarely causes rhabdomyolysis or serious internal tissue damage, unlike injury due to electrical high and low voltage electricity from artificial sources. Patients may intracranial hemorrhage due to a secondary injury or, rarely, have the lightning itself. Lightning can affect the heart, but mainly concern the nervous system and damage the brain, the autonomic nervous system and the peripheral nerves. Tips and Risks Unlike high-voltage and high-current sources of physical injury caused lightning rarely, if ever, severe skin wounds and rarely rhabdomyolysis or serious internal tissue damage. Symptoms and complaints The electric charge can affect the heart and cause a cardiac arrest and other arrhythmia or on the brain by causing the loss of consciousness, acute confusion or amnesia. A keraunoparalysis expressed in paralysis and marbling, cold, and pulseless the bottom and sometimes the upper extremities with additional sensory deficits; the reason is probably a violation of the sympathetic nervous system. A keraunoparalysis occurs frequently and usually disappears within a few hours, although occasionally up to a certain extent can it result in permanent paralysis. While other manifestations of injuries can occur due to lightning. Minor burns to the skin in a dotted or feathered, branched patterns eardrum Cataracts Neurological (within days) problems may include confusion, cognitive deficits, and peripheral neuropathy. Neuropsychological problems (eg. As sleep disorders, attention deficit disorders, memory problems) may occur. Cardiac and respiratory arrest at the moment of being struck by lightning are the most common causes of death. Cognitive deficits, pain syndromes and damage of the sympathetic nervous system are the most common long-term consequences. Diagnostic detection of heart and brain complications lightning injuries can be observed or not observed. Injuries without witnesses should be suspected if someone is found unconscious or amnesic during or after a storm in the open field. All patients who were struck by lightning, should be examined for traumatic injuries. An ECG can be made if the injury is severe. Cardiac enzymes are measured in patients with the following findings: chest pain Abnormal EKG consciousness displayed in patients with initially abnormal and deteriorating mental state or focal neurological deficits that are compatible with a brain injury, is a CT or MRI. Treatment Supportive treatment A cardiopulmonary resuscitation is started in cardiac or respiratory arrest, or both. If an automated external defibrillator is available, it should be used. Patients with cardiac arrest after a lightning strike often, as opposed to patients with cardiac arrest due to other types of trauma, an excellent prognosis when they were revived. Therefore, unlike a typical major incident, in which patients with cardiac arrest are low triage priority, these patients are given a high priority if many casualties were caused by lightning. A supportive treatment is carried out. The supply of the liquids is usually limited to avoid a possible cerebral edema. Most patients who have been injured by lightning can be safely discharged, unless it is suspected cardiac effects or lesions in the brain. Prevention Most injuries caused by lightning can be prevented by following of Sicherheitsrvorkehrungen. it is important for. B. to know the weather forecast and to have an escape plan that includes an evacuation to a safer place. You should watch the weather while they are outdoors, so the flight plan can be implemented when an unexpected storm comes. If thunder can be heard, the risk to people is already there and they should seek shelter (eg., In a building or a fully enclosed vehicle). Small, open structures such as pavilions are not sure. One should not go outside until 30 minutes after the last lightning or thunder nothing more to see from lightning or hear is. Staying inside the house during a thunderstorm no plumbing and plumbing work should be carried out or electrical devices are operated; it is advisable to stay away from windows and doors and not to use landline phones, -computer or -spielkonsolen. Mobile phones and other portable devices and laptops are safe if they are used only in battery mode because they do not attract lightning. Important points Lightning injuries tend to cause cardiac arrhythmia and disorders of the brain, as opposed to electrical injury from electrical sources that cause skin burns and internal tissue injury. Start from lightning damage, when patients are unconscious or amnesic found outdoors after a storm. When examining patients, traumatic injuries, cardiac arrhythmia and brain and heart damage should be considered. Treatment is supportive. Most injuries caused by lightning can be prevented by following of Sicherheitsrvorkehrungen.

Health Life Media Team

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