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electrocution

electrocution / electrical injury

introduction

management

  • if pregnant, obtain obstetric consult as risk of placental abruption
  • high voltage > 1000V
    • consider 12-24hrs cardiac monitoring and serial troponins
    • watch for compartment syndrome, burns, fractures
  • low voltage asymptomatic patients
    • “Routine cardiac monitoring is not required after household voltage electrical injury if the patient is asymptomatic and has normal initial electrocardiography. Asymptomatic patients involved in minor electrical events do not require investigation or admission. ”
  • low voltage mild symptoms
    • exclude burns, fractures
    • if ECG is normal and no haemoglobinuria, discharge home after a couple of hours observation is reasonable with follow up of any injuries as indicated
electrocution.txt · Last modified: 2015/12/22 20:15 (external edit)