Lightning is a discharge of energy that occurs cloud to cloud (90%) or cloud to ground (10%).
Exposure to lightning:
Brief duration (1–100 msec)
Typically occurs during outdoor activity
Consider lightning strike in unwitnessed falls, cardiac arrests, or unexplained coma in an outdoor setting.
Conscious patients may report:
Muscle aches and pains
Field triage should rapidly focus on providing ventilatory support to unconscious victims or those in cardiopulmonary arrest:
Prevents primary cardiac arrest from degenerating int...
Postcardiac arrest patients
History of change in mental status/altered level of consciousness
History of chest pain, dysrhythmias, or ECG changes:
May not resolve s...
Do not follow burn treatment formulas for lightning burns and injuries.
Be diligent in the primary and secondary survey so as not to miss occult injuries.
Have a low threshold to adm...
Cooper MA, Andrews CJ, Holle RL. Lightning injuries. In: Auerbach PS, ed. Wilderness Medicine. 5th ed. St. Louis, MO: Mosby; 2007:67–108.
Cooper MA, Holle RL. Mechanisms of l...
949.0 Burn of unspecified site, unspecified degree
994.0 Effects of lightning
994.8 Electrocution and nonfatal effects of electric current
T30.0 Burn of unspecified body region, unspecifie...
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