Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Rapid IJ (aka Easy Internal Jugular Cannulation)

Buscar en contenido

Contenido:

sábado, 4 de junio de 2016

Electrocution

ECG Mojo
ECG Mojo - May 8, 2016 - By Linas Dziukas
"We are very familiar with the term "electricity", but we do not have an in-depth understanding of its “nature” or its “workings”. However we are all aware that an “electric shock” or a "lightning bolt" can produce a range of effects that range from a minor tingle to a “jolt” to major burns to death. In this post I will discuss three cases of electrical injury that I have been associated with...
Figure 3. Electrocardiograph of Case 2 taken soon arrival at the ED
Accelerated idioventricular rhythm (AIR)
Final thoughts: 
Electrocution is a relatively uncommon presentation to the ED. Most of the tissue damage occurs at the time of electrical injury. For practical purposes all lethal cardiac rhythms occur at the time of electrocution, although respiratory depression and prolonged muscle paralysis after lightning can cause secondary damage because of anoxia. About one in three persons who come to the ED after electrocution will have some change in their ECG tracing or their rhythm, but these changes are usually minor or reversible or both. The management of persons with significant ECG changes or rhythm abnormalities is supportive."