Severe Injury and Death Associated With Home Infant Cardiorespiratory Monitors

PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 775-779
Author(s):  
Murray L. Katcher ◽  
Mary Melvin Shapiro ◽  
Connie Guist
Keyword(s):  
Young Children ◽  
Severe Injury ◽  
Electrical Injury ◽  
Anticipatory Guidance ◽  
Home Monitor ◽  
Injury Control ◽  
Electrical Injuries

Five cases of electrical injury to young children caused by misuse of components of home cardiorespiratory monitors are reported. The injuries, which included one electrocution, occurred when partially or completely disconnected electrode wires were inserted, by an older monitored child or preschool-aged sibling, into a live power cord or an uncovered wall outlet. Anticipatory guidance of home monitor users should emphasize potential electrical injuries and appropriate injury-control behaviors.

Hypokalaemia with flaccid paralysis following high-voltage electrical injury in an adolescent patient

Trauma ◽  
2019 ◽  
Vol 21 (4) ◽  
pp. 317-320
Author(s):  
R Bird ◽  
S Naji ◽  
B Vowles ◽  
A Shaw ◽  
NA Martin
Keyword(s):  
Case Report ◽  
High Voltage ◽  
Clinical Picture ◽  
Flaccid Paralysis ◽  
Electrical Injury ◽  
Adolescent Patient ◽  
Potassium Homeostasis ◽  
Electrical Arc ◽  
Electrical Injuries

The authors present a case report of a previously healthy 15-year-old male who experienced global weakness in the presence of profound hypokalaemia following a high-voltage electrical arc injury. The clinical picture is discussed in the context of our evolving understanding of electrical injuries and potassium homeostasis.

Electrical injuries

2019 ◽  
pp. 171-176
Author(s):  
Jong Lee ◽  
David N. Herndon ◽  
Celeste C. Finnerty
Keyword(s):  
Clinical Features ◽  
High Mortality ◽  
Inpatient Care ◽  
Electrical Injury ◽  
Electrical Injuries

Electrical injuries extend deep into tissues and are characterized by high mortality and complications. This chapter will discuss classification of electrical injuries and the major mechanisms of electrical injury. It will describe clinical features of these injuries, concentrating on the integumentary, neurological, cardiovascular, respiratory, musculoskeletal, and renal systems. It will then describe investigation and treatment of these injuries, with a discussion of immediate care and inpatient care. The chapter will conclude with a list of complications commonly seen after electrical injury.

scholarly journals Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028741
Author(s):  
Jae Hyuk Choi ◽  
Donghoon Han ◽  
Si-Hyuck Kang ◽  
Chang-Hwan Yoon ◽  
Jung Rae Cho ◽  
...  
Keyword(s):  
South Korea ◽  
Atrial Flutter ◽  
Wall Motion ◽  
Regional Wall Motion ◽  
Cardiac Complication ◽  
Cardiac Complications ◽  
Electrical Injury ◽  
Single Centre ◽  
Regional Wall ◽  
Electrical Injuries

ObjectivesTo date, no research has investigated the association between cardiac complication and electrical injury; hence, we aimed to assess the consequences and relating factors of cardiac complications from electrical injuries in South Korea.DesignRetrospective single-centre study.Participants721 patients who had electrical injury–related admission during 2007–2017. An electronic medical record system was used to extract records of patients admitted for electrical injury treatment.ResultsCardiac complications included abnormal parameters of myocardial damage, abnormal regional wall motion detected via echocardiogram, dysrhythmia (eg, bradycardia, atrial flutter/fibrillation) and ventricular tachycardia or fibrillation. Overall, 107 patients (14.8%) experienced cardiac complications. The average admission duration and intensive care unit stay duration were significantly longer in patients with cardiac complications than in those without them (75.0±45.3 vs 56.6±48.0 days and 19.3±24.1 vs 10.4±15.5 days, respectively, p<0.01 for both). Of the total cardiac cases, 72.9% had Troponin I elevation, 3.7% had regional wall motion abnormality, and 5.6% had atrial flutter/fibrillation. Overall, seven patients from the cardiac complication group and three patients from the control group died (p=0.01). All deaths occurred within 32 days, and the most common cause of death was septic shock. Total body surface area (TBSA) was only positively related factor to cardiac complications.ConclusionThis study is the first in South Korea to reveal that electrical accident patients with cardiac complications experience poorer in-hospital prognosis, and TBSA was the only risk factor of cardiac complications. And initial treatment for infection and inflammations could be important in electrical injury.

scholarly journals Unspecified pain and other soft tissue disorders following electrical injuries: a register-based matched cohort study

2021 ◽  
Author(s):  
Per Hoegh Poulsen ◽  
Ole Carstensen ◽  
Anette Kærgaard ◽  
Jesper Medom Vestergaard ◽  
Kent J. Nielsen ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cohort Study ◽  
Soft Tissue ◽  
Cox Regression ◽  
Conditional Logistic Regression ◽  
Electrical Injury ◽  
Matched Cohort ◽  
Eye Injuries ◽  
History Of ◽  
Electrical Injuries

Abstract Objective This study investigates whether individuals who have sustained an electrical injury (EI) are diagnosed with unspecified pain or pain related to the musculoskeletal system in the years following the injury. Methods Individuals listed in Danish registers as having sustained EIs were matched for sex, age, and year of injury in a cohort study with individuals having experienced dislocations/sprains (match 1), eye injuries (match 2), and a sample of individuals with the same occupation without a history of electrical injuries (match 3). Outcomes were unspecified pain and unspecified soft tissue disorders. Conditional logistic regression and conditional Cox regression were applied. Results We identified 14,112 individuals who sustained EIs. A higher risk of both outcomes was observed for all three matches, and was highest at the 6- and 12-month follow-ups. The risk of both outcomes was considerably higher for match 3. Conclusions This study confirms that exposure to EIs increases the risk of being diagnosed with unspecified pain or unspecified soft tissue disorders both at short and long terms. Our results also showed that the risk of unspecified pain as sequelae is related to the severity of the injury.

scholarly journals Use of troponin assay after electrical injuries: a 15-year multicentre retrospective cohort in emergency departments

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Douillet Delphine ◽  
Kalwant Stéphanie ◽  
Amro Yara ◽  
Gicquel Benjamin ◽  
Arnaudet Idriss ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Positive Likelihood Ratio ◽  
Predictive Marker ◽  
Electrical Injury ◽  
Cardiac Events ◽  
Clinical Criteria ◽  
St Segment Elevation ◽  
St Segment ◽  
European Society Of Cardiology ◽  
Electrical Injuries

Abstract Background Patients with electrical injury are considered to be at risk of cardiac arrhythmia. Assessing the risk of developing a major adverse cardiac event (MACE) is the cornerstone of patient management. The aim of this study was to assess the performance of initial troponin and troponin rise to predict Major Adverse Cardiac Events (MACEs) in all patients with electrical injuries admitted to the Emergency Department. Methods This is a multicentre retrospective study in which consecutive patients with electrical injuries admitted to the Emergency Departments (ED) (adult and paediatric) of five French Hospitals were included between 2005 and 2019. The threshold for troponin elevation is based on the European Society of Cardiology guidelines for patients presenting without persistent ST segment elevation. The primary endpoint was the rate of MACE. Results A total of 785 included patients were admitted to ED with a first diagnosis of electrical injury during the study period. Troponin assays were performed in 533 patients (67.9%), including 465 of 663 adults (70.1%) and 68 of 122 children (55.7%) and 17/533 (3.2%) of patients had an initial elevated troponin. If none of the clinical criteria for MACE were present (i.e., previous known heart disease, exposure to a high voltage of ≥ 1000 Volts, initial loss of consciousness, or an abnormal initial ECG), this defined a low-risk subgroup (n = 573, 76.0%) that could be safely discharged. The initial positive troponin assay had a sensitivity of 83.3 (95% CI 35.9–99.6%), a specificity of 97.7 (95% CI 96.1–98.8%), a positive likelihood ratio 36.6 (95% CI 18.8–71.1%) and a negative predictive value of 99.9 (95% CI 99.2–99.9%) in predicting a MACE. Conclusions Troponin assay appears to be a predictive marker of MACE risk and should be considered in high-risk patients.

scholarly journals Schizoaffective Disorder That Is Induced By Electrical Voltage That Is Treated with Risperidone

2019 ◽  
Vol 7 (16) ◽  
pp. 2667-2670
Author(s):  
Ihsan Fadhilah ◽  
Mustafa M. Amin
Keyword(s):  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Life Support ◽  
Low Voltage ◽  
Human Life ◽  
Psychotic Symptoms ◽  
Electrical Injury ◽  
Post Traumatic Stress ◽  
History Of ◽  
Electrical Injuries

BACKGROUND: Electricity is a necessity for humans to carry out their daily activities, wherein modern times there are many human life support devices require electricity that makes humans depend on their existence, it cannot be denied that electricity is the energy needed by humans in everything that supports human activities, that increased injury due to electric shocks such as the cardiovascular system, nervous system, respiratory system, cutaneous injuries, burns, neurotransmitter system and death. Psychiatric disorders such as psychosis, mania, depression, post-traumatic stress disorder, conversion disorder, adjustment disorders and schizophrenia have been reported as diseases triggered by electrical injuries. CASE REPORT: This study reports cases of electrical injuries that cause psychotic symptoms such as schizophrenia. After low voltage electrical injury. A 20 years old male, Malay, Indonesian, graduated from high school, worked, unmarried, a history of psychiatric disorders was not found, family history of experiencing the same disease was not found. Reported to have suffered an injury due to electricity twice the first injury occurred, and caused a change in behaviour and emotions, and the second injury caused obvious psychotic symptoms, aggressive behaviour and mood enhancement. A brief review of the literature on the occurrence of psychiatric disorders in these injuries is also presented. CONCLUSION: Electrical injuries can cause sequelae such as psychotic disorders, the increased mood has occurred after an electrical injury in someone without prior mood disorders and personality. This is associated with circulatory hormone changes that occur in the hippocampus.

Electrical injury and burns and their management

2021 ◽  
pp. 193-204
Author(s):  
David C.G. Sainsbury ◽  
Joel Fish
Keyword(s):  
High Voltage ◽  
Low Voltage ◽  
Electrical Current ◽  
Systemic Effects ◽  
Electrical Injury ◽  
Current Passing ◽  
Partial Thickness ◽  
Complex Reconstruction ◽  
Electrical Injuries

Though responsible for just 4% of burn centre admissions, electrical injuries present in a myriad of ways. From small, innocuous, partial-thickness injuries on the fingertip, to a high-voltage injury requiring amputation and complex reconstruction, the burn surgeon must be equipped with the knowledge and skill to deal with such varying injuries. This chapter describes the epidemiology of electrical injury and the pathophysiology of electrical current passing through the patient. The management of high- and low-voltage wounds is described, as is the treatment of the systemic effects of the electrical injury.

scholarly journals Evaluating the risks of arrhythmia following electrical injury: Two cases of electrical injuries in the upper limbs

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092042
Author(s):  
Koichi Jingo ◽  
Yutaka Kondo ◽  
Yohei Hirano ◽  
Juri Inoue ◽  
Takaaki Kawasaki ◽  
...  
Keyword(s):  
Emergency Department ◽  
Ventricular Arrhythmias ◽  
Current Flow ◽  
The Other ◽  
Lower Limbs ◽  
Electrical Injury ◽  
Upper Limbs ◽  
Line Voltage ◽  
Old Men ◽  
Electrical Injuries

Electrical injuries induce ventricular arrhythmias, which are lethal. Therefore, it is important to evaluate the risk of arrhythmias at initial presentation to the emergency department in cases of electrical injuries. Here, we report two cases with electrical injuries, where current flowed between the upper limbs, requiring 24-h hospitalization for arrhythmia monitoring. The patients were 57- and 30-year-old men, who sustained separate electrical injuries (6600 V, line voltage), with current flow from one hand to the other. They did not develop any ventricular arrhythmias during hospitalization and were discharged. The risk for ventricular arrhythmias is lower for electrical injuries occurring between the upper limbs than for those occurring between the upper and lower limbs. We conclude that 24-h hospitalization for monitoring of patients with electrical injuries of the upper limbs may be sufficient.

scholarly journals Bilateral upper limb amputations in victims of high tension electrical injuries: Three case studies

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Cajetan Nwadinigwe ◽  
Obidiche S. Olewe
Keyword(s):  
Upper Limb ◽  
High Voltage ◽  
Case Reports ◽  
Electrical Injury ◽  
Occupational Hazards ◽  
Cost Of Treatment ◽  
High Tension ◽  
Occupational Setting ◽  
Need For Rehabilitation ◽  
Electrical Injuries

Bilateral upper limb amputations result in severe disability. High voltage electrical injury is a rare cause of such an outcome and injuries often occur as occupational hazards. We present three case reports of accidental high voltage injuries that occurred in a non-occupational setting. Victims were all initially managed at other centres before referral to our hospital and all subsequently had bilateral upper limb amputations. The high cost of treatment, importance of prevention, and need for rehabilitation are highlighted.

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