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Electrical injury

  • Обзор
  • Теория
  • Диагноз
  • Лечение
  • Последующее наблюдение
  • Источники
Последний просмотренный: 29 Jun 2026
Last updated: 13 Feb 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • loss of consciousness
  • prehospital CPR or defibrillation
  • tachycardia
  • hypotension
  • low Glasgow Coma Scale score
  • burns
  • physical injuries
Полная информация

Другие диагностические факторы

  • diminished peripheral pulses and poor capillary refill
  • low core body temperature
  • confusion
  • paralysis
Полная информация

Факторы риска

  • age <6 years
  • construction industry workers
  • male sex
  • participation in outdoor sports
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • ECG
  • CBC
  • electrolytes
  • LFTs
  • coagulation studies
  • creatine kinase
  • urine myoglobin
  • cardiac enzymes (CK-MB and troponin)
  • toxicology screen
  • chest x-ray
Полная информация

Исследования, проведение которых нужно рассмотреть

  • plain x-rays
  • head CT
  • head MRI
  • compartment pressure measurements
Полная информация

Алгоритм лечения

Острый

all patients

Составители

Авторы

Baljit Dheansa, MBBS, FRCS, MSc, FRCS (Plast)

Consultant Burns, Plastic & Reconstructive Surgeon

Honorary Senior Lecturer

Queen Victoria Hospital NHS Foundation Trust

West Sussex

UK

Раскрытие информации

BD is the Chair of the Data Monitoring Board of a trial studying enzymatic debridement of burns, and Chair of the Steering Committee of a trial studying LASER treatment of scars. He is also an expert witness in medicolegal cases involving burns, and regularly teaches on burn injury to students and health professionals.

Ahmed Hagiga, MBBCh, MRCS, MSc

Plastic Surgery Registrar

Plastic Surgery Department

Queen Victoria Hospital NHS Foundation Trust

West Sussex

UK

Раскрытие информации

AH declares that he has no competing interests.

Выражение благодарностей

Mr Dheansa and Mr Hagiga would like to gratefully acknowledge Dr Juan Enrique Berner and Dr T Grant Phillips, previous contributors to this topic.

Раскрытие информации

JEB and TGP declare that they have no competing interests.

Рецензенты

Stephen J. Ritz, DO

UPMC St. Margaret Family Medicine Residency and Faculty Development Fellowship

Osteopathic Family Practice/Rotating Internship Program

Pittsburgh

PA

Раскрытие информации

SJR declares that he has no competing interests.

Catalina C. Ionita, MD

Assistant Professor of Neurology and Neurosurgery

SUNY

Buffalo

NY

Раскрытие информации

CCI declares that she has no competing interests.

Bernd Hartmann, MD

Chief Physician

Centre for Severe Burns Injuries with Plastic Surgery

Unfallkrankenhaus Berlin (Trauma Hospital Berlin)

Berlin

Germany

Раскрытие информации

BH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Spies C, Trohman RG. Narrative review: Electrocution and life-threatening electrical injuries. Ann Intern Med. 2006 Oct 3;145(7):531-7. Аннотация

Davis C, Engeln A, Johnson E, et al. Wilderness Medical Society practice guidelines for the prevention and treatment of lightning injuries: 2014 update. Wilderness Environ Med. 2014 Dec;25(4):S86-95.Полный текст  Аннотация

American Heart Association. Part 10.9: electric shock and lightning strikes. Circulation. ​2005 Dec 13;112(24):IV-154-5.Полный текст

Arnoldo B, Klein M, Gibran, NS. Practice guidelines for the management of electrical injuries. J Burn Care Res. 2006 Jul-Aug;27(4):439-47. Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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