TY - CHAP M1 - Book, Section TI - Lightning Injuries A1 - Zafren, Ken A1 - Thurman, R. Jason A1 - Jones, Ian D. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Lightning produces injury from high voltage, heat production, and explosive shock waves. Direct injuries include cardiorespiratory arrest, cardiac arrhythmias, and neurologic abnormalities such as seizures, deafness, confusion, amnesia, blindness, and paralysis. The patient may suffer contusions from the shock wave or from opisthotonic muscle contractions. Chest pain and muscle aches are common. One or both tympanic membranes (TMs) rupture in more than 50% of victims. Cataracts are usually a delayed occurrence. Hematologic abnormalities including disseminated intravascular coagulation have been described. Fetal demise may occur. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050878 ER -