RT Book, Section A1 Navarrete, Norberto A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155749833 T1 Lightning and Electrical Injuries T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155749833 RD 2024/03/29 AB Even low-voltage electrical injuries can be fatal and often show no external burns.Higher-energy electrical injury can cause massive muscle damage and release of myoglobin. Without adequate early fluid resuscitation, myoglobinuric acute kidney injury can occur.Sufficient fluid should be administered to maintain a urine flow of 1 to 1.5 mL/kg/h, 2 mL/kg/h until the urine is myoglobin-free.Lip and oral commissure burns are initially bloodless and nearly painless, but as the eschar separates in 1 to 2 weeks, severe bleeding can occur as the labial artery is uncovered.Resuscitation of the apparently dead is the rule with lightning injuries.When Thunder Roars, Go Indoors. Every person should learn and teach this preventive action.