RT Book, Section
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
SR Print(0)
ID 1181050878
T1 Lightning Injuries
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050878
RD 2024/04/20
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.