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KMID : 0853020070100020151
Journal of Korean Burn Society
2007 Volume.10 No. 2 p.151 ~ p.156
The Case Report of 3 Lightning Injuries
Ha Chuan-Yu

Yoon Seok-Ho
Kim Jae-Hwan
Song Dae-Seong
Kim Hyun-Chul
Abstract
The primary causes of lightning injuries are extreme temperatures and electromechanical forces. Cardiopulmonary arrest is the most common cause of death in lightning victims. Immediate resuscitation of people struck by lightning greatly affects the prognosis. While persons struck by lightning show evidence of multisystem derangement, the most dramatic effects involve the cardiovascular and central nervous systems. Otologic injury and cutaneous burns have also been noted as frequent sequelae of these events. We present our experience of three group lightning injuries after a single ground strikes. All victims had minor abrasions without any significant tissue destructions along the path of grounding current. One had the typical fern-like skin lesions, another had second superficial burns on dorsum of foot. All victims showed cognitive dysfunction including impairments in memory, attention, and affective disturbances; anxiety, depression, irritability and poor frustration tolerance. There were no abnormal results on EKG or echocardiogrm. All they had the tingling sensations or weakness of extremities lasting for a long period. The best treatment of lightning injuries is prevention. The Lightning Safety Guidelines should be instituted to prevent these devastating injuries. (Journal of Korean Burn Society 2007;10:151-156)
KEYWORD
Lightning injury
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