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AUTHORS:
Robert H. Demling, M.D.
Leslie DeSanti R.N., Dennis
P. Orgill, M.D. PhD.
Section
7a
HIGH TENSION ELECTRICAL BURNS
PHYSICAL
CHARACTERISTICS OF HIGH TENSION INJURY
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- Typical
“entrance” site is shown.
- Note
concave appearance of
hand
- Burn
reflecting dessication of tissue
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- Exit
sites from 1500 volt exposure.
- Punctuate
like holes are characteristic of current
exiting at the grounded area.
- This
patient is an automatic admission
preferably to a Burn Center
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- Entrance
site for 25,000 volt exposure.
- Hand
and forearm is mummified. High heat
- production
is evident with deep burn at elbow.
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- Fasciotomy
being performed.
- Evidence
of bulging
muscle in compartment.
- Note
normal looking skin on top
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- Fasciotomy
completed above “exit”.
- Note
bulging devitalized muscle hidden
beneath normal skin.
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- Myoblobinuria:
- Evidence
of severe
muscle necrosis and
need to flush kidneys.
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