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Electrical and Lightning Injuries

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Acute Care Surgery

Abstract

A 23-year-old industrial mechanic sustains a highvoltage electrical injury. He has a circumferential fullthickness injury of the right upper extremity. The patient develops hand paraesthesia and then numbness. Which of the following is the management of choice at this time?

  1. (A)

    Decrease fluid resuscitation and elevate the involved extremity

  2. (B)

    Increase fluid resuscitation and administer mannitol

  3. (C)

    Continue to monitor the extremity

  4. (D)

    Perform escharotomy and monitor the extremity

  5. (E)

    Perform escharotomy and fasciotomy of the involved extremity

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References

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Author information

Authors and Affiliations

  1. Departments of Surgery (Plastic), Medicine (Dermatology), Organismal Biology (Biomechanics), and Molecular Medicine, University of Chicago, Chicago, IL, USA

    Raphael C. Lee MD, ScD, DSc (Hon)

Authors
  1. Raphael C. Lee MD, ScD, DSc (Hon)
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Editor information

Editors and Affiliations

  1. Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    L. D. Britt MD, MPH (Brickhouse Professor of Surgery and Chairman) (Brickhouse Professor of Surgery and Chairman)

  2. Department of Surgery, Oregon Health Sciences University, Portland, OR, USA

    Donald D. Trunkey MD (Professor) (Professor)

  3. Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA

    David V. Feliciano MD (Professor of Surgery, Chief of Surgery) (Professor of Surgery, Chief of Surgery)

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© 2007 Springer Science+Business Media, LLC

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Lee, R.C. (2007). Electrical and Lightning Injuries. In: Britt, L.D., Trunkey, D.D., Feliciano, D.V. (eds) Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69012-4_10

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  • DOI: https://doi.org/10.1007/978-0-387-69012-4_10

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-34470-6

  • Online ISBN: 978-0-387-69012-4

  • eBook Packages: MedicineMedicine (R0)

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