Question

A 70

Mr. J. is a 30-year-old electrical line worker brought to the emergency department by ambulance. Emergency medical service (EMS) personnel report that he was in a cherry picker that came in ontact with an overhead 70,000-volt power line. He lost consciousness at the scene and was ntubated. On presentation to the ED, Mr. J. is noted to have areas of black charring on his right rm, axilla, and upper thighs.

Answer 1

1. Unconscious:

The cause for loss of conscious are electric burns with cardiogenic shock.

2. Priority:

1. Establish airway

2.prober breathing

3. Adequate circulation

4. Fluid resuscitation

5. Pain management

3. That indicates bleeding and start continuous bladder irrigation

4. Burn calculations

Right hand = 9% and anterior thighs= 9%, totally 18%.

5.Surgical treatment

Skin grafting can be performed.

6. Fluid calculation:

4ml*% of TBS* kg body weight

4* 18* 82 = 5904ml or around 5 litre 04ml

7. Short term complaints - Injuries to skin, muscles, bone.

Long term complaints- Fractures, morbidity

8. Yes, like Respiratory therapist, physiotherapist, occupational therapist, dietician etc

9. Pain medication around a clock analgesia, PCA analgesia through intra venous route.

10. Nutrition: vitamin c and protein rich diet to promote wounds healing.