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Objectives:Explain the difference between alternating and direct current and the different injury patterns seen with both.Identify the potential immediate and long term complications associated with electrical injuries.Outline the treatment of patients presenting with electrical injuries.Summarize the importance of using an interprofessional team, system-based critical care approach in managing patients with electrical injuries.Access free multiple choice questions on this topic.
An individual may experience an electrical injury at home such as shock from a small appliance, extension cord, or wall outlet, which is very rarely associated with any significant trauma or complications. Children may experience a low-voltage injury without associated loss of consciousness or arrest by biting or chewing on an electrical cord. Adults may receive similar injuries while working on home or office appliances or circuits. Low-voltage electrical current can result in severe injury, much like high-voltage current, depending on the length of exposure (e.g., if there is prolonged muscle tetany), the size of the individual, and cross-sectional area in contact with the electrical source.[5][6][7][8]
Patients that have experienced a low-voltage AC injury may present with only superficial burns, or contrastingly, many devastating injuries if there is prolonged contact or muscle tetany. Low-voltage AC injuries may potentially result in cardiac or respiratory arrest, arrhythmias (e.g., ventricular fibrillation), or seizures that are unwitnessed. For this reason, electrocution should be considered as a differential for any patient that presents with or has experienced a recent arrest. Additionally, it is important to obtain as much information as possible regarding the electrical injury, from any witnesses or emergency medical service personnel, to guide treatment appropriately.
203.5 Machinery Spaces. Spaces frequented only by service personnel for maintenance, repair, or occasional monitoring of equipment shall not be required to comply with these requirements or to be on an accessible route. Machinery spaces include, but are not limited to, elevator pits or elevator penthouses; mechanical, electrical or communications equipment rooms; piping or equipment catwalks; water or sewage treatment pump rooms and stations; electric substations and transformer vaults; and highway and tunnel utility facilities.
804.6.4 Range or Cooktop. Where a forward approach is provided, the clear floor or ground space shall provide knee and toe clearance complying with 306. Where knee and toe space is provided, the underside of the range or cooktop shall be insulated or otherwise configured to prevent burns, abrasions, or electrical shock. The location of controls shall not require reaching across burners.
1. Consult your physician before using this product, especially if you are currently receiving medical treatment.2. Stop using if pain becomes worse.3. Do not use this device if you have a cardiac pacemaker, implanted defibrillator, or other implanted metallic or electronic device(s). Doing so could cause electric shock, burns, electrical interference, or death.4. Do not use this device if you are pregnant.5. Do not use this device on the front side of your neck. This may lead to severe muscle spasms resulting in the closing of your airway, difficulty breathing, or adverse effects on heart rhythm or blood pressure.6. Do not use this product on your chest. Electric pulses may cause disturbances in your heart rhythm and could be harmful.7. Do not use this product on your face or around the mouth.8. Do not use this product in or around your groin area.9. Do not place pads directly over the spine.10. Do not use this product over open wounds, sores, rashes, or over swollen, irritated, infected skin, or over cancerous lesions.11. Do not use while driving a vehicle, operating machinery, or during any activity in which electrical pulses may put you or others at risk of injury or death.12. Do not use this device in the bath or shower.13. Do not use this device while sleeping.14. Do not use this device inside electromagnetic fields.15. Do not use this unit or wires if they are cracked or damaged in any way or form. Do not use this device if you do not know the cause of your pain.16. Keep this device out of reach of children.
Our bodies conduct electricity. If any part of your body meets live electricity an electric current flows through the tissues, which causes an electric shock. People sometimes call it electrocution. Depending on the length and severity the electric shock, injuries can include:
Although someone who has had an electric shock may appear unharmed, they should still receive medical attention. Some injuries and complications may not be obvious initially. A medical examination is important after any electric shock.
If someone needs to get out of the vehicle because of a hazard (such as fire) instruct them to keep their feet close together and to jump away, not walk. This can reduce the chance of an electric shock if wires are on the ground. Only advise this action if the person is unable to remain in the vehicle due to an immediate safety concern.
Safety switches quickly trip out the power when an electrical problem is detected. They can protect from harmful electric shocks when someone makes contact with a live electrical circuit (such as from faulty electrical leads and appliances) and provides a path to earth. Switches operate within 0.03 seconds.
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