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Emergency Medicine Cases

Ep 125 Electrical Injuries – The Tip of the Iceberg

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 4 June 2019

⏱️ 58 minutes

🧾️ Download transcript

Summary

Electrical injuries are rare, representing less than 1% of burn center admissions. So there is a paucity of robust evidence for the management of these patients. Nonetheless, in this podcast we’ll give you the tools to help risk stratify electrical injuries, give some guidance on fluid resuscitation, describe immediate management of acute complications and make you aware of the potential delayed complications that must be anticipated...

Transcript

Click on a timestamp to play from that location

0:00.0

Other than in third world countries where the electricity is readily available, and they have epidemics of high voltage electrical wind.

0:19.1

But in North America and most parts of Europe, electrical burns represent way less than

0:25.3

1% of all admissions that get the burn units and an even smaller component that get into

0:29.9

the emergency room.

0:31.2

So it's like a rare topic.

0:32.7

And the result of that is the fact that you aren't going to see randomized control trials.

0:37.0

You're not even going to see good prospective trials on a lot of the things we're going to

0:41.0

talk about.

0:41.6

So a lot of it is just based on simple approach, common sense, and things that are related

0:47.2

to other forms of traumas like people still alkalinize the urine.

0:51.1

People give more fluid.

0:52.9

We could argue till tomorrow how much fluid.

0:55.4

But the principles are there, but they're not established in like exact algorithms because

1:00.5

these cases are so rare. That's just the way it is.

1:04.9

Welcome to the Emergency Medicine Cases podcast. I'm your host, Dr. Anton Hellman, bringing you Canada's

1:10.2

brightest minds in emergency

1:11.4

medicine from EMC Studios in Toronto.

1:15.9

This is part two of our main episode podcast on burn, inhalational, and electrical injuries.

1:22.3

In part one, Dr. Joel Fish and Dr. Marira Vankevc and I discussed wound care, resuscitation, and airway

1:29.4

management of the burn patient and the inhalational injury patient with a segment on awake

1:35.7

intubation by George Kovac. If you haven't already, please go and listen to Part 1 first,

1:41.6

because we'll be referring back to part one in this podcast probably

...

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