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Electrical damage can be categorised based on the level of voltage; high voltage, level of more than 1000 volts; whereas low voltages less than 1000 volts. 1 Since there is no relationship between the skin burns and the visceral injury, it can become very complex for a clinician to clinically assess an electrical injury as a minor area of skin burn could mask an underlying severe visceral injury. 2 Visceral injuries are not manifest at the time of presentation, with the reported rates ranging from 0 to 1.7%. 3,4 Due to their substantial morbidity and mortality, the investigation and treatment of visceral injuries, due to electrical burns, albeit uncommon, must be closely monitored. A high index of suspicion is very important to detect visceral injuries in electrical burn patients. However, it needs to be emphasised that the initial diagnosis and appropriate treatment are the two factors those determine the prognosis in electrical burn patients. Cardiac injuries are typically reported with electrical burns. Isolated pulmonary involvement is an infrequent manifestation of this potentially life threatening electrical injury.

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