Atrial Fibrillation and Epidural Hematoma Associated with Lightning Stroke

Zv, Morgan; Rn, Headley; Alexander, E. A.; Cg, Sawyer

doi:10.1056/nejm195811132592002

Cited by 27 publications

(7 citation statements)

References 10 publications

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“…[3][4][5][6] A variety of neuropathological changes have been described in patients of lightning injury. The most consistent findings include petechial hemorrhages, subarachnoid bleeding, fissuring and splitting of the cortical layers, and dilatation of the subarachnoid space surrounding blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Intracerebral Hemorrhage Following Electrical Head Injury

You

2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Section: Discussionmentioning

confidence: 99%

Intracerebral Hemorrhage Following Electrical Head Injury

You

2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…These changes usually resolve over weeks or months. True myocardial infarction, congestive heart failure [28], and atrial fibrillation [30] have all been reported in survivors of lightning-strike injury. Also, the massive release [24].…”

Section: Complications Of Lightning-strike Injuriesmentioning

confidence: 99%

Lightning-strike Injury

Hiestand

Colice

1988

J Intensive Care Med

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Although lightning-strike injury is uncommon, it is the cause of death in more people in the United States annually than any other natural disaster. Consequently, the emergency medicine specialist and intensivist should be familiar with the special problems of a lightning-strike victim. Lightning is a massive electrical discharge that results from a complex sequence of atmospheric events. When this massive electrical discharge strikes a human being, it causes predictable cardiac and neurological injuries. Synchronous myocardial contraction occurs at the moment of impact and is followed by a variable period of asystole. Prolonged asystole may cause ischemia and ventricular fibrillation. Alternatively, ventricular fibrillation may occur primarily if the electrical discharge strikes during the vulnerable period of the cardiac cycle. Unconsciousness, depression of respiratory efforts, and seizures are also immediate consequences of lightning strike. Respiratory arrest is presumed to be a consequence of inhibition of the medullary respiratory center. Retrograde and antegrade amnesia, confusion, disorientation, and vasomotor instability with transient paralysis of usually the lower extremities are commonly seen in lightning-strike victims. Other complications occur more variably, but should be carefully sought by the responsible clinician. These include burns at the exit and entrance sites of the lightning strike, eye injuries (e.g., cataracts, corneal lesions, intraocular bleeding), and rupture of the tympanic membrane. Besides describing the pathophysiology of these and other consequences of lightning strike, a comprehensive approach to the initial and long-term management of the lightning-strike victim is discussed.

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“…15 Other reported cardiovascular complications include transient hypertension and tachycardia, nonspecific electrocardiographic changes, and occasionally direct myocardial injury.…”

Section: Steven R Craigmentioning

confidence: 99%

When lightning strikes

Craig¹

1986

Postgraduate Medicine

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Lightning accidents are responsible for several hundred deaths and thousands of injuries each year in this country. Survivors sustain a variety of cardiac, neurologic, musculoskeletal, and dermatologic injuries. Eye and ear injuries are also occasionally noted. Education on how to minimize the possibility of such an accident is the best method of dealing with the problem. When prevention fails, prompt cardiopulmonary resuscitation and supportive treatment for the patient's particular injury are indicated.

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Atrial Fibrillation and Epidural Hematoma Associated with Lightning Stroke

Cited by 27 publications

References 10 publications

Intracerebral Hemorrhage Following Electrical Head Injury

Intracerebral Hemorrhage Following Electrical Head Injury

Lightning-strike Injury

When lightning strikes

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