Cardiopulmonary arrest secondary to lightning injury in a pregnant woman

Pierce, Mark R; Henderson, Rex A; Mitchell, Joyce M.

doi:10.1016/s0196-0644(86)81002-2

Cited by 30 publications

(8 citation statements)

References 11 publications

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“…A review of the current medical literature describes only 13 previous cases of pregnant lightning strike victimsour report brings the total to 14. [18][19][20][21][22][23] In all reported cases, the mother survived. Five of the cases report intrauterine fetal demise, with an additional case of newborn death a few hours after delivery.…”

Section: Lightning Injury In Pregnancymentioning

confidence: 99%

Lightning Strike in Pregnancy With Fetal Injury

Galster

Hodnick

Berkeley

2016

Wilderness & Environmental Medicine

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Injuries from lightning strikes are an infrequent occurrence, and are only rarely noted to involve pregnant victims. Only 13 cases of lightning strike in pregnancy have been previously described in the medical literature, along with 7 additional cases discovered within news media reports. This case report presents a novel case of lightning-associated injury in a patient in the third trimester of pregnancy, resulting in fetal ischemic brain injury and long-term morbidity, and reviews the mechanics of lightning strikes along with common injury patterns of which emergency providers should be aware.

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Section: Lightning Injury In Pregnancymentioning

confidence: 99%

Lightning Strike in Pregnancy With Fetal Injury

Galster

Hodnick

Berkeley

2016

Wilderness & Environmental Medicine

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“…A nonstress test (NST) or Doppler ultrasonography immediately after the event to evaluate fetal status and then 2 weeks later is also recommended at which time a full neurological examination is indicated. 50,51 Fetal Considerations and Outcome…”

Section: Electrical Burnsmentioning

confidence: 99%

Burns During Pregnancy

Parikh¹,

Sunesara²,

Lutz³

et al. 2015

Obstetrical &Amp; Gynecological Survey

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“…Although reports of lightning injury in pregant women are rare, several authors have reviewed the subject [48,[56][57][58][59]. These studies revealed that the fetus is subject to equal or even greater pathophysiological stress than the mother because amniotic fluid is an excellent conductor of electricity.…”

Section: Complications Of Lightning-strike Injuriesmentioning

confidence: 99%

“…These studies revealed that the fetus is subject to equal or even greater pathophysiological stress than the mother because amniotic fluid is an excellent conductor of electricity. A review of case reports by Pierce and associates [59] revealed that normal infants were subsequently delivered by approximately half of the pregnant women who were struck by lightning. Mothers survived in all cases [59].…”

Section: Complications Of Lightning-strike Injuriesmentioning

confidence: 99%

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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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Cardiopulmonary arrest secondary to lightning injury in a pregnant woman

Cited by 30 publications

References 11 publications

Lightning Strike in Pregnancy With Fetal Injury

Lightning Strike in Pregnancy With Fetal Injury

Burns During Pregnancy

Lightning-strike Injury

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