Evaluation of children presenting to the emergency room after electrical injury

Yilmaz, Aslıhan Arasli; Köksal, Ali Osman; Özdemir, Osman; Acar, Mustafa; Küçükkonyali, Gülten; Inan, Yasemin; Çelik, Sibel; Güveloğlu, Mine; Andıran, Nesibe; Günbey, Sacit

doi:10.3906/sag-1402-48

Cited by 13 publications

(5 citation statements)

References 10 publications

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“…Mean age in pediatric electrical injury studies is between 5.9 and 10.1 years . In the present study, mean age was 6.8 years, similar to the literature.…”

Section: Discussionsupporting

confidence: 88%

Pediatric electrical injury in Turkey: Five year retrospective hospital‐based study

Özdel

Çakıcı

Şaylı

2019

Pediatrics International

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Background We aimed to evaluate children who presented with electrical injury to the emergency department. We tried to reveal the complications of these patients and the measures to be taken in this regard. Methods Medical records of pediatric patients who were admitted with electrical injury to emergency department between January 2007 and January 2012 were retrospectively reviewed. An information form was completed about demographic data, clinical features, exposure place, electrical current type, clinical course, duration of hospitalization, electrocardiography, echocardiography and other systems findings. Results Children who were the most exposed to electrical injury were children 4 years and under. While low‐voltage current exposure was more common in younger ages, high‐voltage current exposure was more common in older ages. Most of our patients (%72) were exposed to low voltage. Patients who exposed to high‐voltage electricity had significantly higher levels of CPK, CK‐MB, LDH, AST, and ALT compared to patients who were exposed to low voltage electricity. None of the patients have died. Conclusion Young children are often exposed to electric shock at home. Increasing precautions to be taken at home reduces electrical shock injuries. Children and especially families should be educated in this regard.

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“…Mean age in pediatric electrical injury studies is between 5.9 and 10.1 years . In the present study, mean age was 6.8 years, similar to the literature.…”

Section: Discussionsupporting

confidence: 88%

Pediatric electrical injury in Turkey: Five year retrospective hospital‐based study

Özdel

Çakıcı

Şaylı

2019

Pediatrics International

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“…Scalds emerged as a prominent cause of pediatric burn injuries, with numerous studies, including those by Rawlins et al and Yilmaz et al, reporting them as the leading etiology [ 6 , 23 ]. Contact burns, electrical burns, flame-related injuries, and other specific causes such as fireworks or chemical agents were also identified.…”

Section: Reviewmentioning

confidence: 99%

“…Battle et al recognized commonalities in burn occurrences, mainly in 1-2-year-olds due to hot liquids and household devices [ 22 ]. Yilmaz et al found electric shocks were more common in males across all age groups [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

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Pediatric Burns: A Systematic Review and Meta-Analysis on Epidemiology, Gender Distribution, Risk Factors, Management, and Outcomes in Emergency Departments

Nassar,

Al Qurashi,

Albalawi

et al. 2023

Cureus

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Pediatric burns pose a significant public health concern, ranking as the fifth most common nonfatal injury globally. This review consolidates data on the epidemiology, outcomes, and management of pediatric burns presenting to emergency departments. A systematic review was conducted across multiple databases, yielding 22 articles from 1992 to 2020. Utilizing the methodological index for non-randomized studies (MINORS) instrument, non-comparative studies scored from 2 to 11 with an average of 6.87, while comparative studies ranged from 12 to 16, averaging 13.67. The review included a total of 828,538 pediatric patients who were evaluated in the systematic review. Predominantly male victims ranged from 53% to 83%. The youngest victims were aged between 0 to 4 years. Burn etiology was largely attributed to scalds. A majority suffered from second-degree burns, with some studies reporting up to 89%. Limited data on total body surface area (TBSA) were documented, with only 2.5% requiring hospitalization. Common interventions included immediate resuscitation and skin grafting. Essential areas for future research are identified, including household risks, pre-treatment decisions, and the significant role of family dynamics in burn injury recovery. Pediatric burns remain a considerable concern, particularly among males and in household environments. The data underline the imperative for prevention strategies and optimized emergency care to positively influence outcomes for burn victims. Future research areas range from evaluating pre-treatment decisions to assessing community awareness regarding burn first aid.

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“…Exposure to high-voltage electrical current, in particular, can result in death due to cardiac arrhythmias and respiratory muscle paralysis. These are very severe injuries, amplified by progressive tissue necrosis [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and acute management of high tension electrical burns in a rural-based medical college

JAIN

Singla

Toor

et al. 2023

Ambulatornaya khirurgiya

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Introduction. Electrical burns are one of the most common causes of burns besides flame burns and scalds. High tension electrical burns lead to greater morbidity and mortality. Active management strategies are required to manage high tension electrical burns. Common epidemiological features and surgical management of wounds are described. Role of high ligation in high tension electrical burns has been described.Purpose. To describe the epidemiology, main features of the presentation and acute management of high tension electrical burns.Materials and methods. This study was done for the duration of 2 months. All patients who were admitted with high tension electrical burns were included in the study. Patients’ demographics, mode of injury, % age of burn areas involved, entry-exit wounds were recorded on the day of admission. Emergency fasciotomy was done in cases of impending gangrenous changes inlimbs to prevent compartment syndrome and peripheral neuropathy. Reconstructive surgeries were done depending on thelocation and depth of burns. Results. 64% patients were below 30 years. The majority of the patients who sustained electric burns were males (82.3%). All the patients were from low and middle socioeconomic status according to the modified kuppuswamy scale. The majority of patients sustained electric contact burns (55.8%). The majority of the patients were unskilled workers working in the fields (94.2%). Surgical treatment of all patients includes fasciotomies in 15 patients, debridement/ amputation in 32 patients, reconstructive surgeries in 42 patients.Conclusion. High tension electrical burns are one of the most common causes of burns, especially in rural areas. Public awareness and compliance with safety standards as well as respect for the potentially deleterious effects of electricity are of utmost essential for avoiding these deadly injuries.

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Evaluation of children presenting to the emergency room after electrical injury

Cited by 13 publications

References 10 publications

Pediatric electrical injury in Turkey: Five year retrospective hospital‐based study

Pediatric electrical injury in Turkey: Five year retrospective hospital‐based study

Pediatric Burns: A Systematic Review and Meta-Analysis on Epidemiology, Gender Distribution, Risk Factors, Management, and Outcomes in Emergency Departments

Epidemiology and acute management of high tension electrical burns in a rural-based medical college

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