Evaluating the risks of arrhythmia following electrical injury: Two cases of electrical injuries in the upper limbs.

Electrical injury emergency ventricular arrhythmias

Journal

SAGE open medical case reports
ISSN: 2050-313X
Titre abrégé: SAGE Open Med Case Rep
Pays: England
ID NLM: 101638686

Informations de publication

Date de publication:
2020
Historique:
received: 02 09 2019
accepted: 26 03 2020
entrez: 2 6 2020
pubmed: 2 6 2020
medline: 2 6 2020
Statut: epublish

Résumé

Electrical injuries induce ventricular arrhythmias, which are lethal. Therefore, it is important to evaluate the risk of arrhythmias at initial presentation to the emergency department in cases of electrical injuries. Here, we report two cases with electrical injuries, where current flowed between the upper limbs, requiring 24-h hospitalization for arrhythmia monitoring. The patients were 57- and 30-year-old men, who sustained separate electrical injuries (6600 V, line voltage), with current flow from one hand to the other. They did not develop any ventricular arrhythmias during hospitalization and were discharged. The risk for ventricular arrhythmias is lower for electrical injuries occurring between the upper limbs than for those occurring between the upper and lower limbs. We conclude that 24-h hospitalization for monitoring of patients with electrical injuries of the upper limbs may be sufficient.

Identifiants

pubmed: 32477561
doi: 10.1177/2050313X20920421
pii: 10.1177_2050313X20920421
pmc: PMC7234342
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2050313X20920421

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

J Card Surg. 2020 Feb;35(2):488-491
pubmed: 31778592
Ann Thorac Surg. 2019 Feb;107(2):e105-e106
pubmed: 30028978
Clin Res Cardiol. 2019 Aug;108(8):901-908
pubmed: 30771067
J Burn Care Res. 2006 Jul-Aug;27(4):439-47
pubmed: 16819345
Scand J Trauma Resusc Emerg Med. 2018 May 31;26(1):43
pubmed: 29855384
Emerg Med J. 2007 May;24(5):348-52
pubmed: 17452703
Resuscitation. 2015 Oct;95:148-201
pubmed: 26477412

Auteurs

Koichi Jingo (K)

Juntendo University, Tokyo, Japan.

Yutaka Kondo (Y)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Yohei Hirano (Y)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Juri Inoue (J)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Takaaki Kawasaki (T)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Yukari Miyoshi (Y)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Tadashi Ishihara (T)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Ken Okamoto (K)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Hiroshi Tanaka (H)

Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Urayasu, Japan.

Classifications MeSH