Avtor/Urednik		Ambrožič, Jana; Bunc, Matjaž
Naslov		Cardiac injures due to electric current and lightning: a report on the management of patients in the Emergency medical department in Ljubljana during a three-year period from 2003-2006
Prevedeni naslov		Prikaz obravnave bolnikov poškodovanih z električnim tokom ali udarom strele na Internistični prvi pomoči Kliničnega centra Ljubljana v obdobju 2003-2006
Tip		članek
Vir		Slov Kardiol
Vol. in št.		Letnik 3, št. 2
Leto izdaje		2006
Obseg		str. 116-9
Jezik		eng
Abstrakt		Significant numbers of admissions to the Ljubljana emergency department were found to relate to low-voltage electrical injury. The following retrospective analysis involved 65 consecutive patients with electrical injury and 7 patients with lightning injury admitted to the Emergency Medical Department in Ljubljana between June 1, 2003 and June 30, 2006. There was one sudden cardiac death on the scene due to ventricular fibrillation following high-voltage current exposure at the patient's workplace. In 5 patients (7%), cardiac arrhythmias were found upon initial ECG. All of the arrhythmias resolved spontaneously and required no therapy. Nine patients (14%) experienced episodes of unconsciousness after electrical injury. Six of these were exposed to low-voltage domestic current, while for 3 patients the voltage was not known. Among those exposed to lightning strike, one patient (14%) lost consciousness on the scene. According to the suggested criteria, cardiac monitoring would be recommended for 36 patients from our series. The rest of our 49 patients, who were monitored and were asymptomatic with no arrhythmias or ECG abnormalities and no history of heart disease or loss of consciousness, could be safely discharged.
Izvleček		Poškodbe z električnim tokom nizke napetosti predstavljajo večino električnih poškodb. Prikazujemo retrospektivno analizo obravnave bolnikov po izpostavitvi električnemu toku in udaru strele na Internistični prvi pomoči Kliničnega centra Ljubljana v triletnem obdobju med 1. junijem 2003 in 30. junijem 2006. Obravnavali smo 65 bolnikov po izpostavitvi električnemu toku in 7 bolnikov po izpostavitvi udaru strele. Pri enem bolniku je prišlo do nenadne srčne smrti na terenu zaradi ventrikularne fibrilacije po izpostavitvi toku visoke napetosti. 5 bolnikov (7%) je imelo ob prihodu motnje srčnega ritma, ki so spontano izzvenele. Pri 9 bolnikih (14%) je prišlo do izgube zavesti, 6 izmed njih je bilo izpostavljenih toku nizke napetosti, pri 3 botnikih pa napetost toka ni bila znana. Med poškodovanci z udarom strele je eden bolnik (14%) izgubil zavest na terenu. Doktrina obravnave asimptomatskih poškodovancev še ni natančno opredeljena. Glede na predlagane smernice obravnave bolnikov po poškodbi z elektriko nizke napetosti bi 36 bolnikov potrebovalo opazovanje zaradi nadzora srčnega ritma, preostale izmed 49 bolnikov, ki smo jih sprejeli na opazovanje, pa bi lahko takoj odpustili.
Deskriptorji		ELECTRIC INJURIES EMERGENCY SERVICE, HOSPITAL LIGHTNING INJURIES ARRHYTHMIA