Contents
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Introduction Introduction
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Epidemiology Epidemiology
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Lightning injury Lightning injury
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Electrical injury Electrical injury
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Mechanisms of injury Mechanisms of injury
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Lightning injury Lightning injury
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Electrical injury Electrical injury
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Presentation of the injured person Presentation of the injured person
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Lightning injury Lightning injury
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Cardiovascular and pulmonary consequences Cardiovascular and pulmonary consequences
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Neurological consequences Neurological consequences
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Keraunoparalysis and burns Keraunoparalysis and burns
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Eye, ear, and explosive injuries Eye, ear, and explosive injuries
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Other injuries Other injuries
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Electrical injury Electrical injury
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Cardiovascular consequences Cardiovascular consequences
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Neurological and muscular consequences Neurological and muscular consequences
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Burns Burns
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Other aspects Other aspects
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Psychological consequences of electrical and lightning injuries Psychological consequences of electrical and lightning injuries
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Treatment of the injuries Treatment of the injuries
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Lightning injury Lightning injury
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Electrical injury Electrical injury
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Psychological elements Psychological elements
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Controversy Controversy
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Further reading Further reading
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Cite
Extract
Essentials
Introduction
Lightning is a powerful force; it provides spectacular displays and has evoked an extensive mythology. The comparatively recent discovery and distribution of electricity have had an equally profound effect, and provide truth to the adage that ‘electricity is a good servant and a bad master’.
Epidemiology
Lightning injury
The latest accepted case fatality of lightning shock is around 10% and is around 0.3 per million population in the United States of America each year, but fewer than 0.1 per million in the United Kingdom.
In the early part of the 20th century, most people struck by lightning were outdoor workers (67%) and outdoor recreationalists (28%). Nowadays, the breakdown is 45% and 50%, respectively, explained by changes in social and work habits. Indoor strikes (e.g. by current conducted through communication or power apparatus) continue to account for about 5% of these accidents.
Men are more often injured than women (1.67 males to 0.33 females); the age group most at risk is 20 to 29 years. Risky situations include sheltering under trees, on open water, on tractors, in open fields, and playing golf. Regional differences correlate well with storm activity and population density in that area.
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