Electric Shock Causes
Adolescents and adults are prone to high voltage shock caused by mischievous exploration and exposure at work. About 1,000 people in the United States die each year as a result of electrocution. Most of these deaths are related to on-the-job injuries.
Many variables determine what injuries may occur, if any. These variables include the type of current (AC or DC), the amount of current (determined by the voltage of the source and the resistance of the tissues involved), and the pathway the electricity takes through the body. Low voltage electricity (less than 500 volts) does not normally cause significant injury to humans. Exposure to high voltage electricity (greater than 500 volts) has the potential to result in serious damage.
If you are going to help someone who has sustained a high voltage shock, you need to be very careful that you don't become a second victim of a similar electrical shock. If a high voltage line has fallen to the ground, there may be a circle of current spreading out from the tip of the line. Your best bet may be to call 911. The electric company will be notified so that the power can be shut off. A victim who has fallen from a height or sustained a severe shock causing multiple jerks may have a serious neck injury and should not be moved without first protecting the neck.
Children are not often seriously injured by electricity. They are prone to shock by the low voltage (110-220 volts) found in typical household current. In children aged 12 years and younger, household appliance electrical cords and extension cords caused more than 63% of injuries in one study. Wall outlets were responsible for 15% of injuries.
Electric Shock Symptoms
A person who has suffered an electric shock may have very little external evidence of injury or may have obvious severe burns. The person could even be in cardiac arrest.
Burns are usually most severe at the points of contact with the electrical source and the ground. The hands, heels, and head are common points of contact.
In addition to burns, other injuries are possible if the person has been thrown clear of the electrical source by forceful muscular contraction. Consideration should be given to the possibility of a spine injury. The person may have internal injuries especially if he or she is experiencing any shortness of breath, , or .
Pain in a hand or foot or a deformity of a part of the body may indicate a possible broken bone resulting from the electric shock.
In children, the typical electrical burn from biting an electric cord appears as a burn on the lip. The area has a red or dark, charred appearance.
For a high-voltage shock, seek care at a hospital's emergency department. Following a low-voltage shock, call the doctor for the following reasons:
It has been more than 5 years since your last booster
Burns that are not healing well
Burns with increasing redness, soreness, or drainage
Any electric shock in a woman
A person shocked by high voltage (500 volts or more) should be evaluated in the emergency department. It may be prudent to get prehospital care, a low-voltage shock, go to the emergency department for the following concerns:
Any noticeable burn to the
Any period of unconsciousness
Any numbness, tingling, paralysis, , hearing, or speech problems
Confusion
Difficulty breathing
Seizures
Any electric shock if you're more than 20 weeks' pregnant
Any other worrisome symptoms
Exams and Tests
At the Emergency Department, the doctor's primary concern is to determine if significant unseen injury exists. Injury may occur to muscles, the , or the from the electricity or to any bones or other organs from being thrown from the electric source.
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