RT Book, Section
A1 Gottlieb, Lawrence J.
A1 Nguyen, Trang Q.
A1 Lee, Raphael C.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Kress, John P.
SR Print(0)
ID 1107713648
T1 Electrical Trauma
T2 Principles of Critical Care, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071738811
LK accesssurgery.mhmedical.com/content.aspx?aid=1107713648
RD 2024/04/19
AB Aggressive  and  prolonged  life  support  maneuvers  should  be  performed  as  necessary  on  all  electrical  injury  patients  in  the  first  few  hours.All  patients  are  to  be  considered  to  have  multisystem  injuries,  including  cervical  spine  fracture,  until  such  injuries  are  diagnostically  eliminated.Intravenous  fluid  resuscitation  should  not  be  underestimated.Most  patients  should  be  monitored  for  cardiac  dysrhythmias  for  24  to  48  hours  after  injury,  particularly  if  electrocardiographic  abnormalities  were  present  or  persist.The  preservation  of  renal  function  depends  largely  on  adequate  volume  resuscitation.  If  urine  is  visibly  discolored  by  myoglobin,  then  renal  function  may  depend  on  supplemental  therapies.The  neurologic  examination  should  be  carefully  monitored  for  seizure  activity,  which  should  be  treated  if  it  develops.Early  recognition  and  decompression  of  compartment  syndromes  are  critical  for  maximizing  extremity  salvage  and  long-term  function.Adequate  wound  care  necessitates  complete  debridement  of  nonviable  tissue  followed  by  wound  closure  as  expeditiously  as  possible.