Electrical Injuries Flashcards
Relative to external damage, internal damage is often _________ and can include damage to ____, ______, _____, and _____.
more severe; muscles, blood vessels, organs, and nerves.
Damaged muscle releases _____ and _____ which can precipitate in the ______ causing ___________.
myoglobin and potassium; kidneys; acute renal failure.
Electrical current as little as ___ mA can cause _____ arrest and as little as ____ mA and cause ______.
20; respiratory; 50; ventricular fibrillation
What are the sign and symptoms of electrical injury?
burns, pain, entry and exit wounds, hypotension and shock, cardiac and respiratory arrest.
What are the 8 parts of the EMT portion of this protocol?
Perform initial assessment, assess for trauma c-spine, assess respiratory effort and mental status, pulse oximetry/oxygen, immobilize patient if needed, determine extent of burn, cover thermal burns with dry sterile dressing.
What are the 9 parts to the Paramedic portion of this protocol?
consider advanced airway, OG tube, cardiac monitor, 12 lead, establish an IV and a second one if time permits, consider administration of fentanyl, if any evidence of myoglobinuria consider administration of sodium bicarbonate, transport
Which two dysrhythmias are most common with electrical injuries?
asystole and ventricular fibrillation
Electrical injuries are often _____.
Hidden
In a mass casualty lightening strike attend to victims ________ first.
full arrest
Lightening is a massive ____ shock most often leading to which dysrhythmia?
DC / asystole
In lightening injuries most of the current will ___________ producing _______ over the body that appear as freckles.
travel over the body surface; flash burn
What is your dosage for sodium bicarbonate?
1 mEq/kg IV
What is your fentanyl dosage?
1 to 3 mcg/kg slow IVP.
