Evaluation of Electrical Injury in the Emergency Department 


Common Injuries by System:


CNS - Seizure, coma, spinal cord injury (can be delayed) — high voltage 


Cardiac - Vfib/asystole — usually immediate, prior to ED arrival 


MSK - Fractures, dislocations (posterior shoulder - AC), rhabdomyolysis, 

compartment syndrome - high risk in high voltage 


Skin - Burns, may be severe and deep especially with AC 


HEENT -Cataracts (delayed), TM rupture, hemotympanum 


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