Electric Shock
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Medical Encyclopedia
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Electrical injury
Illustrations
Electrical shock
An electrical injury can occur to the skin or
internal organs when a person is directly exposed to an electrical current.
The human body is a good conductor of
electricity. Direct contact with electrical current can be fatal. While some
electrical burns
look minor, there still may be serious internal damage, especially to the heart,
muscles, or brain.
About 1,000 people die annually of electric
shock in the United States.
The outcome of an electric shock to an
individual depends on the intensity of the voltage to which the person was
exposed, the route of the current through the body, the victim's state of
health, and the speed and adequacy of the treatment.
Electric current can cause injury in three
main ways:
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Cardiac arrest due to the electrical effect on the heart.
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Muscle, nerve, and tissue destruction from a current passing through the
body.
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Thermal burns from contact with the electrical source.
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Accidental contact with exposed parts of electrical appliances or wiring
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Young children biting or chewing on electrical cords, or poking metal
objects into the electrical outlet
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Lightning
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Flashing of electric arcs from high-voltage power lines
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Machinery or occupational-related exposures
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Symptoms may include:
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Skin burns
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Numbness, tingling
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Weakness
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Muscle contraction
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Muscular pain
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Bone fractures
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Headache
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Hearing impairment
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Seizures
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Heart arrhythmias
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Cardiac arrest
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Respiratory failure
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Unconsciousness
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1. If safely possible, shut off the
electrical current. Unplug the cord, remove the fuse from the fuse box, or turn
off the circuit breakers if possible. Often, simply turning off the appliance
itself will not stop the flow of electricity.
2. Call for medical help.
3. If the current can't be turned off, use a
non-conducting object, such as a broom, chair, rug, or rubber doormat to push
the victim away from the source of the current. Don't use a wet or metal object.
If possible, stand on something dry and non-conducting, such as a mat or folded
newspapers. Do not attempt to rescue a victim near active high-voltage lines.
4. Once the victim is free from the source of
electricity, check the victim's airway, breathing, and pulse. If either has
stopped or seems dangerously slow or shallow, initiate first aid (CPR).
5. If the victim has a burn, remove any
clothing that comes off easily, and rinse the burned area in cool running water
until the pain subsides. Give first aid for burns.
6. If the victim is faint, pale, or shows
other signs of shock,
lay the victim down, with the head slightly lower than the trunk of the body and
the legs elevated, and cover the person with a warm blanket or a coat.
7. Stay with the victim until medical help
arrives.
8. Electrical injury is frequently associated
with explosions or falls that can cause additional traumatic injuries, including
both obvious external injuries and concealed internal injuries. Avoid moving the
victim's head or neck if a spinal injury is suspected. Administer appropriate
first aid as needed for other wounds or fractures.
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DO NOT touch the victim with your bare hands while the person is still
in contact with the source of electricity.
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DO NOT remove dead skin or break blisters if the victim has acquired
burns.
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DO NOT apply ice, butter, ointments, medications, fluffy cotton
dressings, or adhesive bandages to a burn.
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DO NOT touch the skin of someone who is being electrocuted.
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DO NOT get within 20 feet of someone who is being electrocuted by
high-voltage electrical current until the power is turned off.
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DO NOT move a victim of electrical injury unless there is immediate
danger.
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Call immediately for emergency medical
assistance if Return
to top
Call for emergency medical help if the victim
is unconscious, confused, has difficulty breathing, has skin or mouth burns, or
was in contact with a high-voltage source.
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Use child safety plugs in all outlets.
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Keep electrical cords out of children's reach.
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Teach your children about the dangers of electricity.
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Avoid electrical hazards at home and at work. Always follow
manufacturer's safety instructions when using electrical appliances.
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Parents of small children should put safety guards on all electrical
outlets, and keep children away from electrical devices.
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Avoid using electrical appliances while showering or wet.
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Never touch electrical appliances while touching faucets or cold water
pipes.
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Updated by: Cherlin Johnson, M.D., Department of
Emergency Medicine, University of Southern California, Los Angeles, CA. Review
provided by VeriMed Healthcare Network.

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