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INTERESTING CASE ROUNDS

Alyssa Morris, R4 August 5 th , 2010. INTERESTING CASE ROUNDS. CASE. THE CASE . THE A-TEAM. THIS DOESN’T FIT. ELECTRIC INJURIES . ELECTRIC INJURIES . 7.19/55/55/20 Lactate 2.8 K 3.0 Hg 159 . FACTORS DETERMINING ELECTRICAL INJURY. Type of circuit Duration

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INTERESTING CASE ROUNDS

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  1. Alyssa Morris, R4 August 5th, 2010 INTERESTING CASE ROUNDS

  2. CASE THE CASE

  3. THE A-TEAM

  4. THIS DOESN’T FIT

  5. ELECTRIC INJURIES ELECTRIC INJURIES 7.19/55/55/20 Lactate 2.8 K 3.0 Hg 159

  6. FACTORS DETERMINING ELECTRICAL INJURY • Type of circuit • Duration • Resistance of tissues • Voltage • Amperage • Pathway of current

  7. SOURCE CONTACT POINT GROUND CONTACT POINT

  8. RESISTANCE OF BODY TISSUES • LEAST • Nerves • Blood • Mucous membranes • muscle • INTERMEDIATE • Dry skin • MOST • Tendon • Fat • Bone

  9. AMPERAGE

  10. P= I2Rt I=V/R

  11. MECHANISMS Of INJURY • PRIMARY INJURY • Electrothermal heating • Arc • Flame • Flash • SECONDARY INJURY • Blunt trauma

  12. CLINICAL FEATURES • Head and Neck • CNS • Cardiovascular • MSK • Renal

  13. Mx • ABCs • ECG +/- Cardiac monitoring • Blood work • Fluid Resuscitation • Burn wound care • Tetanus • Call plastics early

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