Electrocution

Question 1

In situations involving a patient with an electrical injury, what should the paramedic make no attempt to do?

Answer 1

Touch a potential energized source or a patient in contact with it

This is crucial to prevent further injury or electrocution.

Question 2

When multiple patients are involved due to a lightning strike, whom should the paramedic focus efforts on?

Answer 2

Those who are VSA due to high potential for resuscitation

VSA stands for Vital Signs Absent.

Question 3

List the life/limb/function threats to consider in electrical injury situations.

Answer 3

• Cardiopulmonary arrest
• Dysrhythmias
• Extremity neurovascular compromise
• Multiple and/or severe trauma
• Seizures
• Significant internal tissue damage

These threats require immediate attention and assessment.

Question 4

What two types of information should be attempted to be determined in an electrical injury case?

Answer 4

• Type of current
• Voltage

Understanding the type of current and voltage can guide treatment decisions.

Question 5

What are the signs of significant electrical injury to assess for?

Answer 5

• Burns
• Cold/mottled/pulseless extremities
• Dysrhythmias
• Entry/exit wounds
• Muscle spasms
• Neurologic impairment
• Shallow/irregular respirations

These signs indicate the severity of the electrical injury.

Question 6

How often should the distal neurovascular status in the affected extremity be re-assessed if compromised?

Answer 6

Approximately every 10 minutes

Continuous monitoring is essential for detecting changes in condition.

Question 7

What potential problems should be prepared for in cases of electrical injury?

Answer 7

• Dysrhythmias
• Extremity neurovascular compromise

These complications can arise from the initial injury and require readiness for intervention.