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Electrical Injury: The Amount of Injury Depends On Following Factors
Electrical Injury: The Amount of Injury Depends On Following Factors
Electrical Injury: The Amount of Injury Depends On Following Factors
– Type of current
– Voltage
– Frequency
– Duration of contact
Clinical features
– Immediate effect:
Cause of death-
– VF
– Tetanic spasm
– Renal failure
– sepsis
Treatment
• ABC/ CPR
• 48 hr ICU monitoring
• Adequate hydration
• Wound debridement
Lightening
• Immediate Effect
• Secondary Effect
• Residual deficits
Prevention
– Discard Metals
– No wires
Treatment
– Supportive
Radiation Injury
• Environmental sources
– X-ray
– Nuclear weapons
– Mines
Types of Ionizing Radiation
• Electromagnetic
• Particulate
• Interaction with water generate free radicals → damage cell membranes, proteins and
organelles
• Testis, ovary and bone marrow are the most sensitive organs.
Effect of Radiation
– Mild encephalopathy
– Tr mtelitis
• Skin-
– Constrictive pericarditis
– increase risk of MI
• Lung-
– radiation pneumonitis
– Lung fibrosis
• GIT-
• U bladder-
– Subside in 3 to 4 wks
– Late- Fibrosis
• Illness:
• Recovery/Death
– Cerebrovascular syndrome
– Gastrointestinal syndrome
Chronic toxicity
Treatment Of ARS:
– BT,
– Psychological support
Radionuclide Decontamination
1. GIT clearance
2. Blocking agents
3. Iluting agents
4. Mobilizing agents
5. Chelating agents