Lightning # 7 – Emergency Care – Prehospital
Emergency Care for a Lightning Strike Victim – At the scene:
Survey the scene:
For immediate danger to you, others, and the victim.
Are they CONSCIOUS?
Are they BREATHING? —> If not, give ARTIFICIAL RESPIRATION!
Do they have a PULSE? —> If not, begin CPR!
Paying particular attention to level of consciousness.
Monitor every 5 minutes until conscious and coherent.
Physical Exam – needs to be detailed:
Skin – check for burns.
Check ears for blood in the canal, and look for Battle’s sign.
Evaluate for spinal injuries.
Evaluate for sprains/strains and fractures.
Monitor peripheral pulses.
Evacuate— force fluids to help prevent late complications.
Treat Injuries & Transport:
O2 – NC at 6lpm
IV – NS at 500 – 1000cc/hr
For more detailed information about lightning and lightning-related injuries see the Wilderness Medicine Newsletter, Lightning – Beauty & the Beast, July/August 2003.
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