Occupational Safety and Health Administration. Working safely around downed electrical wires.Centers for Disease Control and Prevention. Environmental and weapon-related electrical injuries. The most common things you may notice at first are skin redness, pain, and swelling. ISBI practice guidelines for burn care, Part 2. The symptoms of first-degree burns are often minor and tend to heal after several days. International Society for Burn Injury.American College of Emergency Physicians. Try to prevent the injured person from becoming chilled.Don't use a blanket or towel, because fuzz or loose fibers can stick to the burns. Cover any burned areas with a sterile gauze bandage, if available, or a clean cloth or sheet. Do not remove clothing or try to clean the burned area.Begin CPR if the person is not breathing, coughing or moving and doesn't have a pulse.Use a dry, nonconducting object made of cardboard, plastic or wood. If not, move the source away from both you and the injured person. Turn off the source of electricity if possible.Take these actions immediately while waiting for medical help: Does not have a pulse and is not breathing (cardiac arrest).Don't move a person with an electrical injury unless the person is in immediate danger.Ĭall 911 or your local emergency number if the injured person experiences:.Call 911 or your local emergency number to disable the power line before touching any metal to try to exit the vehicle. If a live electrical line contacts the vehicle you're in, stay in the vehicle. ![]() Stay at least 50 feet (about 15 meters) away - farther if wires are jumping and sparking. Overhead power lines usually aren't insulated. Don't get near high-voltage wires until the power is turned off. Call 911 or your local emergency number if the source of the burn is a high-voltage wire or lightning.This helps to reduce damage to your tissues. Continue washing even after the chemical seems to have been removed. Keep putting water on for at least 20 minutes. Don't touch the injured person if the person is still in contact with the electrical current. If the chemical is on your skin, wash it off straight away with a large amount of water.The heart, brain and other body organs can be damaged. Sometimes an electrical injury can cause damage to skin, muscles, blood vessels and nerves, often in an arm or a leg. The damage may be worse than it looks from the burn on the skin. Cyanide poisoning can also occur from smoke inhalation and can be treated with hydroxocobalamin (see Inhalation Injury chapter).A person who has been injured by contact with electricity should be seen by a health care provider. If carbon monoxide poisoning is confirmed, continue treatment with high-flow oxygen and consider hyperbaric oxygen in select cases (see Hyperbaric, Carbon Monoxide Toxicity chapter). In patients with moderate to severe flame burns and with suspicion for inhalation injury, carboxyhemoglobin levels should be checked, and patients should be placed on high flow oxygen until carbon monoxide poisoning is ruled out. Remember that the fluid resuscitation formula for burns is only an estimate and the patient may need more or less fluid based on vital signs, urine output, other injuries or other medical conditions (see Burns, Resuscitation, and Management for discussion of the management of severely burned patients). For example, if a 70 kg patient has a 30% TBSA partial thickness burn they will need 8400 mL Lactated Ringer solution in the first 24 hours with 4200 mL of that total in the first 8 hours. They may need to be removed from the skin in other ways. ![]() But some chemicals cant be removed with water. The treatment for most chemical burns is to remove the chemical from the skin by flushing the area with plenty of water. Taking good care of the burn as it heals may help prevent bad scars. ![]() Half of the calculated amount is administered during the first eight hours beginning when the patient was initially burned. Keep the burn clean, and change the bandages often. The total amount of fluid to be given during the initial 24 hours = 4 ml of LR × patient’s weight (kg) × % TBSA. One commonly used fluid resuscitation formula is the Parkland formula. Splints can also provide support and comfort for certain burned areas.įor burns classified as severe (> 20% TBSA), fluid resuscitation should be initiated to maintain urine output > 0.5 mL/kg/hour. Comfort – Over-the-counter pain medications or prescription pain medications when needed.
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