Fellow, Department of Pediatric Emergency Medicine, Connecticut Children's Medical Center, University of Connecticut School of Medicine, Hartford, CT.
Attending Physician, Division of Pediatric Emergency Medicine.
Pediatr Emerg Med Pract. 2021 Dec;18(12):1-24. Epub 2021 Dec 2.
Electrical injuries in pediatric patients are uncommon but can be life-threatening and require efficient and effective identification and management. Injury severity is based on the characteristics of the electricity, the duration of contact with the electrical source, and the current's pathway through the body. This issue discusses the specific threats posed by high-voltage, low-voltage, and lightning injuries. The various presentations are described, including burns, arrhythmias, respiratory arrest, cardiac arrest, blunt trauma from falls or blast events, rhabdomyolysis, tympanic membrane rupture, and altered mental status, among others. The most current literature is reviewed, and an evidence-based approach is provided for the diagnosis and management of electrical injuries in pediatric patients presenting to the emergency department.
儿童电伤少见但危及生命，需要有效的识别和处理。损伤严重程度取决于电流特征、与电源接触时间和电流路径。本问题讨论了高压、低压和雷击伤的特殊威胁。描述了各种表现，包括烧伤、心律失常、呼吸停止、心跳骤停、跌倒或爆炸事件引起的钝挫伤、横纹肌溶解症、鼓膜破裂和意识改变等。本文回顾了最新文献，为儿科电伤患者提供了基于循证的急诊诊断和处理方法。
