793 Lightning Burns and General Recommendations
Shreya Arora, Jaynie X Criscione, Bilal Koussayer, Marian Mikhael, Ellie Randolph, Nicole K Le, Kristen Whalen, Kristina Buller, Jared Troy, Jake Laun

TL;DR
This study compares lightning and electrical burns in adults and children, finding similar initial presentations but differences in recovery times and hospital stays.
Contribution
The paper provides general recommendations for managing lightning burns and highlights differences in outcomes between lightning and electrical burns.
Findings
Lightning burn patients had faster CPK normalization compared to electrical burn patients.
Pediatric lightning burn patients had longer hospital and ICU stays compared to electrical burn patients.
Electric burns in adults and older patients showed longer recovery times for muscular injury.
Abstract
The odds of being struck by lightning are one in a million, however lightning strike accounts for 24,000 annual fatalities worldwide (Jensen et al, 2023). Due to its rarity, guidelines for the management of burns acquired by lightning strike are scarce. Current standard of treatment is to treat burns acquired as one would treat electrical burns (Stander & Wallace, 2011). We present a case series of three patients that were struck by lightning and contrast their outcomes to patients with electrical burns. We attempt to provide general recommendations for lightning burns. We conducted retrospective chart review of patients presenting between 2015- 2022 for electrical and lightning burns. SPSS V28 was used for statistical analysis. Lightning burn patients were matched to electric burn patients by age, gender, Total Burn Surface Area (TBSA), and comorbidities. Descriptive statistical…
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Taxonomy
TopicsBurn Injury Management and Outcomes
