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Direct strike: lightning directly hits the person Orifice entry: may occur if lightning strike occurs near the head entering eyes, ears and mouth to flow internally; Side splash: lightning jumps from the location of primary strike to a nearby person; Contact injury: injury that occurs when a person is touching an object on the pathway of lightning
Otherwise an electrocardiogram, blood work to check the heart, and urine testing for signs of muscle breakdown may be performed. [9] Management may involve resuscitation, pain medications, wound management, and heart rhythm monitoring. [9] Electrical injuries affect more than 30,000 people a year in the United States and result in about 1,000 ...
Extensive damage can also be inflicted upon the auditory system. The tympanic membrane (also known as the eardrum) may be perforated by the intensity of the pressure waves. Furthermore, the hair cells, the sound receptors found within the cochlea, can be permanently damaged and can result in a hearing loss of a mild to profound degree. [4]
Lightning strikes can injure humans in several different ways: [4] [5]. Direct. Direct strike – the person is part of a flash channel. Enormous quantities of energy pass through the body very quickly, resulting in internal burns, organ damage, explosions of flesh and bone, and nervous system damage.
[11] [12] Damage may include bleeding, bone fractures, organ damage, wound infection, and loss of the ability to move part of the body. [2] Damage depends on the part of the body hit, the path the bullet follows through (or into) the body, and the type and speed of the bullet. [12] In severe cases, although not uncommon, the injury is fatal.
Signs and symptoms vary depending on what part of the tracheobronchial tree is injured and how severely it is damaged. [6] There are no direct signs of TBI, but certain signs suggest the injury and raise a clinician's suspicion that it has occurred. [8]
Diaphragmatic injuries are present in 1–7% of people with significant blunt trauma [6] and an average of 3% of abdominal injuries. [9] A high body mass index may be associated with a higher risk of diaphragmatic rupture in people involved in vehicle accidents. [6] Over 90% occur due to trauma from vehicle accidents.
The abdominal organs. Signs and symptoms are not seen in early days and after some days initial pain is seen. People injured in motor vehicle collisions may present with a "seat belt sign", bruising on the abdomen along the site of the lap portion of the safety belt; this sign is associated with a high rate of injury to the abdominal organs. [4]