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PubMed1990

[Lightning injuries in high mountain areas. Report of 29 cases].

Lightning, usually scarce, is a frequent phenomenon in high mountains. Due to our location at the foot of the Mont-Blanc, we have been able to examine twenty nine cases of people struck by lightning in the Chamonix Hospital. Lightning that has interested people since old times is the result of complex meteorological phenomenons, able to deliver a huge instant power. Several types of lightning have been described. They give different sorts of injuries; the most frequent affect the brain, the heart and the skin. The analysis of the results of seventeen victims admitted at the hospital does not allow to conclude to a clinical and biological specificity of the lightning stricken in high mountains. It makes it however possible to determine precisely the clinical disorders and the features of the injured and to emphasize the part due to the high mountains and consider the non specific therapeutic to set to work as soon as possible.

Adult↗
PubMed2001

Lightning injuries in sports: situations to avoid.

There is no absolute protection against lightning because of its random and capricious nature. However, the risk of being struck by lightning can be substantially reduced. There are general safety rules that apply to all athletic and recreational events. The athlete should have a proactive plan that can be instituted when storms approach. He/she should go to a safe shelter before the storm arrives and stay there until the danger is gone. Because the location, climate, terrain and playing site vary with different sporting activities, safety plans may have distinct elements for different recreational activities. Mountain climbers should know the weather patterns of their locale. The highest frequency of lightning strikes in the Rocky Mountains occurs between 11 am and 9 pm during the months of April to September. There is less chance of a hiker encountering lightning during the early morning hours. Many tourists are unaware of this pattern, which may possibly explain the finding that most lightning victims are visitors from other states. The bicyclist is as vulnerable as anyone in the open. In the event of lightning he/she should seek safe shelter and get off the bike. Rubber tires do not provide protection from lightning. Golfers continue to make the same mistakes year after year. Golfers should know to seek safe shelter (clubhouse or closed metal vehicle) before the storm arrives and not return prematurely to the golf course. They should avoid isolated trees, open fields, unsafe sheds and metal poles. They should separate from each other rather than gather together. Swimmers should get out of the pool and find a safe shelter. Safe areas do not include poolsides, under awnings or under trees. A nearby closed automobile may be the safest place until the danger is gone. Applying precautions when engaging in these sporting or recreational activities will help to minimise the risk of casualties or fatalities caused by lightning.

Female↗
PubMed1997

Plastic surgical considerations in lighting injuries.

Lightning injuries affect 1,000 to 1,500 people per year in the United States. While fatalities are uncommon, lightning frequently causes injuries within the treatment purview of the plastic surgeon. Recognition of common patterns of lightning injury, their prognosis, and treatments are important for the plastic surgeon. Lightning injury, although electrical, is very different from other more common electrical injuries. Burn injuries are seen, but are usually superficial and heal without surgery. Deep-tissue injury is rare. Neurovascular compromise of the extremities is common and may lead to plastic surgical consultation for intervention. Spontaneous recovery is the rule, however. Several patients are described who illustrate these injuries, and treatment guidelines are proposed.

Adolescent↗
PubMed1998

Lightning injuries during snowy conditions.

Skiers and other snow sports enthusiasts can become lightning casualties. Two such accidents are reported, one being fatal. There are fewer warning signals of impending lightning strikes in winter-like conditions. However, outdoor activists should be aware of at least two suspicious clues: the appearance of convective clouds, and the presence of graupel (snow pellets) during precipitation.

Adult↗
PubMed1995

Neurologic complications of lightning injuries.

Over the past ten years, we have cared for 13 patients who suffered serious neurologic complications after being struck by lightning. The spectrum of neurologic lesions includes the entire neuraxis from the cerebral hemispheres to the peripheral nerves. We describe these various neurologic disorders with regard to the site of the lesion, severity of the deficit, and the outcome. Damage to the nervous system can be a serious problem for patients struck by lightning. Fatalities are associated with hypoxic encephalopathy in patients who suffered cardiac arrests. Patients with spinal cord lesions are likely to have permanent sequelae and paralysis. New technology for detecting lightning with wideband magnetic direction finders is useful in establishing lightning-flash densities in each state. Florida and the Gulf Coast states have the highest densities. Colorado and the Rocky Mountain states have the next highest.

Adolescent↗
PubMed2006

Dramatic lightning injury with exit wound.

This is a case report of an environmental accident due to lightning where one school boy sustained current, blast, and flame effects of it. A bolt of lightning directly struck the pole of a football ground and the scatter struck the child. In addition to burn injuries, he showed an exit wound of lightning in left foot. The exit wound of lightning current is a very rare finding. The body of victim had flame and heat effect of atmospheric electricity on head and neck, face, and trunk. In this incidence of lightning other team mates of the victim were safe. The patient survived the attack.

Burns↗