lightning injuries

Summary

Summary: Accidental injuries caused by brief high-voltage electrical discharges during thunderstorms. Cardiopulmonary arrest, coma and other neurologic symptoms, myocardial necrosis, and dermal burns are common. Prompt treatment of the acute sequelae, including cardiopulmonary resuscitation, is indicated for survival.

Top Publications

  1. ncbi Lightning injuries
    Medley O'Keefe Gatewood
    Harvard University School of Medicine, The Massachusetts General and Brigham and Women s Hospitals, 75 Francis Street, Neville House Room 226, Boston, MA 02115, USA
    Emerg Med Clin North Am 22:369-403. 2004
  2. ncbi The neurological complications of electrical injury: a nursing case management perspective
    Valerie Coubrough
    Axone 23:14-22. 2002
  3. ncbi External cause-specific summaries of occupational fatal injuries. Part II: an analysis of years of potential life lost
    A John Bailer
    Department of Mathematics and Statistics, Miami University, Oxford, Ohio 45056 1641, USA
    Am J Ind Med 43:251-61. 2003
  4. ncbi Ball lightning encephalopathy
    Michael Cherington
    J Burn Care Rehabil 24:175. 2003
  5. ncbi Lightning-induced maculopathy
    Suk J Moon
    The Eye Institute, The Medical College of Wisconsin, Milwaukee, Wisconsin 53226 4812, USA
    Retina 25:380-2. 2005
  6. ncbi Lightning injuries: prevention and on-site treatment in mountains and remote areas. Official guidelines of the International Commission for Mountain Emergency Medicine and the Medical Commission of the International Mountaineering and Climbing Federation
    Ken Zafren
    Division of Emergency Medicine, Stanford University Medical Center, 701 Welch Road, Building C, Palo Alto, CA 94304, USA
    Resuscitation 65:369-72. 2005
  7. ncbi The long-term consequences of lightning injuries
    T Muehlberger
    Department of Plastic Surgery, School of Medicine, University of Hannover, Krankenhaus Oststadt, Podbielskistrasse 380, 30659, Hannover, Germany
    Burns 27:829-33. 2001
  8. ncbi Electrical and lightning injuries
    Hemmat Maghsoudi
    Department of Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
    J Burn Care Res 28:255-61. 2007
  9. ncbi Ocular manifestations of remote lightning strike
    Michael S Lee
    Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA
    Retina 22:808-10. 2002
  10. ncbi Ophthalmic manifestations of lightning strike
    M E Norman
    Seacoast Ophthalmology, Portsmouth, New Hampshire, USA
    Surv Ophthalmol 46:19-24. 2001

Detail Information

Publications113 found, 100 shown here

  1. ncbi Lightning injuries
    Medley O'Keefe Gatewood
    Harvard University School of Medicine, The Massachusetts General and Brigham and Women s Hospitals, 75 Francis Street, Neville House Room 226, Boston, MA 02115, USA
    Emerg Med Clin North Am 22:369-403. 2004
    ..To understand the pathophysiology and treatment of lightning injuries one must first discount the innumerable myths, superstitions, and misconceptions surrounding lightning...
  2. ncbi The neurological complications of electrical injury: a nursing case management perspective
    Valerie Coubrough
    Axone 23:14-22. 2002
    ..The numerous challenges inherent in the management of these complex cases were illustrated by three case studies...
  3. ncbi External cause-specific summaries of occupational fatal injuries. Part II: an analysis of years of potential life lost
    A John Bailer
    Department of Mathematics and Statistics, Miami University, Oxford, Ohio 45056 1641, USA
    Am J Ind Med 43:251-61. 2003
    ....
  4. ncbi Ball lightning encephalopathy
    Michael Cherington
    J Burn Care Rehabil 24:175. 2003
  5. ncbi Lightning-induced maculopathy
    Suk J Moon
    The Eye Institute, The Medical College of Wisconsin, Milwaukee, Wisconsin 53226 4812, USA
    Retina 25:380-2. 2005
  6. ncbi Lightning injuries: prevention and on-site treatment in mountains and remote areas. Official guidelines of the International Commission for Mountain Emergency Medicine and the Medical Commission of the International Mountaineering and Climbing Federation
    Ken Zafren
    Division of Emergency Medicine, Stanford University Medical Center, 701 Welch Road, Building C, Palo Alto, CA 94304, USA
    Resuscitation 65:369-72. 2005
    ..Respiratory arrest may be prolonged, but the prognosis can be excellent if breathing is supported. Standard Advanced Life Support (ALS), if necessary, should be given at the scene...
  7. ncbi The long-term consequences of lightning injuries
    T Muehlberger
    Department of Plastic Surgery, School of Medicine, University of Hannover, Krankenhaus Oststadt, Podbielskistrasse 380, 30659, Hannover, Germany
    Burns 27:829-33. 2001
    ..Based on these findings and a literature review, we believe that the overall outcome of lightning injuries is more favourable than generally reported.
  8. ncbi Electrical and lightning injuries
    Hemmat Maghsoudi
    Department of Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
    J Burn Care Res 28:255-61. 2007
    ..Electrical burn injuries continue to be a serious problem of modern society. Climbing power poles is the most common mechanism for high-voltage injury. Special consideration is required to prevent this type of injury in our region...
  9. ncbi Ocular manifestations of remote lightning strike
    Michael S Lee
    Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA
    Retina 22:808-10. 2002
  10. ncbi Ophthalmic manifestations of lightning strike
    M E Norman
    Seacoast Ophthalmology, Portsmouth, New Hampshire, USA
    Surv Ophthalmol 46:19-24. 2001
    ..Prompt evaluation by an ophthalmologist is imperative for maximizing outcomes. Incidence and mechanisms of lightning strike injury are summarized, with special emphasis on the treatment of ocular injuries...
  11. ncbi [Electrical injuries]
    Dalia Adukauskiene
    Clinic of Intensive Therapy, Kaunas University of Medicine, Kaunas, Lithuania
    Medicina (Kaunas) 43:259-66. 2007
    ..The most important is to understand the possible danger of electricity and to avoid it...
  12. ncbi Neurologic manifestations of lightning strikes
    Michael Cherington
    Lightning Data Center, St Anthony Hospital, 4231 West 16th Avenue, Denver, CO 80204, USA
    Neurology 60:182-5. 2003
  13. doi Electrocardiographic changes in a bystander during lightning in India
    Ranjan Kumar Singh
    Trans R Soc Trop Med Hyg 102:299. 2008
  14. ncbi A case of takotsubo-shaped hypokinesis of the left ventricle caused by a lightning strike
    Motonori Hayashi
    Department of Medicine, Omachi General Hospital, Nagano, Japan
    Int Heart J 46:933-8. 2005
    ..This is the first reported case of takotsubo cardiomyopathy caused by lightning. Takotsubo-shaped hypokinesis is not described as a complication of lightning-induced cardiac injury and its pathogenesis remains controversial...
  15. ncbi High tension electrical injury from a telephone receiver
    P C Thomas
    Department of Burns and Plastic Surgery, Kasturba Medical College, Manipal 576, 119, Karnataka, India
    Burns 27:502-3. 2001
    ..The current entered the telephone circuit due to contact with a high tension live wire running close to the telephone wire 2 km away from the site of incidence...
  16. ncbi Lightning: an unusual etiology of gastrointestinal perforation
    Sahin Aslan
    Department of Emergency Medicine, Ataturk University, School of Medicine, 25090 Erzurum, Turkey
    Burns 31:237-9. 2005
  17. ncbi Atmospheric flash injuries in roe deer (Capreolus capreolus)
    Diana Zele
    Institute for Breeding and Health Care of Wild Animals, Fishes and Bees, Veterinary Faculty, University of Ljubljana, 1000 Ljubljana, Gerbiceva 60, Slovenia
    Acta Vet Hung 54:43-9. 2006
    ..Necropsy revealed diffuse haemorrhages over the epicardium of the right atrium with a diameter of 1 millimetre. The liver and the kidney exhibited severe congestion...
  18. ncbi Images in emergency medicine. Lightning strike
    Christopher P Holstege
    Department of Emergency Medicine, Division of Medical Toxicology, University of Virginia, Charlottesville, VA, USA
    Ann Emerg Med 45:354, 362. 2005
  19. pmc Epidemiology of electrical and lightning related deaths and injuries among Canadian children and youth
    B H Nguyen
    Division of Emergency Medicine, Department of Pediatrics, Hopital Ste Justine, Universite de Montreal, Montreal, Quebec, Canada
    Inj Prev 10:122-4. 2004
    ....
  20. ncbi Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae
    K Duff
    Department of Psychology, University at Albany, State University of New York, Albany 12222, USA
    Neuropsychol Rev 11:101-16. 2001
    ..Important issues relevant to researchers in the field are discussed. Finally, the role that neuropsychology might play in this area is outlined...
  21. ncbi [Emergency treatment of injuries following lightning and electrical accidents]
    W Lederer
    Univ Klinik für Anästhesiologie und Allg Intensivmedizin, Medizinische Universitat, Innsbruck
    Anaesthesist 54:1120-9. 2005
    ..Cardio-pulmonary resuscitation (CPR) follows the international guidelines for resuscitation and may be effective after delayed onset and even after prolonged resuscitation attempts...
  22. ncbi Lightning injuries
    Darren Whitcomb
    Trauma Program, Charity Hospital, New Orleans, LA, USA
    South Med J 95:1331-4. 2002
    ..Thorough evaluation of all organ systems is crucial. This report discusses mechanism of injury and describes initial evaluation and treatment of lightning strike victims...
  23. ncbi Myocardial injury due to lightning strike--a case report
    Omer Alyan
    Turkiye Yuksek Ihtisas Hospital, Sihhiye, Ankara, Turkey
    Angiology 57:219-23. 2006
    ..In this paper, the authors report a 38-year-old man who was injured by lightning, a typical example of ;;side splash,'' and had transient electrocardiographic changes...
  24. ncbi Lightning safety guidelines
    Christoph Zimmermann
    Wxline, Tucson, AZ, USA
    Ann Emerg Med 39:660-4. 2002
    ..This paper is a summary of the recommendations developed by the LSG...
  25. ncbi An unusual case of late ocular changes after lightning injury
    Himadri Datta
    Department of Ophthalmology, Bankura Sammilani Medical College, Bankura, West Bengal, India
    Indian J Ophthalmol 50:224-5. 2002
    ..We describe a case of late ocular changes after lightning injury. One year after the injury, complete ankyloblepharon, severe dry eye, corneal opacity, healed iritis and mature cataracts were noted in both eyes of the patient...
  26. ncbi Abnormal electroretinogram and abnormal electrooculogram after lightning-induced ocular injury
    Chun Ju Lin
    Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan
    Am J Ophthalmol 133:578-9. 2002
    ..To report a case of abnormal electrooculogram and abnormal electroretinogram after lightning-induced ocular injury...
  27. ncbi Bilateral cataract following lightning injury
    A Gupta
    Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
    Eur J Ophthalmol 16:624-6. 2006
    ..To report a case of bilateral cataract with posterior vitreous detachment induced by lightning injury...
  28. ncbi Was Saint Paul struck blind and converted by lightning?
    J D Bullock
    Department of Ophthalmology, Wright State University, School of Medicine, Dayton, Ohio
    Surv Ophthalmol 39:151-60. 1994
    ....
  29. ncbi Mountain medical mystery. Unwitnessed death of a healthy young man, caused by lightning
    M Cherington
    Lightning Data Center, Centura Health-St. Anthony Hospital, Denver, Colorado 80204, USA
    Am J Forensic Med Pathol 22:296-8. 2001
    ..The National Lightning Detection Network can be a valuable resource to investigators by providing information on the location and date of lightning strikes in the vicinity of the victim...
  30. ncbi Electron paramagnetic resonance spectroscopic evidence of increased free radical generation and selective damage to skeletal muscle following lightning injury
    Damian M Bailey
    Hypoxia Research Unit, Department of Physiology, School of Applied Sciences, University of Glamorgan, South Wales, UK CF37 1DL
    High Alt Med Biol 4:281-9. 2003
    ..Furthermore, free radicals may contribute to the pathogenesis of lightning injury, and dietary supplementation with antioxidant vitamins may prove of some benefit against associated tissue damage...
  31. ncbi Unusual resuscitation situations: environmental emergencies
    Greg Friese
    Emergency Preparedness Systems, LLC, USA
    Emerg Med Serv 34:57-63. 2005
  32. ncbi Case report of a 13-year-old struck by lightning
    S P Courtman
    Department of Paediatric Intensive Care, Great Ormond Street Hospital for Sick Children, London, UK
    Paediatr Anaesth 13:76-9. 2003
    ..This is the case report of a 13-year-old boy who had a cardiac arrest following a direct lightning strike, and his subsequent management...
  33. ncbi Lightning injuries and acute renal failure: a review
    U V Okafor
    University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria
    Ren Fail 27:129-34. 2005
    ..A major complication of a lightning strike is acute renal failure (ARF). The true incidence of ARF due to lightning injuries worldwide is difficult to ascertain because of significant underreporting, due in large measure to cultural ..
  34. ncbi Acute renal failure due to myoglobulinuria in a patient struck by lightning
    Vincent U Okafor
    Department of Anaesthesia, National Hospital, Abuja, Nigeria
    Nephrology (Carlton) 11:478-9. 2006
  35. ncbi Ear injuries caused by lightning: report of 18 cases
    I Gluncic
    Department of Otorhinolaryngology, University Hospital Split, Croatia
    J Laryngol Otol 115:4-8. 2001
    ..Tympanic injury caused by lightning should be actively treated. Lightning survivors require additional psychotherapeutic treatment...
  36. ncbi Malignant melanoma in a burn scar
    H K Orlet
    The Joseph M. Still Burn Center, Augusta, GA, USA
    Ann Plast Surg 46:59-61. 2001
    ..The specimen from the reexcision was reported as squamous cell carcinoma in situ, melanoma in situ, and multinucleated giant cell reaction, acute and chronic infiltrates. The wound margins were clear...
  37. ncbi Acute rhabdomyolysis of the soleus muscle induced by a lightning strike: magnetic resonance and scintigraphic findings
    Naofumi Watanabe
    Department of Radiology, Asahikawa Medical College, 2 1 1 1 Midorigaoka Higashi, Asahikawa 078 8510, Japan
    Skeletal Radiol 36:671-5. 2007
    ..Since the patient showed a surprisingly high level of serum creatine kinase, the added information was very valuable for determining the patient's management...
  38. ncbi Lightning fatalities on the South African Highveld: a retrospective descriptive study for the period 1997 to 2000
    Ryan Blumenthal
    Department of Forensic Medicine, University of Pretoria, Pretoria, South Africa
    Am J Forensic Med Pathol 26:66-9. 2005
    ..This study serves to illustrate the relatively high incidence of lightning strikes in the region and calls for a more systematic and detailed investigative protocol in lightning-related deaths...
  39. ncbi [Lightning injuries: case report of a 17-year-old man and a brief review of the literature]
    N Stutz
    Abteilung für Plastische, Hand und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Klinikum Nürnberg Süd, Breslauerstrasse 201, 90471 Nürnberg
    Unfallchirurg 109:495-8. 2006
    ..The most vulnerable subjects for lightning injuries are individuals who work in open fields...
  40. ncbi Detection of gold particles in the neck skin after lightning stroke with evaporation of an ornamental chain
    Ludwig Jonas
    Department of Pathology, Electron Microscopic Centre, Faculty of Medicine, University of Rostock, Germany
    Ultrastruct Pathol 26:153-9. 2002
    ..Attempts to remove the gold particles from the skin to remove the tattoo should not be undertaken because the gold is deep and widespread...
  41. ncbi Combined Bennett's fracture subluxation and scapho-trapezio-trapezoidal dislocation secondary to lightning strike
    Ruben Y Kannan
    Royal Free Hospital, London, United Kingdom
    J Trauma 57:1351-3. 2004
  42. ncbi [Lightening-induced injury of the air. Lightening-induced tympanic membrane perforation left with subsequent temporary pancochlear inner ear hearing loss as well as left-sided tinnitus]
    T Just
    Klinik und Poliklinik für HNO Heilkunde, Kopf und Halschirurgie Otto Körner, Universitat Rostock
    HNO 50:170-1. 2002
  43. ncbi More on thunderstorms and iPods
    Paul T Mick
    N Engl J Med 357:1447-8; authot reply 1448. 2007
  44. doi Lightning safety of animals
    Chandima Gomes
    Department of Electrical and Electronics Engineering, Centre of Excellence on Lightning Protection, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
    Int J Biometeorol 56:1011-23. 2012
    ..A large number of cases from several countries have been analyzed. Economically and practically viable engineering solutions are proposed to address the issues related to the lightning threats discussed...
  45. pmc Remarkable rates of lightning strike mortality in Malawi
    Monique Borgerhoff Mulder
    Department of Anthropology, University of California, Davis, California, United States of America
    PLoS ONE 7:e29281. 2012
    ....
  46. doi Damage due to lightning when it strikes the face
    Ashesh Gunwantrao Wankhede
    Forensic Medicine and Toxicology, Smt Kashibai Navale Medical College, Narhe, Pune 411041, Maharashtra, India
    Forensic Sci Int 224:e1-3. 2013
    ..The damage described in the present paper must be considered when there is direct lightning strike on the face...
  47. doi Lightning and thermal injuries
    Arthur Sanford
    Department of Surgery, Loyola University Medical Center, Maywood, IL, USA
    Handb Clin Neurol 120:981-6. 2014
    ..Neurologic complications from electrical and lightning injuries are highly variable and may present early or late (up to 2 years) after the injury...
  48. doi [Lightning strikes and lightning injuries in prehospital emergency medicine. Relevance, results, and practical implications]
    J Hinkelbein
    Klinik fur Anasthesiologie und Operative Intensivmedizin, Universitätsklinikum Köln AöR, Kerpener Straße 62, 50937 Koln
    Unfallchirurg 116:74-9. 2013
    ..Up to 32.2% of patients in a burn center suffer from electrical injuries. Of these patients, 2-4% present with lightning injuries. In Germany, approximately 50 people per year are injured by a lightning strike and 3-7 fatally...
  49. doi Lightning safety awareness of visitors in three California national parks
    Lori Weichenthal
    Department of Emergency Medicine, University of California, San Francisco, CA, USA
    Wilderness Environ Med 22:257-61. 2011
    ..To assess the level of lightning safety awareness among visitors at 3 national parks in the Sierra Nevada Mountains of California...
  50. doi Secondary missile injury from lightning strike
    Ryan Blumenthal
    Department of Forensic Medicine, University of Pretoria, Pretoria, South Africa
    Am J Forensic Med Pathol 33:83-5. 2012
    ..Small pieces of concrete were located embedded within the shrapnel wounds. This case report represents the first documented case of secondary missile formation (shrapnel injury) due to lightning strike in the literature...
  51. pmc National Athletic Trainers' Association position statement: lightning safety for athletics and recreation
    Katie M Walsh
    East Carolina University, Greenville, NC, USA
    J Athl Train 48:258-70. 2013
    To present recommendations for the education, prevention, and management of lightning injuries for those involved in athletics or recreation.
  52. doi [Management of the common European viper's bite--a case report]
    Agnes Sziray
    Miskolci Semmelweis Ignác Egészségügyi Központ és Egyetemi Oktató Kórház Nonprofit Kft Bőrgyógyászati Osztály Miskolc Jókai Mór u 4 3525
    Orv Hetil 152:1661-5. 2011
    ..In connection with the case, authors provide an overview of the clinical symptoms caused by viper venom, and current issues of professional care...
  53. ncbi Severe stunned myocardium after lightning strike
    Jaime Rivera
    Department of Cardiology, Medica Sur Clinic, Mexico City, Mexico
    Crit Care Med 35:280-5. 2007
    ..To report the development of myocardial stunning and severe heart failure after lightning strike with total recovery of function...
  54. ncbi A case of acute myocardial infarction due to indirect lightning strike
    Hayrettin Saglam
    Afyonkocatepe University of Medical School, Department of Cardiology, Afyonkarahisar, Turkey
    J Electrocardiol 40:527-30. 2007
    ..We present the case of a 13-year-old boy with acute myocardial infarction secondary to an indirect lightning strike...
  55. ncbi Lightning, sudden cardiac death, simulation and an automated external defibrillator: the perfect storm
    Kristen L Nelson
    Johns Hopkins School of Medicine, Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology and Critical Care Medicine, United States
    Resuscitation 74:567-71. 2007
    ..In this report, we describe the clinical course of this patient; briefly review lightning injuries, other causes of sudden cardiac death in children and use of AEDs...
  56. ncbi Bilateral macular cyst after lightning visualized with optical coherence tomography
    Pedro J Rivas-Aguiño
    Clin Experiment Ophthalmol 34:893-4. 2006
    ..OCT seems to be useful in the evaluation of lighting maculopathy to rule-out full-thickness macular hole in these cases, and avoid unnecessary surgery...
  57. ncbi Lightning: a risk factor for squamous cell carcinoma of the skin
    T Purnak
    Clin Oncol (R Coll Radiol) 18:636. 2006
  58. ncbi Lightning strike: a rare cause of bilateral ossicular disruption
    C Offiah
    Department of Neuroradiology, St Bartholomew and the Royal London Hospitals, West Smithfield, London, UK
    AJNR Am J Neuroradiol 28:974-5. 2007
    ..We report the first documented case of ossicular disruption in a lightning-strike victim...
  59. ncbi Lightning fatality with blast, flame, heat and current effects: a macroscopic and microscopic view
    O P Murty
    Forensic Medicine, Faculty of Medicine, UITM, Malaysia 40450
    J Forensic Leg Med 16:162-7. 2009
    A case is presented of a fatal environmental accidental injuries of lightning. A pedestrian was struck by lightning. The macroscopic and microscopic lightning injuries are reviewed.
  60. ncbi Fatal lightning strikes in Malaysia
    O P Murty
    Forensic Pathology Unit, Department of Pathology, University of Malaya, Kuala Lumpur, Malaysia
    Am J Forensic Med Pathol 30:246-51. 2009
    ..0%). Head and neck were the most commonly affected sites with the incidence of 77.78% and 74% respectively in all the victims. Only 29.63% of the cases presented with ear bleeding...
  61. doi The spinal cord in lightning injury: a report of two cases
    Sowmya Lakshminarayanan
    New Jersey Neuroscience Institute Seton Hall University at JFK Medical Center, Edison, NJ 08818, USA
    J Neurol Sci 276:199-201. 2009
    ..Follow-up several months later showed almost complete resolution of symptoms. These patients demonstrate that the prognosis of spinal cord injury complicating a lightning strike may not be uniformly poor...
  62. doi [Lightning strike to a vehicle causing acute acoustic trauma]
    F Angerer
    Hals Nasen Ohren Klinik, Kopf und Halschirurgie, Universitatsklinikum Erlangen, Erlangen
    HNO 57:1081-3. 2009
    ..Cochlear injuries as an acute acoustic trauma have to be considered in lightning strikes and can occur when a car is struck by lightning...
  63. ncbi Lightning strike: an unusual etiology of gastric perforation
    Zafer Kilbas
    Department of General Surgery, Gulhane Military Medical Academy, Ankara 06018, Turkey
    Am J Emerg Med 26:966.e5-7. 2008
    ..In this study, we present a case of gastric perforation after lightning strike. No report related to gastric perforation caused by lightning strike has been identified in the literature...
  64. ncbi Beyond the basics: lightning-strike injuries
    Joseph J Mistovich
    Department of Health Professions, Youngstown State University, OH, USA
    EMS Mag 37:82-7; quiz 88-9. 2008
    ....
  65. pmc Bilateral macular hole secondary to remote lightning strike
    Krishna A Rao
    Department of Ophthalmology, Kasturba Medical College, Manipal, India
    Indian J Ophthalmol 57:470-2. 2009
    ..This is the first case report of such nature in India to the best of our knowledge...
  66. ncbi Takotsubo cardiomyopathy following lightning strike
    B K Dundon
    Cardiovascular Investigation Unit, Royal Adelaide Hospital, North Terrace, Adelaide, Australia
    Emerg Med J 25:460-1. 2008
    ....
  67. ncbi [Neurological symptoms following lightening strike]
    Rianne C van Spijker
    Spaarne Ziekenhuis, afd Neurologie, Hoofddorp, The Netherlands
    Ned Tijdschr Geneeskd 153:A774. 2009
    ..After excluding other possible causes, the patient was diagnosed with 'polyneuropathy due to lightning strike'. Gabapentine had a favourable effect on the sensory symptoms. Lightening strikes are a rare cause of polyneuropathy...
  68. ncbi Lichtenberg figures and lightning: case reports and review of the literature
    Michael Cherington
    Lightning Data Center, St Anthony Hospitals, 4231 W 16th Ave, Denver, CO 80204, USA
    Cutis 80:141-3. 2007
    ..Many researchers believe that LFs are fractal patterns and do not correspond to known vascular or neuroanatomic patterns. We present our ideas on possible mechanisms of the pathophysiology of LFs...
  69. doi Forensics in dermatology: part II
    Kalpana Reddy
    The State University of New York Health Science Center at Brooklyn, Brooklyn, New York, USA
    J Am Acad Dermatol 64:811-24; quiz 825-6. 2011
    ..Forensic findings in hair and nails are also discussed. This overview of dermatologic findings in forensic pathology highlights the significance of the cutaneous manifestations of injury...
  70. ncbi Thunderstorms and iPods--two reports of the same case
    Eric J Heffernan
    N Engl J Med 357:723. 2007
  71. ncbi Lichtenberg figures: cutaneous manifestation of phone electrocution from lightning
    Ajay L Mahajan
    Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Ireland
    J Plast Reconstr Aesthet Surg 61:111-3. 2008
    ..These appear to be a result of an inflammatory response as current spreads out causing ionisation and heat effects and damage to the small subcutaneous capillaries...
  72. doi Evolution of severe lightning maculopathy visualized with spectral domain optical coherence tomography
    Blair Armstrong
    Retina Service, Wills Eye Institute, 840 Walnut Street, Philadelphia, PA 19107, USA
    Ophthalmic Surg Lasers Imaging 41:S70-3. 2010
    ..The authors report a case of lightning maculopathy with serial spectral domain optical coherence tomographs that, for the first time, elegantly illustrate the natural history of this uncommon, ominous condition...
  73. ncbi Thunderstorms and iPods--not a good idea
    Eric J Heffernan
    N Engl J Med 357:198-9. 2007
  74. ncbi [Survival following lightning strike and treatment of sequelae]
    Malene Lægdsgaard Pedersen
    Anæstesiologisk Afdeling, Hvidovre Hospital, Denmark
    Ugeskr Laeger 173:1138-9. 2011
    ..We describe the clinical observations, therapy and injuries which may be expected. Furthermore, the pathophysiology and factors influencing the survival of this patient are discussed...
  75. pmc A lightning strike to the head causing a visual cortex defect with simple and complex visual hallucinations
    Ingo Kleiter
    Department of Neurology, University of Regensburg, Universitätsstr 84, 93042 Regensburg, Germany
    J Neurol Neurosurg Psychiatry 78:423-6. 2007
    ..Using the European Cooperation for Lightning Detection network, a meteorological system for lightning surveillance, the exact geographical location and nature of the lightning flash were retrospectively retraced...
  76. ncbi Dramatic lightning injury with exit wound
    O P Murty
    Department of Pathology, Faculty of Medicine, University of Malaysia, Kuala Lumpur, Malaysia
    J Forensic Leg Med 14:225-7. 2007
    ..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...
  77. ncbi Learning a golden rule ... the hard way
    Ronald McCoy
    Aust Fam Physician 33:368. 2004
  78. ncbi James Parkinson: links to Charcot, Lichtenbergh, and lightning
    Michael Cherington
    Lightning Data Center, St Anthony Hospital, Denver, CO 80204, USA
    Arch Neurol 61:977. 2004
  79. ncbi MR imaging findings in delayed reversible myelopathy from lightning strike
    Cynthia B Freeman
    Department of Diagnostic Imaging, The Ottawa Hospital, Ontario, Canada
    AJNR Am J Neuroradiol 25:851-3. 2004
    ..Axial images localized the hyperintense signal to the posterolateral region of the spinal cord bilaterally. Follow-up MR imaging 6 weeks later demonstrated resolution of abnormal cord signal intensity...
  80. ncbi Burns from out of the blue. Lightning strike
    Neil F Gibbs
    Department of Dermatology, Naval Medical Center, San Diego, USA
    Postgrad Med 113:67-8, 85. 2003
  81. ncbi Globus pharyngis: was it a stroke of lightning?
    Massimo Montalto
    Am J Gastroenterol 98:938-9. 2003
  82. ncbi Lightning injury in an outdoor swine herd
    William G Van Alstine
    Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907 1175, USA
    J Vet Diagn Invest 15:289-91. 2003
    ..Because vertebral fractures may be the only lesions and may be grossly subtle in heavily muscled pigs, careful pelvic and vertebral dissection is recommended in cases of suspected lightning strike and electrocution...
  83. ncbi Lightning and Lichtenberg figures
    Michael Cherington
    Lightning Data Center, St Anthony Hospital, 4231 W 16th Avenue, Denver, CO 80204, USA
    Injury 34:367-71. 2003
  84. ncbi Unusual injuries caused by lightning stroke. 1894
    R H E Knaggs
    Wilderness Environ Med 13:162; discussion 158-60. 2002
  85. ncbi Ophthalmic manifestations of lightning [correction of lightening] strikes
    S Dinakaran
    Surv Ophthalmol 47:292; author reply 292-3. 2002
  86. ncbi A large group of children struck by lightning
    A E Carte
    South African Society for Atmospheric Sciences, Pretoria, South Africa
    Ann Emerg Med 39:665-70. 2002
    ..Many of these injuries occurred more frequently than would be expected from prior large reviews and reports...
  87. ncbi Biophysical injury mechanisms in electrical shock trauma
    R C Lee
    Department of Surgery and Organismal Biology Biomechanics, Pritzker School of Medicine, University of Chicago, Chicago, Illinois 60637, USA
    Annu Rev Biomed Eng 2:477-509. 2000
    ..In addition, we describe the anatomic patterns of the resultant tissue injury from these modes of electromagnetic exposures...
  88. ncbi Epidemiology, morbidity, mortality and treatment of lightning injuries in a Turkish burns units
    A K Aslar
    Department of Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey
    Int J Clin Pract 55:502-4. 2001
    Deaths from lightning injuries are infrequent--0.2-0.8 per million per year. The victims are mostly young, active people who are struck during various outdoor activities in the summer months...
  89. ncbi Lightning injuries in sports: situations to avoid
    M Cherington
    Lightning Data Center, St Anthony Hospital, Denver, Colorado, USA
    Sports Med 31:301-8. 2001
    ..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...
  90. ncbi Cataracts, bilateral macular holes, and rhegmatogenous retinal detachment induced by lightning
    A Espaillat
    Espaillat Cabral Eye Institute, Santo Domingo, Dominican Republic
    Am J Ophthalmol 127:216-7. 1999
    ..To report ocular injuries, including a unilateral rhegmatogenous retinal detachment, induced by lightning...
  91. ncbi Pneumomediastinum caused by a lightning strike
    Ari Halldorsson
    Division of Cardiothoracic Surgery, Texas Tech University, Lubbock, Texas 79430, USA
    J Trauma 57:196-7. 2004
  92. ncbi [Lightning injuries--a mixture of electrical, thermal and multiple trauma]
    Fredrik Huss
    Dept of Plastic Surgery, Hand Surgery und Bums, BRIVA, Universitetssjukhuset, SE 581 85 Linkoping, Sweden
    Lakartidningen 101:2328-31. 2004
    ..Few health care providers have experience from lightning injuries as they are rare and different (DC) from the more common high-voltage (AC) injuries...
  93. pmc Air traffic controller lightning strike
    M E Spieth
    Department of Radiology, King Drew Medical Center, Los Angeles, California 90059
    J Natl Med Assoc 86:713-5. 1994
    ..Lack of a lightning rod is the most likely reason the controller was struck. Proper precautions against lightning strikes can prevent such occupational safety hazards...
  94. ncbi Long-term sequelae of lightning strike in a child: a case report and review
    Linda S Nield
    Department of Pediatrics, West Virginia University, Morgantown, WV, USA
    Clin Pediatr (Phila) 43:563-7. 2004
  95. ncbi Struck-by-lightning deaths in the United States
    Nelson Adekoya
    Research Scientist, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
    J Environ Health 67:45-50, 58. 2005
    ..Although prevention programs could target the entire nation, interventions might be most effective if directed to regions with the majority of fatalities because they have the majority of lightning strikes per year...
  96. ncbi Overlooked diagnoses in chronic pain: analysis of survivors of electric shock and lightning strike
    Nelson Hendler
    Mensana Clinic, Stevenson, Department of Neurosurgery, Stevenson, Maryland 21153, USA
    J Occup Environ Med 47:796-805. 2005
    ..This article reports the most commonly overlooked diagnoses so that physicians can improve their evaluations...
  97. ncbi Lightning injuries in a pregnant woman: a case report and review of the literature
    J J García Gutiérrez
    Department of Plastic Surgery and Burns Unit, Hospital de Cruces, Plaza de Cruces s n, Baracaldo, Vizcaya, Spain
    Burns 31:1045-9. 2005
  98. ncbi When thunder roars -- go indoors!
    Ryan Blumenthal
    Department of Forensic Medicine at the University of Pretoria
    S Afr Med J 96:38-9. 2006
  99. pmc Injury from lightning strike while using mobile phone. Mobile phones are not lightning strike risk
    Chris W Althaus
    BMJ 333:96. 2006
  100. pmc Injury from lightning strike while using mobile phone. Statistics and physics do not suggest a link
    Ramsey M Faragher
    BMJ 333:96. 2006
  101. ncbi Neurorehabilitation of cerebral disorders following lightning and electrical trauma
    Philip R Yarnell
    Lightning Data Center, St Anthony Hospital, 4231 W 16th Avenue, Denver, CO 80204, USA
    NeuroRehabilitation 20:15-8. 2005
    ..b>Lightning injuries are usually the result of outdoor sports and leisure activities...

Research Grants2

  1. ELECTRIC INJURY--IMAGING OF THERMAL/NON-THERMAL ASPECTS
    Raphael Lee; Fiscal Year: 2003
    ..abstract_text> ..
  2. Biopolymer Surfactants for Sealing Electroporated Membranes
    Raphael Lee; Fiscal Year: 2007
    ..Finally, we will conduct studies in parallel to determine if surfactant rescued cells manifest normal phenotype during proliferation or exhibit effects of mutations caused by unrepaired DMA. ..