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Electrical injury disposition — ABEM Board MCQ

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ModerateEnvironmental emergenciesElectrical injury dispositionABEM Board

A 29-year-old electrician receives a high-voltage shock at work and is thrown backward. Triage acuity is ESI 2; BP 136/82 mm Hg, HR 104/min. He has entry and exit burns, diffuse myalgias, and urine dip positive for blood without RBCs. ECG shows PVCs. Which of the following is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Admit for cardiac monitoring and rhabdomyolysis management

High-voltage electrical injury with dysrhythmia and suspected rhabdomyolysis warrants admission and monitoring.

Reference: American Burn Association electrical injury guidance