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Electrical injury — DIPIMC MCQ

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HardEnvironmental MedicineElectrical injuryDIPIMCDipIMC

A worker contacted a high-voltage source and was thrown clear. He is now conscious, with entry and exit burns, and you must plan his monitoring.

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Correct answer: D — Apply cardiac monitoring and assess for occult deep-tissue and cardiac injury despite minor-looking skin wounds.

Electrical injury can cause arrhythmias and extensive deep-tissue damage out of proportion to small surface burns, so cardiac monitoring and assessment for occult injury are essential. Visible skin wounds underestimate the internal injury along the current path. Rhabdomyolysis and compartment syndrome are recognised complications.

Reference: JRCALC Clinical Guidelines