Behavioral consequences of lightning and electrical injury.

Department of Psychology, Finch University of Health Sciences/Chicago Medical School, Illinois, USA.
Seminars in Neurology (Impact Factor: 1.51). 10/1995; 15(3):279-85. DOI: 10.1055/s-2008-1041033
Source: PubMed
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    ABSTRACT: A hypothesis is proposed for the causation of remote injuries from Electrical and Lightning Injuries(ELI). This theory takes instruction from recent developments in biological psychiatry and in particular the cortisol theory of depression. This is reviewed and its consequences are given. The theory is developed as follows. Cortisol is a known stress hormone, and is likely to be activated by the trauma of an electrical injury. Intense trauma chronically affects the control mechanisms for cortisol production leading to chronic cortisol level excess. Cortisol damages the areas of the brain involved in the memory, learning, and fluency dysfunctions seen in ELI, and leads to loss of volume of those regions, due to cell death. Cortisol levels affect the production of BDNF – Brain Derived Neurotropic Factor – in a proportion of individuals. BDNF exists in polymorphic forms and BDNF in one form can be severely depleted by stress. The brain loses its plasticity as a result. Depression results, and is of a type consistent with ELI. It is hoped this theory will lead to experiments to support it, and will guide the use of medication for the injury.
    Journal of Lightning Research. 07/2012; 4(1).
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    ABSTRACT: The electric flash burns are a common cause of accident at workplace, especially among electricians. The aim of this study is to determine the parts of the body most often burned by the flash, to define the usual course and finally to give some simple rules of care and prevention. This is a retrospective, observational and descriptive study including all patients treated at the University Hospital of Tours for electrical flash burns between 1 January 2003 and 01 January 2013. A collection of medical and socio-economic data was achieved. We present 3 cases of patients hospitalized in our department. Thirty-three patients were included. In our series, all hospitalized patients were men. The average age was 43.2years (range 18 to 82years). In 81% of cases, the burn was due to a low voltage source, in 19% of cases to a high voltage source. It was an accident at workplace for 71% of patients, of whom 67% were electricians. The average total burned area was 9,52% (from 1.5% to 24%). The main locations included the face (86%), upper limbs (86%) and hands (86%). Medical treatment has healed 95% of patients. A surgical procedure was required in 5% of cases. A post-traumatic stress was found in 41% of patients. Outpatient treatment was performed in 36% of cases. Flash burns remain a common cause of hospitalization. Screening for hearing and eye disorders, a post-traumatic stress, as well as the prescription of early physiotherapy for burned hands are important components of their management. Following simple rules of prevention would limit their morbidity.
    Annales de chirurgie plastique et esthetique 03/2014; · 0.33 Impact Factor
  • Réanimation Urgences 08/2000; 9(5).


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