@article{ref1,
title="Hit by lightning out of the blue",
journal="Deutsche Medizinische Wochenschrift",
year="2009",
author="Duppel, H. and Löbermann, M. and Reisinger, E. C.",
volume="134",
number="23",
pages="1214-1217",
abstract="HISTORY AND CLINICAL FINDINGS: A group of six hikers were hit by lightning out of the blue sky. The biggest harm was done to a 29-year-old man (size: 190 cm) while walking along a high spruce. He experienced a seizure with consecutive sinus tachycardia and hypertensive dysregulation. One year later he still complained about reduced physical strength. The other five hikers had less severe injuries. INVESTIGATIONS: Burns were detectable in five of six patients. Elevated creatine kinase and myoglobin were indicative for myo-lysis. Renal parameters were normal. DIAGNOSIS, THERAPY AND COURSE: All patients were treated with intravenous fluid and electrolyte substitution during transport to hospital. Two patients were additionally treated with metroprolol. CONCLUSION: Cardiac arrhythmias, usually tachycardia, myolysis, and seizures require early treatment with beta blockers, sufficient fluid supply, and antiepileptics. In patients with cardiac arrest after a lightning injury immediate cardiac resuscitation is crucial.<p /> <p>Language: en</p>",
language="en",
issn="0012-0472",
doi="10.1055/s-0029-1222596",
url="http://dx.doi.org/10.1055/s-0029-1222596"
}