TY  - JOUR
PY  - 2009//
TI  - Hit by lightning out of the blue
JO  - Deutsche Medizinische Wochenschrift
A1  - Duppel, H.
A1  - Löbermann, M.
A1  - Reisinger, E. C.
SP  - 1214
EP  - 1217
VL  - 134
IS  - 23
N2  - 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>
LA  - en
SN  - 0012-0472
UR  - http://dx.doi.org/10.1055/s-0029-1222596
ID  - ref1
ER  -