Some opinions of electric accidents in 161 patients in Cho Ray Hospital

A study on 161 patients treated in the Burn Department of Chî RÉy Hospital has shown that the accidents occurred frequently in ages of 15-40. The major circumstances of accidents mainly were antenna installation, construction, and house repair under the high change electricity. The electric equipment and machines did not cause the electric burn but severe cardiac lesion. The mortality rate was very high. The active, urgent artificial respiratory and cardiac massage is very important after cutting the electric resource.

Opinions of 35 cases were given cardiac electric shock at Emergency Department of Cho Ray Hospital

Electric accidents that are increasing can damage myocardium, lead to reduce contraction of myocardium, ventricular fibrillation, non-systole, and eventually cardiac arrest. Study on 35 patients with cardiac and breathing arrest since 1995-1997 shown that the youngest people were died when they contacted with low voltage due to arrhythmia. The first aid is very important, artificial respiration, cardiac massage, it shouldn't transfer to hospital when they have cardiac and breathing arrest. First dose of electric shock: 200J, second time: 3000J, and from third time: 4000J. It should use electric safe devices.

Comment on indications of limb amputation in 13 high-voltage electrical burns that were treated in Cho Ray Hospital, Ho Chi Minh City

53 patients with high-voltage electrical burns who were treated in the Department of Burn and Plastic Surgery of Cho Ray Hospital from January 1995 to August 1997 were reviewed. There were 126 electrical burn admissions in this period. Rate of high-voltage electrical burns was 42.06%. Amputation is required in 13 patients because of progressive muscle necrosis and infection. Fasciotomy for diagnostic and therapeutic purposes may be needed.

Clinical burn injuries due to electroporation: mechanism still debate

Joule heating has long been considered as the principal component of tissue damage in electrical injury. Recent studies suggest electroporation, a nonthermally medicated mechanism of cell membrane damage, is also an important factor. This study is significant because it directly addresses whether nonthermal mechanisms of cell damage can cause tissue necrosis without visible thermal changes.