TY - CHAP M1 - Book, Section TI - Electrical Trauma A1 - Gottlieb, Lawrence J. A1 - Nguyen, Trang Q. A1 - Lee, Raphael C. A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. PY - 2015 T2 - Principles of Critical Care, 4e AB - Aggressive and prolonged life support maneuvers should be performed as necessary on all electrical injury patients in the first few hours.All patients are to be considered to have multisystem injuries, including cervical spine fracture, until such injuries are diagnostically eliminated.Intravenous fluid resuscitation should not be underestimated.Most patients should be monitored for cardiac dysrhythmias for 24 to 48 hours after injury, particularly if electrocardiographic abnormalities were present or persist.The preservation of renal function depends largely on adequate volume resuscitation. If urine is visibly discolored by myoglobin, then renal function may depend on supplemental therapies.The neurologic examination should be carefully monitored for seizure activity, which should be treated if it develops.Early recognition and decompression of compartment syndromes are critical for maximizing extremity salvage and long-term function.Adequate wound care necessitates complete debridement of nonviable tissue followed by wound closure as expeditiously as possible. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1107713648 ER -