Quick Answer
Assess the unconscious lightning victim's airway, breathing, and circulation (ABCs) by checking for breathing and pulse, then provide CPR if necessary, and seek medical attention immediately.
Initial Assessment and Treatment
When responding to an unconscious lightning victim, prioritize the ABCs. Check for breathing and pulse within 10-15 seconds; if the victim is unresponsive, begin CPR with 30 chest compressions followed by two breaths. Continue CPR for 2 minutes before reassessing the victim.
Lightning-Related Injuries
Be aware of potential injuries from the lightning strike, such as burns, cardiac arrest, and neurological damage. Burns from electrical discharge can occur internally, so avoid touching the victim’s skin. If burns are visible, cover them with a clean, dry dressing.
Neurological Assessment and Transportation
Perform a rapid neurological assessment by checking the victim’s level of consciousness, pupil response, and motor function. If the victim is conscious, stabilize their neck with a cervical collar and monitor for signs of neurological deterioration. If possible, transport the victim in a supine position with their head and neck stabilized.
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