First Aid for Lightning Strike Victims: What to Know?

Identifying Lightning Strike Injuries

Lightning strikes can cause a range of injuries, from minor to severe, including cardiac arrest, burns, and neurological damage. Burns from lightning strikes are often internal and can cause cardiac arrhythmias, seizures, and even death. External burns may appear minor but can still cause significant internal damage. Cardiac arrest is the leading cause of death from lightning strikes.

Basic First Aid and CPR

When treating a lightning strike victim, the first priority is to call for emergency medical help. If the victim is not breathing, begin CPR with 30 chest compressions followed by two breaths. Continue CPR until emergency medical personnel arrive. If the victim is breathing but unresponsive, perform a neurological assessment to determine the severity of the strike. This includes checking for pupils, muscle tone, and responsiveness to verbal commands.

Cooling Burns and Neurological Assessment

To cool burns from a lightning strike, use cool tap water for 20-30 minutes or apply a cool, wet cloth to the affected area. Avoid using ice or ice water, as this can cause further damage to the skin and underlying tissues. When assessing the victim’s neurological status, check for the following: a lack of response to verbal commands, unequal pupils, and decreased muscle tone. If these signs are present, the victim may require emergency medical attention. In addition, check for any signs of seizures or cardiac arrhythmias, which can also indicate the severity of the strike.