First Aid Procedures for Electrical Burns from a Lightning Strike?

Assessing Cardiac Arrest and Burn Severity

When treating a victim of a lightning strike, cardiac arrest is a primary concern. Perform CPR immediately if the victim is unresponsive, with 30 chest compressions followed by two breaths. Continue CPR for at least 30 minutes before stopping. Assess the burn severity by evaluating the extent of charred skin, as the depth and area of the burn will dictate the level of care required. The National Electrical Safety Code (NESC) categorizes burns into three levels: first-degree (mild), second-degree (moderate), and third-degree (severe).

Managing Electrical Burns

Electrical burns can cause extensive damage due to the high voltage involved. To manage electrical burns, remove any items in contact with the victim’s skin, such as wet clothing or jewelry, and do not attempt to move the victim unless they are in immediate danger. Immobilize the affected area with a clean, dry dressing, and apply a topical antibiotic ointment to prevent infection. For more severe burns, apply a sterile dressing to protect the wound from infection and promote healing.

Neurological Assessment and Storm Safety

Perform a neurological assessment to evaluate the victim’s level of consciousness, cognitive function, and motor response. This includes assessing pupillary response, corneal reflex, and cranial nerve function. A lightning strike can cause neurological damage, including seizures, confusion, and memory loss. After treating the victim, ensure they receive medical attention as soon as possible. Additionally, when a lightning storm is imminent, seek shelter immediately, avoid tall objects, and stay away from conductive objects such as metal fences or power lines.