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BMJ 2006;332:1513 (24 June), doi:10.1136/bmj.332.7556.1513-b
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EDITORWe report the case of a 15 year old girl who was witnessed being struck by lightning while using her mobile phone in a large park in London during stormy weather. The girl has no recollection of events because she had an asystolic cardiac arrest.
She was successfully resuscitated, but one year later she was a wheelchair user with complex physical, cognitive, and emotional problems, as well as a persistent perforation of the left tympanic membrane with associated conductive hearing loss on the side she was holding the mobile phone.
If someone is struck by lightning the high resistance of human skin results in lightning being conducted over the skin without entering the body; this is known as flashover.1 This phenomenon has a low mortality. Conductive materials in direct contact with skin such as liquids or metallic objects disrupt the flashover and result in internal injury with greater
Swinda Esprit, senior house officer in otorhinolaryngology
swinda@runbox.com, Northwick Park Hospital, Middlesex HA1 3UJ
Prasad Kothari, specialist registrar in otorhinolaryngology, Ram Dhillon, consultant in otorhinolaryngology
Northwick Park Hospital, Middlesex HA1 3UJ
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