Papers And Originals

Lightning Injury: Two Case Histories and a Review of Management

Br Med J 1973; 4 doi: https://doi.org/10.1136/bmj.4.5887.271 (Published 03 November 1973) Cite this as: Br Med J 1973;4:271
  1. Gillian C. Hanson,
  2. G. R. McIlwraith

    Abstract

    Two cases of fatal lightning injury are described. Fixed dilated pupils should not be taken as an indicator of death after a lightning strike. Persons who fail to breath spontaneously within one minute of lightning shock should receive external cardiac massage and mouth-to-mouth resuscitation. Paralysis may persist as result of cerebral oedema or prolonged hypoxia—it is therefore suggested that adequate ventilation and metabolic balance should be maintained until recovery or death.