Lightning Injury: Two Case Histories and a Review of ManagementBr 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
- Gillian C. Hanson,
- G. R. McIlwraith
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.