Papers And Originals

Lightning Injury: Two Case Histories and a Review of Management

Br Med J 1973; 4 doi: (Published 03 November 1973) Cite this as: Br Med J 1973;4:271
  1. Gillian C. Hanson,
  2. 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.