Burn electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eman Alademi, M.D.[2]


Overview

ECG has minimal diagnostic value in diagnosing burns but plays a role in diagnosing concurrent conduction abnormalities and monitoring side effects of sever and electrical weapons . Electrocardiogram of a patient with acute burn injury may show prolonged QT and sinus tachycardia .Fatal cardiac arrest by electrical weapons .

Electrocardiogram

In patients with acute burn injuries sinus tachycardia and a prolonged QT interval were the most common ECG abnormalities. There was no correlation between the extent of burn injuries and observed ECG abnormalities. No patient had a life threatening arrhythmia, and all patients had a good outcome.[1]abnormal electrocardiogram (nonspecific ST-T wave changes most commonly) are at increased risk for cardiac arrhythmias and should be observed until the ECG normalizes[2]

fatal cardiac arrest by electrical weapons[3][4][5][6][7]

References

  1. Iyah GR, Reddy PC, El-Amin O, Caldito GC (2008). "Electrocardiographic abnormalities in patients with acute burn injuries". J La State Med Soc. 160 (1): 39–40, 42–3. PMID 18669408.
  2. Waitzman AA, Neligan PC (1993). "How to manage burns in primary care". Can Fam Physician. 39: 2394–400. PMC 2379923. PMID 8268745.
  3. Kornblum RN, Reddy SK (1991). "Effects of the Taser in fatalities involving police confrontation". J Forensic Sci. 36 (2): 434–8. PMID 1843180.
  4. Pasquier M, Carron PN, Vallotton L, Yersin B (2011). "Electronic control device exposure: a review of morbidity and mortality". Ann Emerg Med. 58 (2): 178–88. doi:10.1016/j.annemergmed.2011.01.023. PMID 21546120.
  5. Ordog GJ, Wasserberger J, Schlater T, Balasubramanium S (1987). "Electronic gun (Taser) injuries". Ann Emerg Med. 16 (1): 73–8. doi:10.1016/s0196-0644(87)80292-5. PMID 3800082.
  6. Kim PJ, Franklin WH (2005). "Ventricular fibrillation after stun-gun discharge". N Engl J Med. 353 (9): 958–9. doi:10.1056/NEJMc051625. PMID 16135849 PMID 16135849 Check |pmid= value (help).
  7. Vilke GM, Bozeman WP, Chan TC (2011). "Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician". J Emerg Med. 40 (5): 598–604. doi:10.1016/j.jemermed.2010.10.019. PMID 21220194.