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Clinical Picture
John B. Volinsky, MD;
Jeffrey B. Hanson, MD;
James V. Lustig, MD;
Walter W. Tunnessen, Jr, MD
Arch Fam Med. 1994;3(8):657-658.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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WHILE PARTICIPATING in a soccer practice, the 10-year-old boy pictured below suddenly collapsed and was found to have suffered a cardiopulmonary arrest. Cardiopulmonary resuscitation was performed immediately. His trachea was intubated and the lungs were ventilated by paramedics on the field, with spontaneous return of a sinus cardiac rhythm. In the emergency department, the child was combative and had occasional purposeful movements. The findings on cutaneous examination are pictured in Figure 1 through Figure 3. The electrocardiogram, chest roentgenogram, and computed tomogram of the head showed no abnormalities. Before the child collapsed, his teammates reported having heard a loud noise.
Lightning strikes kill up to 300 people each year in the United States, with the highest death rate in adolescents.1,2 Approximately 75% of those who are struck by lightning survive.1,3 Lightning bolts have charges of 10 to 30 million V and a current of 20 to 200 000 A. Unlike
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Pediatrics, University of Colorado Health Science Center (Drs Volinsky and Lustig) and Presbyterian—St Luke's Medical Center (Dr Hanson), Denver, Colo.
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