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Lightning Strike

A lightning strike is a sudden high-voltage electric shock that can cause cardiac arrest and neurological and skin injuries.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Lightning Strike?

A lightning strike delivers a direct or indirect high-voltage discharge that can reach hundreds of millions of volts. Mechanisms include direct strike, side flash, contact, step voltage, and blast effect.

Major clinical effects are cardiopulmonary arrest, central nervous system dysfunction, keraunoparalysis, tympanic membrane rupture, and the fern-like skin pattern called Lichtenberg figures.

Triage differs from convention; people who appear alive have a high chance of survival, so arrested patients are prioritized ('reverse triage').

Symptoms

Sudden loss of consciousness and cardiopulmonary arrest
Transient paralysis and sensory loss (keraunoparalysis)
Tympanic membrane rupture and hearing loss
Lichtenberg figures (branching erythema)
Confusion and amnesia
Retinal burn and cataract (late)

Risk Factors

Standing outdoors during a storm
Sheltering at high points or under trees
Water sports and fishing
Golf, football, and other outdoor activities
Contact with conductive surfaces
Mountaineering and camping

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Every lightning strike case should be evaluated in the emergency department
  • Patients in cardiac arrest take priority
  • Hearing, vision, and neurologic examination should be performed
  • Evaluation should occur after transfer to a safe environment

Treatment Methods

01
Early high-quality CPR and defibrillation
02
Cervical spine immobilization if trauma is present
03
Burn and compartment syndrome assessment
04
Fluid therapy following standard trauma approach
05
ECG and cardiac monitoring
06
Multidisciplinary follow-up (ENT, ophthalmology, neurology)

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.