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Electrocution - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I understand that this may not be the venue for this, however I am doing research for a book and have questions regarding electrocution with regards to torture over a long period and its resulting medical issues. I completely understand if this is not something you want to waste your time with, but if you could help me or point me in the right direction I would be very greatful.
Doctor :   Hi
Doctor :  
How can I help You?
User :   Hello
Doctor :  
Please proceed with your queries.
User :   I was wondering if you would be able to help me with medical research I am doing for a book
Doctor :  
Electrocution can cause multiple injuries.
Doctor :  
The injuries can be as mild as simple burn injuries to convulsions to heart problems.
Doctor :   Apart from this it can cause internal injuries like muscle injuries, stomach ulcers and organ damages too.
Doctor :  
Have you followed?
User :   Yes, would you mind answering more questions?
Doctor :  
Please proceed.
User :   How would these injuries present in an emergency room? And what would treatment be?
Doctor :  
Generally the extenal injuries are seen.
Doctor :  
Internal injuries are seen only by an examination and investigation.
Doctor :  
They can present with complete conciousness to unconscious state.
Doctor :   Burn injuries over the skin and mucosa may be seen.
Doctor :   There can be heart beat abnormalities seen too.
Doctor :  
The management in such instances are
Doctor :  
1. Emergency treatment to make sure the breathing and circulation is maintained.
Doctor :  
once the breathing and circulation is stabilised, IV fluids are given to treat dehydrations.
Doctor :  
The burn injuries are cleaned and antiseptics are applied.
Doctor :   Methods to prevent infections are done.
Doctor :  
Depending on the amount of burn injuries sustained and the presence of complications,
Doctor :   hospitalisation is considered/
Doctor :  
If any complications as mentioned earlier are seen, treatment is directed towards them.
Doctor :  
Have you followed?
User :   Yes
User :   What would be possible future issues... especially regarding heart damage?
Doctor :  
Heart damages can include simple heart beat abnormalities or fibrilation which can be potentially dangerous too.
Doctor :  
These damages are most often caused by dehydration than structurally.
Doctor :   Once dehydration is corrected it does not result in any further problems.
User :   Ok
Doctor :  
Have you followed?
User :   Yes
Doctor :  
Do you have any other query?
User :   If a person has been held hostage for a number of years and goes to the emergency room, what sort of tests are run?
Doctor :   A general physical examination is a must.
Doctor :  
A few routine test which would include a blood test and a urine test may be done.
Doctor :  
If there is a history of sexual abuse test to look for sexually transmitted disease.
Doctor :  
the other test will be done if there any specific condition is considered.
Doctor :  
have you followed?
User :   Yes
User :   What would physical exam in an emergency room consist of?
Doctor :  
Physical examination consists of 2 parts.
Doctor :  
1. General examination where the general condition such as body built, nutritional status
Doctor :  
presence of anaemia, jaundice, lymmphnode swelling, edema, cynaosis are looked.
Doctor :  
Assessment of any skin conditions are also done.
Doctor :   The pulse, BP is checked.
Doctor :  
assessment of of central jugular venous pressure is done.
Doctor :  
2. The second part is the systemic examination where all the systems of the body is done.
Doctor :  
This is in general.
Doctor :  
However in a case of emergency,
Doctor :  
When the time is less and actions have to be taken fast, a short method is applied.
Doctor :  
Here is such cases, first the oral cavity is checked for presence of secretions such as saliva, blood or any other body is checked
Doctor :  
next the breathing is assessed, to look if one is breathing normally
Doctor :  
Third the circulation is checked, that includes looking for pulse and heart functions.
Doctor :  
Only if all these three are normal, then the complete examination as mentioned earlier is followed.
Doctor :  
if any of the 3 parameter, airway (oral cavity), breathing or the circulation is abnormal measures to correct is done before going to the complete examination.
Doctor :  
Finally the general physical examination is completed by assessing any local symptoms are present such as an ulcer, swelling, trauma and so on.
Doctor :  
Hope you have understood this.
User :   Yes I have. Thank you, its been very helpful and enlightening
Doctor :  
Do you have any other query?
User :   At this time, no. However I doubtless will in the future
Doctor :  
You can use this facility to find answer to any of your medical queries.
User :   Thank you I intend to. Is there anyway I can get a transcript of this chat emailed to me?
Doctor :   You can get the transcript by your self.
Doctor :  
I shall guide you.
User :   Ok
Doctor :  
After you log in, there is an option of account settings on the top right side.
Doctor :  
Click on that.
Doctor :  
A page opens and there is an option of view your chat history.
Doctor :  
Click on to that, the chat we had now will open in a different window which you can down load it.
User :   Ah, wonderful
Doctor :   Do you have any other query?
User :   I do not, thank you
Doctor :  
Please fill the feed back form that i send before closing the session.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Bye
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