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2016 ; 29
(4
): 259-263
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Pattern of high voltage electrical injuries in the Kashmir valley: a 10-year
single centre experience
#MMPMID28289358
Kasana RA
; Baba PU
; Wani AH
Ann Burns Fire Disasters
2016[Dec]; 29
(4
): 259-263
PMID28289358
show ga
The objective was to study the clinical profile of high voltage electrical
injuries in Kashmir, and various prevention and safety measures to bring down the
incidence of such injuries in the future. All patients (176) with high voltage
electrical injuries reporting to our centre from January 2001 to December 2010
were included in the study. The most common age group was 20-40 years, with mean
age of 29.77 ± 8.98 years. Incidence was higher among the rural population
(68.75%) than in urban areas (31.25%), and in the winter months. Electricians
comprised 47.16% of victims. The most common mode of injury was touching a live
wire directly or indirectly, and was seen in 63.64% of victims. Average total
body surface burned was 15.27 ± 10.15 percent. Right upper limb was most commonly
involved (64.20% of patients). Compartment syndrome was seen in 40.34% of
patients, and fasciotomies on all the affected limbs saved around half of them.
An average of 3.91 surgical procedures per patient were performed. Around
one-third of the victims required major amputations. Reconstructive procedures
were required in 49.43% of patients. Average hospital stay was 26.81 days.
Average mortality rate was 2.27%. High voltage electrical injuries are not
uncommon in the Kashmir Valley, and electrical workers are at higher risk. The
incidence of high voltage injuries would not be so high if the workers were
properly trained, hazards of high-tension lines were explained and the use of
safety equipment was made mandatory.