Abstract
A 25-year-old man was transported by EMS to a local hospital and then airlifted to a level I trauma center after being struck by lightning. In the course of working construction in a field, he noticed an approaching storm. While seeking shelter, he was struck by lightning. The patient had ventricular fibrillation arrest requiring defibrillation and epinephrine/atropine to return to spontaneous circulation during transport to a local hospital. The 12-lead EKG showed global injury but more pronounced ST-segment elevation in leads II, III, and aVF, indicating an acute inferior infarct pattern (Figure).
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