Abstract
ObjectiveTo determine best practices for a live electrical wire in the operating room and prevention of injuries from such an emergency MethodsWe queried PubMed, Embase and Cochrane Review for key words “electrical” “wire” “operating room” and “fire”. No relevant articles were found between 1989 and 2024. We present a case of a live 110-volt wire in the operating room from tripping on the cord. We review recommendations for safe response to such a scenario. ResultsNo relevant articles were found. Medical literature has many articles on fires, but none on live electrical wires and safe response to such a scenario. ConclusionA live electrical power cord wire is a dangerous occurrence in the operating room and may result in electrocution, burns or a fire and resultant injuries. The authors recommend immediate turning off of oxygen, isolating the patient, personnel, liquids and flammable drapes as well as immediate notation of the outlet number and turning off of the electricity from the electrical panel. Electrical fires cannot be doused with water or foam and must be eliminated with a class C fire extinguisher, typically carbon monoxide. Level of Evidence: 1
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