Abstract
Background Initial excess of creatinine kinase (CK) has been shown to correlate with extent of muscle damage in electrical burns.[1] High voltage burns leading to extensive muscle damage, compartment syndrome and rhabodmyolysis is clinically apparent at an early stage. However, the frequency of these injuries is rare. Low voltage (<1000V) injuries from domestic appliances are far more common with few if any clinical signs. In order to develop a local guideline, the current practise of investigations ordered in our department was analysed.
Highlights
Initial excess of creatinine kinase (CK) has been shown to correlate with extent of muscle damage in electrical burns.[1]
Should serum creatinine kinase levels and an ECG be routinely obtained in low voltage electrical burn injuries?
All patients with abnormal CK levels were discharged from the ED without influencing management and no serial CK levels were taken. 26 cases had documented evidence of an ECG being performed, none of which were abnormal. 2 patients with paraesthesia were referred for outpatient electromyography and nerve conduction studies which subsequently showed no abnormality. 1 case was referred to the regional burns unit
Summary
Initial excess of creatinine kinase (CK) has been shown to correlate with extent of muscle damage in electrical burns.[1]. Should serum creatinine kinase levels and an ECG be routinely obtained in low voltage electrical burn injuries? From London Trauma Conference 2012 London, UK. Background Initial excess of creatinine kinase (CK) has been shown to correlate with extent of muscle damage in electrical burns.[1] High voltage burns leading to extensive muscle damage, compartment syndrome and rhabodmyolysis is clinically apparent at an early stage. The frequency of these injuries is rare.
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