Electrical injuries are happening around the world and they cause 5-10% of all occupational causes of death. Treatment and rehabilitation of injured by electric current are long lasting, and only about 5.3% of survivors of high voltage injuries (more than 1.000V) returns to earlier work. The most common cause of these accidents is human factor. Low voltage electrical burns are typically caused by household appliances while most high-voltage are industrial accidents. Depending on the voltage, current, pathway, contact duration, and type of circuit (DC or AC current), can cause a variety of injuries. They resulting from direct contact with high voltage power source or by an electric arc and flame or flash. Electrical burns has a central carbonificated part on the of contact point or grounding. Clinical picture is dramatic state of sleep apnea, acute heart failure, paralysis and loss of consciousness. High voltage injury may require cardiopulmonary resuscitation. Prompt fluids resuscitation is a key process in the prevention of renal insufficiency. Antiklostridial prophylaxis and antibiotic therapy are required. Emergency fasciotomy and esharotomy are often necessary to preserve extremity vitality. Despite this a large percentage of amputations occurs. Surgical treatment involves early excision and tissue defects closure with plastic surgery reconstructive procedures.