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Voltage                 Skin                   Deep tissue            Cardiac
                                                                               arrhythmias

         Low voltage             Local entrance  At entry and                  Immediate
         (<1000V)                and exit               exit site only         cardiac arrest
                                 wounds                                        possible,
                                                                               possible
                                                                               transient ECG
                                                                               changes.

         High voltage            Flashover burn         Muscle                 Transthoracic
         (>1000V)                Full thickness         damage with            current may
                                 entrance and           rhabdomyolysis  causes
                                 exit wounds            and                    myocardial
                                                        compartment            damage and
                                                        syndrome               delayed
                                                                               arrhythmias

         Lightning               Superficial or         Eardrum                Respiratory
                                 dermal                 perforation            arrest – need
                                 flashover burns        and corneal            prolonged CPR
                                 Exit burns on          damage
                                 feet



                                                          Emergency Management of Severe
                                                                                        th
                                                            Burns Course Manual 18 Ed. 2016







         Low voltage burns seldom causes deep tissue

         damage. The household alternating current can
         cause muscle spasm or tetany.
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