Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 Hi Bill, I'm very interested in the immediate and subsequent care that you gave this fellow, cheers, Jim Crosby electrical injuries I had a guy get hit with 200 kilo volt how much is that is that 200,000 volt or more or less I found him in V tach and entrance at the left humerous and exit at right foot. Regards Bill Bill Witmer NREMTP,CCEMTP,FP-C Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 Hi Bill, not sure if this was a question. 200 kilovolts is yes, 200 000 volts. However, the current (amps) is probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) then I would think that there would be nothing left of him - this is what heavy duty power lines (from power plant to substation) carry. The way tazers work is by having very high voltage with almost no current - perhaps your patient had a similar experience. Also good that the current did not flow arm to arm. What piece of equipment did he get the shock from? Regards, . ---- Bill Witmer <billemtp2000@...> wrote: > I had a guy get hit with 200 kilo volt how much is that is that 200,000 volt or more or less I found him in V tach and entrance at the left humerous and exit at right foot. > > Regards > Bill > > > Bill Witmer > NREMTP,CCEMTP,FP-C > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 I'm not sure why it's good that the curent didn't flow from arm to arm. I'm assuming that you mean that the current didn't go through the chest. In fact the current has passed across the chest, ie left arm to right foot. Given that the patient was found in V tach I'd say that the electrical pathway did pass through the heart and therefore this individual requires careful monitoring. Greg n/a <rojprice@...> Sent by: 05/04/2006 11:19 Please respond to cc: Bill Witmer <billemtp2000@...> Subject: Re: electrical injuries Hi Bill, not sure if this was a question. 200 kilovolts is yes, 200 000 volts. However, the current (amps) is probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) then I would think that there would be nothing left of him - this is what heavy duty power lines (from power plant to substation) carry. The way tazers work is by having very high voltage with almost no current - perhaps your patient had a similar experience. Also good that the current did not flow arm to arm. What piece of equipment did he get the shock from? Regards, . ---- Bill Witmer <billemtp2000@...> wrote: > I had a guy get hit with 200 kilo volt how much is that is that 200,000 volt or more or less I found him in V tach and entrance at the left humerous and exit at right foot. > > Regards > Bill > > > Bill Witmer > NREMTP,CCEMTP,FP-C > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 Bill: Most interesting case but a query here, if entrance was L shoulder exit R foot the situation would be equally as damaging re: arm to arm as pathway of internal burn would in both circumstances affect the heart or am I missing some thing here? I do have few questions if you would be so kind. 1- Was the V tach perfusing, I suspect not? 2- Do your protocol's, better question, was an antiarythmic administered, was Lydocaine or Amnioderone used in this case? Anecdotally, I had a similar case, a trolley line broke have (no idea what courses in Volts and amps) the Patient became the conductor (not like on the trains) circuit was completed by R foot contacting a road side transformer box for traffic light control (nicely grounded) Again: L shoulder entrance, then R foot exit , it actually blew his bloody boot off! All wounds were nicely cauterised, a very good thing, as in those days were would have been very fortunate, to even have Oxygen on board the ambulance/hurse. Here's the strange part he was > 70 yrs old, and talking on scene telling jokes, one VERY tough old Farmer type. Sorry for telling story out of school, it was a long time ago but to this day I am still amazed he was not DEAD. Very Difficult to kill an old horse so to speak. Very old Wilf Re: electrical injuries > Hi Bill, > not sure if this was a question. > 200 kilovolts is yes, 200 000 volts. However, the current (amps) is > probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) > then I would think that there would be nothing left of him - this is what > heavy duty power lines (from power plant to substation) carry. > The way tazers work is by having very high voltage with almost no > current - perhaps your patient had a similar experience. Also good that > the current did not flow arm to arm. > What piece of equipment did he get the shock from? > Regards, > . > > ---- Bill Witmer <billemtp2000@...> wrote: >> I had a guy get hit with 200 kilo volt how much is that is that 200,000 >> volt or more or less I found him in V tach and entrance at the left >> humerous and exit at right foot. >> >> Regards >> Bill >> >> >> Bill Witmer >> NREMTP,CCEMTP,FP-C Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 the pt had elivated cardiac enzymes but with all that electricity passing thrue him i think he should be lucky he is alive the crane tracks where welded to the sprocket Bill gregor.irons@... wrote: I'm not sure why it's good that the curent didn't flow from arm to arm. I'm assuming that you mean that the current didn't go through the chest. In fact the current has passed across the chest, ie left arm to right foot. Given that the patient was found in V tach I'd say that the electrical pathway did pass through the heart and therefore this individual requires careful monitoring. Greg n/a <rojprice@...> Sent by: 05/04/2006 11:19 Please respond to cc: Bill Witmer <billemtp2000@...> Subject: Re: electrical injuries Hi Bill, not sure if this was a question. 200 kilovolts is yes, 200 000 volts. However, the current (amps) is probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) then I would think that there would be nothing left of him - this is what heavy duty power lines (from power plant to substation) carry. The way tazers work is by having very high voltage with almost no current - perhaps your patient had a similar experience. Also good that the current did not flow arm to arm. What piece of equipment did he get the shock from? Regards, . ---- Bill Witmer <billemtp2000@...> wrote: > I had a guy get hit with 200 kilo volt how much is that is that 200,000 volt or more or less I found him in V tach and entrance at the left humerous and exit at right foot. > > Regards > Bill > > > Bill Witmer > NREMTP,CCEMTP,FP-C > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 Sorry, my mistake, misread the original email about the entry / exit points. . ---- gregor.irons@... wrote: > I'm not sure why it's good that the curent didn't flow from arm to arm. > I'm assuming that you mean that the current didn't go through the chest. > In fact the current has passed across the chest, ie left arm to right > foot. Given that the patient was found in V tach I'd say that the > electrical pathway did pass through the heart and therefore this > individual requires careful monitoring. > Greg > > > > > > n/a <rojprice@...> > Sent by: > 05/04/2006 11:19 > Please respond to > > > cc: Bill Witmer <billemtp2000@...> > Subject: Re: electrical injuries > > > Hi Bill, > not sure if this was a question. > 200 kilovolts is yes, 200 000 volts. However, the current (amps) is > probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) > then I would think that there would be nothing left of him - this is what > heavy duty power lines (from power plant to substation) carry. > The way tazers work is by having very high voltage with almost no current > - perhaps your patient had a similar experience. Also good that the > current did not flow arm to arm. > What piece of equipment did he get the shock from? > Regards, > . > > ---- Bill Witmer <billemtp2000@...> wrote: > > I had a guy get hit with 200 kilo volt how much is that is that 200,000 > volt or more or less I found him in V tach and entrance at the left > humerous and exit at right foot. > > > > Regards > > Bill > > > > > > Bill Witmer > > NREMTP,CCEMTP,FP-C > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 I have dealt with many people who have sustained similar voltage. Most survived because they were thrown from the point of contact, skin also has a high resistance to electricity so most current flows across the body, not internally. If it goes internally then you get the deep internal pathway burns from which most do not survive Murray T On 06/04/06, n/a <rojprice@...> wrote: > > Sorry, > my mistake, misread the original email about the entry / exit points. > . > > > ---- gregor.irons@... wrote: > > I'm not sure why it's good that the curent didn't flow from arm to arm. > > > I'm assuming that you mean that the current didn't go through the chest. > > > In fact the current has passed across the chest, ie left arm to right > > foot. Given that the patient was found in V tach I'd say that the > > electrical pathway did pass through the heart and therefore this > > individual requires careful monitoring. > > Greg > > > > > > > > > > > > n/a <rojprice@...> > > Sent by: > > 05/04/2006 11:19 > > Please respond to > > > > > > cc: Bill Witmer <billemtp2000@...> > > > Subject: Re: [Remotemedics.co.uk<http://remotemedics.co.uk/>] > electrical injuries > > > > > > Hi Bill, > > not sure if this was a question. > > 200 kilovolts is yes, 200 000 volts. However, the current (amps) is > > probably more important. If it was 200 KVA (kilo volt-amps or kilowatts) > > > then I would think that there would be nothing left of him - this is > what > > heavy duty power lines (from power plant to substation) carry. > > The way tazers work is by having very high voltage with almost no > current > > - perhaps your patient had a similar experience. Also good that the > > current did not flow arm to arm. > > What piece of equipment did he get the shock from? > > Regards, > > . > > > > ---- Bill Witmer <billemtp2000@...> wrote: > > > I had a guy get hit with 200 kilo volt how much is that is that > 200,000 > > volt or more or less I found him in V tach and entrance at the left > > humerous and exit at right foot. > > > > > > Regards > > > Bill > > > > > > > > > Bill Witmer > > > NREMTP,CCEMTP,FP-C > > > > > > Quote Link to comment Share on other sites More sharing options...
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