179 Burn: Electrical 88 Definition Tissue destruction caused by intense heat resulting from the passage of electrical current through the tissues. There might be extensive destruction of underlying tissue along the pathway of the current. Characteristics One of the most common complications is ventricular fibrillation. Exit sites might be appar- ent. Sometimes a jolt associated with an electrical burn can cause a fall, resulting in frac- tures or other injuries. Because the deep tissues (muscles, vessels, etc.) have the least resistance to electrical current, the extent of the injury may not be evident upon initial evaluation. Policy Avoid direct contact with affected employee and use a nonconductive or nonmetallic object (i.e., dry stick, rope, belt) to remove the source of the electrical current or to turn off the cur- rent. Immediately evaluate any employee with an electrical burn in the occupational health unit and refer for further medical evaluation. Objectives Clinical Assessments and Interventions Referral for Medical Action ● Obvious need for immediate med- ical evaluation and treatment (i.e., transport to hospital). Follow-up Actions ● Assess work environment for elec- trical hazards and implement cor- rective and preventive strategies. ● Advise employee(s) regarding safety precautions. Determine em- ployee status and extent of injury and stabilize employee. Provide wound treatment. ● Initiate cardiopulmonary resuscitation if in- dicated after removal of electrical current source (see Policy above). ● Assess extent of injury. ● Maintain patent airway and monitor vital signs continuously. ● Administer oxygen if needed per standing order. ● Assess for concurrent trauma and institute appropriate life-saving measures. ● Cover affected burn areas with dry sterile material. ● Manage other wounds according to Guide- line 80, Abrasion, Laceration, or Puncture, page 163. ● Monitor for signs of shock and institute ap- propriate prevention and control measures. Guideline continues on next page