The Lightning LeFort: Lightning Strike Injury Care Orr Shauly, MD скачать в хорошем качестве

The Lightning LeFort: Lightning Strike Injury Care Orr Shauly, MD

Co-Authors: Orr Shauly, MD, Plastic Surgery, PGY3, Emory University, Atlanta, GA; Troy Marxen, MD, Plastic Surgery, PGY1, Emory University, Atlanta, GA; Nicholas Brandt, MD, General Surgery, PGY1, Emory University, Atlanta, GA; Lauren Nosanov, MD, General Surgery, Burn Surgeon, Emory University, Atlanta, GA; Laura Johnson, MD, General Surgery, Burn Surgeon, Emory University, Atlanta, GA; Yuk Ming Liu, MD, General Surgery, Burn Surgeon, Emory University, Atlanta, GA Herein we present a case of direct lightning strike with superficial left upper extremity burns and unique facial fracture presentation. His initial labs were grossly normal with normal kidney function (creatinine of 1.1) and a normal creatinine kinase, but a slight elevation in his troponin to 37. Troponin peaked 1385 the evening of his admission, before downtrending the following day to 430. There were no arrhythmias identified on his baseline and follow-up electrocardiograms, which were normal sinus rhythm, and resuscitation was unremarkable. After demarcation of his burns, the patient was taken to the operating room on hospital day four where he underwent an uncomplicated wound bed preparation and placement of a dermal substitute. His plethora facial fractures spared the pterygoid plates leading to a LeFort type II and III pattern of facial fractures without true maxillo-mandibular dissociation, with almost full resolution of soft-tissue swelling and pain by hospital day three. References: 1. Blumenthal R. Injuries and deaths from lightning. J Clin Pathol. 2021 May;74(5):279-284. doi: 10.1136/jclinpath-2020-206492. Epub 2020 Aug 12. PMID: 32796053.