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Dr. Wojo  

   

LIGHTNING.

Take shelter from lightning - one strike is all it takes.

Lightning, a very dangerous natural hazard is also a dangerous health hazard, which must be taken seriously. Injuries caused by a lightning strike may occur in a matter of seconds and without warning. These strikes can also easily contribute to permanent disability or death. Thus, when the threat of a thunderstorm is eminent, safe covering should be sought immediately.

Let's take a closer look at lightning safety and the medical issues that can arise from a strike.

How common are thunderstorms? During every minute of every day, there are at least 1,800 thunderstorms occurring somewhere in the world. Associated with a thunderstorm is deadly lightning. In the United States, about 400 people are struck each year and nearly 100 people die after being struck by lightning. In addition to this, several people will suffer from long-term disability after the strike.

During the summer months, thunderstorms are very common. All thunderstorms produce lightning and are very dangerous. Lightning can strike 10 miles away from a rainstorm. It is important to remember that if thunder is heard, there is lightning. It is really important to watch for dark clouds and increasing wind. This may be an indication of the development of an impending storm.
How strong is lightning? The magnitude of lightning is tremendous. The streak of the electrical current can extend for up to five miles. The temperature of a strong strike can reach a temperature of 50,000 degrees Fahrenheit. The average lightning strike is about 30,000 amperes, but the electricity flowing in a bolt can reach up to 200 million volts.

Who gets injured? Being outside is the greatest risk for injury from lightning. In the United States, one third of the victims are injured while at work, one third are injured during recreational and athletic activities, and the last third are injured in a variety of situations, such as being in a building.
What are the injuries? Lightning injuries are electrical injuries. The heart and the brain are the most common organ systems affected. A strike can contribute to a cardiac arrhythmia, or irregular beating of the heart. Left untreated, this will lead to death.

Electrical injuries cause a burn to the body. Muscles can be damaged, as well as nerves. The electrical strike can also affect the brain causing altered memory, difficulty concentrating, irritability, and even a personality change.

What is the emergency treatment? As with most emergency situations, it is important to protect the rescuer prior to tending to the victim, as additional injury should be avoided. It is essential to activate the emergency services system and call 911. Help will be on the way. Emergency workers are well trained in dealing with this type of situation.

Since cardiac arrhythmias occur, a victim may require CPR until additional medical assistance arrives. Then, more definitive medical treatment will be provided which will probably include a visit to the Emergency Department. If a patient has been burned, fluids will be provided intravenously and a transfer to a Burn Center may be in order. A comprehensive medical evaluation must be completed to assess all of the injuries.

How do I prevent lightning injuries? Several safety rules are recommended during a thunderstorm. Go inside immediately and this includes an enclosed facility or an enclosed all-metal vehicle. Be sure that you are in a low point, as lightning strikes the highest point of an area.

Do not wait for rain to start before seeking shelter. If there is thunder, there is lightning. It is very important during athletic activities that if thunder is heard, the practice or game MUST BE SUSPENDED IMMEDIATELY. The risk of lightning strike is very high. Stay away from trees.
If water sports are involved, get out of and away from water. Get out of a metal boat and off the water as soon as possible. People on the water are prime targets. In addition, lightning strikes can travel through plumbing, so avoid showers, baths, and laundry during a storm.

Most importantly, stay informed about the path of a storm through local radio and television broadcasts, as well as NOAA Weather Radio. Prevention is the best medicine when dealing with this deadly weather phenomenon!

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