Electrical Injuries July 2022 Question – In Collaboration with EMCoach

Topic: Environmental Exposures
Section: Electrical Injury
Acuity: Emergent
Age group: Adult

A 30-year-old female presents to the emergency department complaining of an electric shock to her hand from a household outlet while doing electrical work on her home. She reports no symptoms and has a normal physical exam. Her electrocardiogram is as shown. Which of the following is the most appropriate next step in management?

Answer Explanations (Click to Expand)

See the video below for a video explanation of this month’s question:

Additionally, here is a table for who should be admitted for electrocardiographic monitoring following electrical injury.


Gentges, J, Schieche, C. Electrical Injuries in the Emergency Department: An Evidence-Based Review. EB Medicine. November 1, 2018. Accessed June 15, 2022. https://www.ebmedicine.net/topics/burns/electric-shock-burns (full free access for residents)

Bailey C. Chapter 218. Electrical and Lightning Injuries. In: Tintinalli JE, Stapczynski JS, Ma OJ, et al. <em>Tintinalli’s Emergency Medicine: A Comprehensive Study Guide</em>. 8th ed. New York: McGraw Hill Professional; 2016.

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