Test Your Knowledge on Electrical Injuries in Urgent Care (Postscript 1 of 2)

Evidence-Based Urgent Care Postscript
Electrical Injuries: Management of Low-Voltage Shocks and Burns in Urgent Care | April 2024

A 42-year-old man presents to the urgent care clinic after accidentally touching a live wire while attempting to repair his coffee maker. He reports a tingling sensation in his hand at the time of the incident but denies any loss of consciousness, significant pain, or other symptoms. The incident occurred 3 hours prior and he says he is “only here because my partner insisted.” On physical examination, there are no visible burns or other injuries. On examination, he is stable; his initial vital signs are normal and he appears neurologically intact. Which of the following management steps is most appropriate for this patient with a low-voltage electrical injury?

  1. Contact EMS to transfer the patient to the nearest ED.
  2. Perform an ECG.
  3. Order a complete metabolic panel, creatine phosphokinase, complete blood count, and urinalysis.
  4. Administer IV fluids.

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