Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Electrical injury stabilization
Scene safety
Power source confirmed off
Secondary electrical exposure risk for staff
Airway and breathing threats
Facial or inhalation burn concern
Respiratory muscle paralysis
Circulation threats
Shock
Cardiac arrest rhythm per ACLS Class I
Spine precautions
Fall or blast mechanism
Altered mental status
Time zero monitoring
Continuous ECG monitoring
Continuous pulse oximetry
Key decision points
Risk stratification
Voltage category
Low voltage less than 1000 V
High voltage 1000 V or higher
Current characteristics
Alternating current tetany risk
Direct current single contraction and throw risk
Current pathway
Transthoracic pathway concern
Hand to hand
Hand to foot
Lightning exposure
Direct strike
Side flash
Ground current
Contact injury
High risk features for adverse outcome
Loss of consciousness
Abnormal ECG
Chest pain
Dyspnea
Significant burns
Rhabdomyolysis concern
Compartment syndrome concern
Initial diagnostics and consult triggers
Early actions
12 lead ECG on arrival
ST segment changes
Conduction block
QT prolongation
Burn and trauma team activation triggers
High voltage exposure
Lightning strike
Full thickness burn
Circumferential extremity burn
Suspected deep tissue injury with minimal skin findings
Early specialty consult triggers
Cardiology for dysrhythmia or ischemia concern
Burn center for electrical burns meeting referral criteria
Surgery for compartment syndrome concern
Ophthalmology for ocular symptoms after lightning
Neurology for persistent focal deficits
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.