the Effects of High Voltage Electric Shock on the Body - Neurology

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Electrocution by high voltage electricity?


I would like to ask the doctor, my husband was electrocuted on October 17 (Sunday) by high voltage electricity.
The current entered through the web of his right hand and exited through the sole of his left foot and the calf of his right leg.
Today is the third day, and he tells me that his whole body is very itchy.
Could you please explain why this is happening? Will he have any long-term effects? How should I care for him at this moment? Thank you, doctor.

Xiao Xiaojie, 20~29 year old female. Ask Date: 2021/10/19

Dr. Jiang Junyi reply Neurology


Dear Ms.
Hsiao,
Electrical injuries can cause tissue swelling and burns at the entry and exit points of the current.
Typically, localized paresthesia will resolve within a few hours.
Generally, the tissues through which the current flows sustain more severe damage.
Your mention of "itchiness all over" may indicate an allergic reaction.
Antihistamines might help alleviate the symptoms.
I recommend discussing this with your husband's medical team.
Thank you for your inquiry, and feel free to reach out with any further questions!
Wishing you good health and peace,
Dr.
Jiang Jun-Yi, Taoyuan Medical Center

Reply Date: 2021/10/19

More Info


High voltage electric shock can have a variety of effects on the body, depending on several factors such as the voltage level, the duration of exposure, the pathway the current takes through the body, and the overall health of the individual. When someone is exposed to high voltage electricity, it can cause immediate and severe injuries, including burns, nerve damage, and even cardiac arrest.
In your husband's case, the current entered through his right hand and exited through his left foot and right calf. This pathway can indicate that the current traveled through critical areas of the body, potentially affecting the heart, muscles, and nervous system. The sensation of itching he is experiencing could be attributed to several factors. One possibility is that the electric shock may have caused irritation or damage to the skin and underlying tissues, leading to a release of histamines or other inflammatory mediators that can cause itching. Additionally, nerve damage or disruption in normal nerve function can also lead to abnormal sensations, including itching or tingling.

As for potential long-term effects, individuals who have experienced high voltage electric shocks may face a range of complications. These can include:
1. Cardiac Issues: High voltage shocks can disrupt the heart's electrical system, potentially leading to arrhythmias or other cardiac problems. It is crucial to monitor his heart health, especially in the days and weeks following the incident.

2. Neurological Effects: Nerve damage can result in persistent pain, numbness, or weakness in the affected limbs. Some individuals may also experience changes in sensation, such as the itching your husband is feeling.

3. Muscle Damage: The electrical current can cause muscle contractions and damage, leading to pain or weakness in the affected areas.

4. Psychological Effects: Experiencing an electric shock can be traumatic, and some individuals may develop anxiety, depression, or post-traumatic stress disorder (PTSD) as a result.

In terms of care, it is essential to monitor your husband for any worsening symptoms or new developments. Here are some recommendations:
- Seek Medical Attention: If he has not already done so, it is crucial for him to see a healthcare professional who can assess his condition, conduct necessary tests (such as an EKG to monitor heart function), and provide appropriate treatment.

- Pain Management: If he is experiencing pain or discomfort, over-the-counter pain relievers may help, but it is best to consult with a doctor before administering any medication.

- Skin Care: For the itching, applying a soothing lotion or cream may provide relief. If the itching persists or worsens, a healthcare provider may recommend antihistamines or other treatments.

- Rest and Recovery: Encourage him to rest and avoid strenuous activities until he has been evaluated by a healthcare professional.

- Follow-Up Care: Regular follow-up appointments may be necessary to monitor his recovery and address any ongoing symptoms.

In conclusion, while your husband may experience some itching and discomfort following the electric shock, it is essential to monitor his condition closely and seek medical advice to ensure there are no serious underlying issues. The effects of high voltage electric shock can vary widely, and early intervention can help mitigate potential long-term complications.

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