Lightning
Date Last Search Run: Jan 14, 2025
Table last updated: May 02, 2021
Data last added: Feb 01, 2020
Recommendation
RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION
 
SUPPORTIVE (Green)
NEUTRAL (Yellow)
AGAINST (Red)
NOT YET GRADED (White)
1 (strong evidence exists)
 
 
 
Analgesia (iv narcotic)
C-Spine immobilization
Oxygen
2 (fair evidence exists)
 
 
 
3 (weak evidence exists)
Prolonged Resuscitation
 
 
Interventions
Analgesia (iv narcotic)
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
C-Spine immobilization
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
Oxygen
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
Prolonged Resuscitation
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
III
Supportive (Green)
Survival, neuro intact.
Patient
Other
Anketell J., Wilson FC., McCann J. 'Thunder bolts and lightning' survival and neurorehabilitation following out of hospital cardiac arrest secondary to lightning strike. Brain injury 2018; 32(12) 1585-7.
Medline
III
Supportive (Green)
ROSC
Patient
PH-Paramedic
Marcus MA., Thijs N., Meulemans AI. A prolonged but successful resuscitation of a patient struck by lightning. Eur J Emerg Med 1994; 1(4):199-202.
Medline
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