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  Vol. 3 No. 8, August 1994 TABLE OF CONTENTS
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Clinical Picture

John B. Volinsky, MD; Jeffrey B. Hanson, MD; James V. Lustig, MD; Walter W. Tunnessen, Jr, MD

Arch Fam Med. 1994;3(8):657-658.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WHILE PARTICIPATING in a soccer practice, the 10-year-old boy pictured below suddenly collapsed and was found to have suffered a cardiopulmonary arrest. Cardiopulmonary resuscitation was performed immediately. His trachea was intubated and the lungs were ventilated by paramedics on the field, with spontaneous return of a sinus cardiac rhythm. In the emergency department, the child was combative and had occasional purposeful movements. The findings on cutaneous examination are pictured in Figure 1 through Figure 3. The electrocardiogram, chest roentgenogram, and computed tomogram of the head showed no abnormalities. Before the child collapsed, his teammates reported having heard a loud noise.

Lightning strikes kill up to 300 people each year in the United States, with the highest death rate in adolescents.1,2 Approximately 75% of those who are struck by lightning survive.1,3 Lightning bolts have charges of 10 to 30 million V and a current of 20 to 200 000 A. Unlike . . . [Full Text PDF of this Article]


Author Affiliations



From the Department of Pediatrics, University of Colorado Health Science Center (Drs Volinsky and Lustig) and Presbyterian—St Luke's Medical Center (Dr Hanson), Denver, Colo.






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