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I would do an EKG and discharge if normal. Withstanding the social issue of course.


I follow our provincial guideline http://www.urgencehsj.ca/wp-content/uploads/%C3%89lectrisation.pdf

You will get the french version on the first page, then english version on page 2

I don't think the algorithm got revised recently. Though I am not aware of any new evidence that would suggest it is no longer valid.


Matthieu



Matthieu Vincent

MD, FRCPC

Emergency medicine and Pediatric emergency medicine specialist

Adjunct professor in the department of Paediatrics, Faculty of Medicine, McGill University

Clinical assistant professor, Faculty of Medicine, Sherbrooke University

Emergency departement, Charles Lemoyne hospital, Quebec, Canada

Emergency departement, CHU St-Justine, Quebec, Canada



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De : Pediatric Emergency Medicine Discussion List <[log in to unmask]> de la part de Mathew George <[log in to unmask]>
Envoyé : 2 décembre 2017 17:37
À : [log in to unmask]
Objet : Low voltage superficial electrical burns

hi Peds ED community

6 yr old twins, both very rambunctious, one put bobby pin into a household
socket and other tried to take it out. Both of them suffered superficial
electrical burns in the palm. No exit burns on the opposite side.
Unwitnessed burns basically

Since it is a household socket I assume it wont be more than 220 V

Apart from the wound care , do you observe these patients for 12 to 24
hours for serial EKGs /CKs. When I look at the literature, some of the
references

As a peds hospitalist before I have received similar admissions.

On top of it, grandmother who is the guardian do not want to take them
home, and want to give away ownership.

Withstanding the social issues, would you do serial EKGs in the ED , or
admit for 24 hour observation/serial EKGs in the floor?

Thanks

Mathew

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