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First Aid for Electrocution: Step-by-Step Emergency Response
Critical Sequence
- SCENE SAFETY FIRST. Do NOT touch victim until power is OFF. If live wires, stay back; call 911; wait for utility.
- Disconnect power: Unplug, flip breaker, remove battery. Non-conductive object (dry wood, rope) to move wire if absolutely necessary.
- Call 911. State: "Electrocution," location, victim condition, voltage if known.
- Check responsiveness & breathing. If unresponsive + no normal breathing → START CPR (compressions 100-120/min, 2" depth).
- AED: Apply asap if available; follow prompts.
- Burn care: Cool thermal burns with cool (not ice) water 10–20 min; cover loosely with sterile dressing. Do NOT pop blisters.
- Spinal precautions: Assume C-spine injury if fall/throw; minimize movement.
- Monitor & reassure until EMS arrives.
Injury Spectrum
- Cardiac: arrhythmia, arrest (most common cause of death)
- Burns: entry/exit wounds, deep tissue destruction
- Neurologic: seizures, neuropathy, spinal cord injury
- Musculoskeletal: fractures from tetanic contractions/falls
- Rhabdomyolysis → renal failure
All electrocution victims need medical evaluation—even if initially asymptomatic.
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