A Study of Electrical Injuries in Emam Reza Burn Center of Mashhad

Document Type : Research Paper


1 Assistant professor of Surgery, Mashhad University of Medical sciences, Mashhad, Iran

2 Infectious disease specialist, Mashhad University of Medical Sciences, Burn department


Electrical injuries currently remain a world-wide problem. Electrical burn injuries account for fewer than 5% of admissions (reported range 3–9%) to major burn centers. Electrical injuries are arbitrarily divided into high voltage (>1000 V), low voltage (Material and Methods
This descriptive study was done from 2002 to 2006 in burn department of Imam Reza hospital of Mashhad. 132 patients with electrical injuries were admitted to the burn center. Collected data included: age, gender, etiology, burn size, hospital stay, amputation of limb and mortality. Data was gathered in a questionnaire and analyzed by descriptive statistics and frequency distribution tables.
Of 5875 acute burn admissions during a 5-year period, 132 patients (2.4%) had electrical burn injuries. Their mean age was 26 years (range2–63 years). Ninety-seven percent (128 patients) were male, and the extent of burn ranged from 1% to 80% TBSA (mean, 13.8% TBSA). High-voltage electricity caused 75.7% (100 patients) of the electrical injuries, 23.5% (31patients) were caused by low-voltage currents and 0.75% (1 patient) by lightening. Twenty six patients (19.7%) required one or more amputations. Six patients (4.5%) died.
Electrical burn injuries continue to be a serious problem of modern society. Climbing power poles is the most common mechanism for high-voltage injury. Special consideration is required to prevent this type of injury in our region.


1-Mahsoudi H, Yosef A .Electrical and lightning injuries.J Burn Care Res 2007 ; 255-261.
2-Brett D , Gary F . Electrical injuries:a 20– year review .J Burn Care Rehabil 2004; 479-483.
3-Hussmann J, Kucan JO, Russel RC, Bradley T, Zamboni WA. Electrical injuries morbidity, outcome and treatment
rationale. Burns 1995;21:530–535.
4-Hunt JL, Mason AD, Masterson TS, Pruitt BA. The pathophysiology of acute electric burns. J Trauma 1976; 16:335-
5-Maghsoudi H, Pourzand A, Azarmir G. Etilogy and outcome of burns in Tabriz, Iran, An analysis of 2963 cases.
Scand J Surg 2005;94:77–81.
6-Celik A, Ergun O, Izmir GO. Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg
7-Koumbourlis AC. Electrical injuries. Crit Care Med 2002; 30:S424-S430.
8-Rai J, Jeschke MG, Barrow RE, Herndon DN. Electrical Injuries: a 30-year review. J Trauma 1999; 46:933-936.
9-Bailey B, Gaudreault P, Thivierge RL. Experience with guidelines for cardiac monitoring after electrical injury in
children. Am J Emerg Med 2000; 18:671-675.
10- Arnoldo B, Klein M, Gibran NS. Practice guidelines for the management of electrical injuries. J Burn Care Res
2006; 27:439-447.