A 42-year-old man is admitted to ICU following a high-voltage electrical burn (10,000V). He has entry and exit wounds on his right hand and left foot....

Question

A 42-year-old man is admitted to ICU following a high-voltage electrical burn (10,000V). He has entry and exit wounds on his right hand and left foot. ECG shows sinus tachycardia with occasional VPBs. CK is 25,000 U/L. Urine is dark brown. What specific renal complication must be anticipated and prevented?

Accepted Answer

Myoglobinuric AKI from rhabdomyolysis - requiring aggressive IV fluid resuscitation targeting urine output >200 mL/hr

Answer

Contrast nephropathy

Answer

Obstructive uropathy from a ureteric burn

Answer

Renal artery thrombosis

Answer

Interstitial nephritis from antibiotic therapy

uk-fficm MCQ (SBA): Electrical Burns - Rhabdomyolysis