A 25-year-old man has a high-voltage electrical injury with CK 85000 U/L and dark urine. What specific complication requires aggressive management?...

Question

A 25-year-old man has a high-voltage electrical injury with CK 85000 U/L and dark urine. What specific complication requires aggressive management?

Accepted Answer

Rhabdomyolysis with myoglobinuric AKI - electrical injuries cause deep tissue necrosis far exceeding visible burns; management includes aggressive IV fluid targeting urine output more than 1-2 mL/kg/hr, urinary alkalinisation with IV sodium bicarbonate (urine pH more than 6.5), and monitoring for compartment syndrome

Answer

Superficial burns only

Answer

Hypothermia

Answer

Cosmetic concerns only

Answer

Oral fluids only

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

A 25-year-old man has a high-voltage electrical injury with CK 85000 U/L and dark urine. What specific complication requires aggressive management?