Tetanus prophylaxis is required for any burn. Baseline assessment for all electric injuries includes an ECG, cardiac enzymes, a CBC, and urinalysis, especially for myoglobin. Cardiac monitoring for 12 h is indicated if there is any suggestion of cardiac damage, arrhythmias, or chest pain. Any deterioration in the level of consciousness mandates a CT or MRI scan to rule out intracranial hemorrhage. Victims of lightning injuries may require cardiac resuscitation, monitoring, and supportive care.
Fluid restriction is the rule because of potential brain edema.
Children with lip burns should be referred to a pedodontist or oral surgeon familiar with the evaluation and long-term care of such injuries. All rights reserved.