1. Lesson 14: Lightning Emergency Reference Guide p. 65-66

2. Objectives Describe how lightning can cause injury/death Describe the prevention of a lightning induced injury Describe the emergency treatment & care for lightning injuries Describe when evacuation is necessary in lightning cases

3. Lightning Overview Lightning strikes can cause harm in what ways? –Direct strike: person receives a direct hit –Splash: when strike jumps from its direct target to a person –Ground current: electrical charge from lightning radiates from strike point through the ground –Long conductor: object person is touching is hit (such as a pole or fence) –Blast injury: object such as tree is hit and explodes

4. Types of Lightning Injuries Lightning strikes are dangerous & can affect all parts of the body Types of injuries: –Cardiac or pulmonary arrest –Neurological problems, loss of responsiveness, paralysis, seizures –Blindness, often temporary –Burns, typically superficial & feathery or fern like. Potentially at entrance & exit points –Trauma from strike itself, or being thrown (i.e. fractures, internal bleeding, etc.)

5. Caring for Lightning Injuries When scene is safe, do primary and secondary assessment, do a SAMPLE history & check vital signs Start CPR immediately, if needed Treat other injuries as required Be ready to treat secondary issues, such as hypothermia for patients who are wet

6. Guidelines for Evacuation GO FAST for anyone struck by lightning –Even when person appears to recover. Serious problems sometimes develop later on, after a lightning strike

7. Preventing Lightning Injuries What things should you avoid during a lightning storm?

8. Preventing Lightning Injuries (cont’d.) Things/places to avoid during a storm: –High places & high objects such as tall trees, towers, etc. –Open places (i.e. lakes, fields, areas above timberline) –Damp, shallow caves and tunnels –Overhangs –Flood zones –Long conductors such as fences –Places obviously hit in the past

9. Preventing Lightning Injuries (cont’d.) Know local weather patterns Plan turn around times (time needed to get back to the patient). Stick to your plan (don’t over extend) Plot storms using these methods: –Distance to lightning is 5 seconds/mile –Follow 30-30 rule: seek safe location, if storm < 6 miles away. Wait 30 minutes after storm passes

10. Finding a Safe Spot Activity: –Break into 2 groups Come up with rules for the safest available location

11. Finding a Safe Spot (cont’d.) Move downhill Move out of meadows Seek uniform cover such as rolling hills, or trees all about the same size, low spot among rocks, etc. Take shelter in a metal framed building. Avoid telephones, power wires or touching metal. Remove metal frame packs

12. Finding a Safe Spot (cont’d.) Take shelter in hard topped motor vehicles If boating, get to land and move away from shore Pick safe campsites (see above rules) Provide instruction to all members of group Lightning CAN strike twice in the same location!

13. Assuming a Safe Position If available, stand on an insulator (i.e. life jacket, sleeping pad, etc.) Take off metal framed packs & move away from them Squat or sit in tight body position (get low minimize contact to ground) Do not lie down Cover ears with hands, close eyes, get head close to knees Spread out, at least 100 feet between individuals

14. Questions??? What else could you add to your First Aid Kit?