Burn progression secondary to cardioversion.

J Burn Care Res

Division of Plastic Surgery, University of Calgary and Foothills Medical Center, Alberta, Canada.

Published: November 2011

Severe burns result in a profound hypermetabolic response. Catecholaminergic surges secondary to the burn injury itself, particularly if superimposed on premorbid cardiac disease, can result in cardiac arrhythmias. If unstable, these cardiac rhythm disturbances necessitate immediate cardioversion to regain normal sinus rhythm. Because of the high impedance at the skin-paddle interface, superficial cutaneous burns have been known to develop secondary to cardioversion. The authors describe a novel case of the subsequent local progression of a previously sustained superficial flame burn to full-thickness burn injury after cardioversion.

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http://dx.doi.org/10.1097/BCR.0b013e3182223f1bDOI Listing

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