First Aid Priorities for Lightning Strike Victims — What Comes First?

Assessing the Victim’s Condition

When responding to a lightning strike victim, it’s essential to quickly assess their condition to identify any life-threatening injuries. Start by checking the victim’s airway, breathing, and circulation (ABCs). This involves checking for a pulse, breathing rate, and ensuring the airway is clear. If the victim is unresponsive, not breathing, or not breathing normally, begin CPR (30 chest compressions to 2 breaths) until emergency medical personnel arrive. If the victim is breathing but has a weak pulse, place them in a comfortable position and provide reassurance.

Treating Burns

Lightning strikes can cause severe burns, including electrical burns, which can be difficult to identify. Electrical burns may appear as a small entry and exit wound with no visible signs of burning. To treat burns, immediately remove any constricting items and cool the affected area with cool water for 10-15 minutes. Do not use ice or ice water, as this can cause further damage. Cover the burn with a non-stick dressing or a sterile, non-adherent dressing.

Neurological Assessment and Storm Safety

Perform a neurological assessment by checking for any signs of neurological injury, such as loss of sensation, muscle weakness, or convulsions. If the victim exhibits any of these symptoms, keep them calm and safe, and do not attempt to move them unless absolutely necessary. It’s also crucial to prioritize storm safety by avoiding areas with standing water or tall objects that can conduct electricity. If the storm is severe, seek shelter and wait for it to pass before attempting to assist the victim.