Quick Answer
If someone is struck by lightning, call 911 immediately. Do not attempt to move the victim unless their body is in a life-threatening position, such as being near a live downed power line. Follow proper first aid and CPR protocols until help arrives.
Assessing the Victim
When a lightning strike victim arrives, quickly assess their airway, breathing, and circulation (ABCs). If they are unresponsive, check for breathing and a pulse. If they are not breathing, begin CPR with 30 chest compressions followed by two breaths. Continue CPR until emergency medical services (EMS) arrive or the victim shows signs of regaining consciousness.
Lightning Strike Burns
Lightning strike burns can be severe, but they may not be immediately apparent due to the electrical current’s destruction of nerve endings. Look for signs of burns, including redness, swelling, blisters, or charring. Do not apply ice or cold water to the affected area, as this can cause further damage. Instead, cover the wound with a non-stick dressing and apply a topical antibiotic ointment. If the burn is severe, cover it with a sterile, non-stick dressing and seek medical attention.
Neurological Assessment
A lightning strike can cause significant neurological damage, including seizures and cardiac arrest. Monitor the victim’s neurological status by checking for signs of confusion, disorientation, or loss of consciousness. If the victim experiences any of these symptoms, seek immediate medical attention. In addition, be aware of any changes in their vital signs, such as a drop in blood pressure or an abnormal heart rhythm. If you are not trained in advanced life support, do not attempt to administer medications or treatments.
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