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How to Perform CPR on a Lightning Strike Victim?

April 6, 2026

Quick Answer

Perform CPR on a lightning strike victim by checking for a pulse and breathing, starting CPR if necessary, and continuing for 30 minutes until medical help arrives. Use a defibrillator if available. If the victim is not breathing or has no pulse, initiate CPR with 30 chest compressions followed by two breaths.

Assessing the Victim

When approaching a lightning strike victim, be cautious of potential burns from electrical discharge. Remove any loose clothing and jewelry to prevent further injury. Check the victim’s airway, breathing, and circulation (ABCs) by tilting their head back and lifting their chin to open the airway, listening for breath sounds, and feeling for a pulse. If the victim is unresponsive and not breathing, begin CPR.

CPR for Lightning Strike Victims

Initiate CPR with 30 chest compressions at a rate of 100-120 per minute, followed by two breaths. Continue this cycle for 30 minutes or until medical help arrives. Use a defibrillator if available to restore a normal heartbeat. If the victim has a pulse but is not breathing, provide rescue breaths at a rate of one breath every 6-8 seconds.

Additional Considerations

Be aware of the potential for cardiac arrest, respiratory failure, and neurological damage following a lightning strike. Monitor the victim’s neurological status by assessing their level of consciousness, pupillary response, and motor function. If the victim is showing signs of neurological impairment, such as confusion, weakness, or numbness, it may indicate a more severe injury. Seek medical attention immediately if you suspect a lightning strike injury.

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