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Strike of a Bolt: A Case Report

Journal of Indian Academy of Forensic Medicine(2022)

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Abstract
One of the most common causes of death when the nature is involved is by lightning strike. A minor proportion of the electric current is strong enough to create a magnetic field which commonly affects the CNS, CVS and Musculoskeletal system. Overall mortality rate is up to 30% while 70% of the cases survive with chronic sequelae. A varied number of mechanisms of energy transfer and numerous factors like current intensity, path of its course in the body, activity and the position of the person at that moment etc. are involved in the effects of lightening on the human body. It essentially encompasses in multisystem dysfunction. While cardiac arrhythmias are suspected to be the principal cause of death, respiratory paralysis due to CNS involvement is considered as secondary cause and circulatory arrest, injuries of internal organs are some other causes of death listed.
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Key words
bolt,case report
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