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- Title
EP424 CASE REPORT: THE CONTACT DERMATITIS WHICH ARE MISDIAGNOSED AS ELECTRICAL BURN BY DEFIBRILLATOR ELECTRODES.
- Authors
Eun Suk Heo; Young Cheon Na; Hye Mi Lee; Se Oul Lee
- Abstract
Aim: Defibrillation is a treatment for life-threatening cardiac dysrhythmias. The connection between the defibrillator and the patient consists of a pair of electrodes, each provided with electrically conductive gel to ensure a good connection and to minimize electrical resistance. However, it would burn the patient and many cases reported. We introduce the case about the contact dermatitis is misdiagnosed as electrical burn by defibrillator electrodes. Method: A 71-year-old woman was admitted to the cardiology for the uncontrolled arrythmia and AED was used in CPR. The patient consulted to our department because of the bums on the anterior chest where the defibrillator electrodes are attached. A uniform erythema was observed on the anterior chest, and the patient complained of sever pruritus. Similar lesions were observed in the area attached electrodes for EKG monitoring. (Fig. 1A.B.C) The authors were able to diagnosis contact dermatitis rather than electrical bums. We used anti-histamine medication and topical steroid therapy. Results / Discussion: The patient rapidly relieved the symptoms and recovered without complications. Conclusion: Electrically conductive gel attached to the electrodes is classified a wet-gel and a solid-gel. Solid-gel is more convenient, because there is no need to clean the used gel. However, it has higher risk of bums during defibrillation, since wet-gel electrodes more evenly conduct electricity into the body. We identified several other cases in which the above symptoms occurred, even when the electrodes were attached without defibrillation. Therefore, we should distinguish between electrical burns and contact dermatitis according to the symptoms and signs and treat them accordingly.
- Subjects
ITALY; CONTACT dermatitis diagnosis; STEROIDS; ANTIHISTAMINES; CONFERENCES &; conventions; DIAGNOSTIC errors; ELECTRICAL burns; DEFIBRILLATORS
- Publication
Journal of Wound Management, 2023, Vol 24, Issue 2, p272
- ISSN
2788-5771
- Publication type
Article