title: Nature's high-voltage injuries: sometimes a deadly consequence.
abstract: A patient is described who presented with the clinical picture of respiratory failure, persistent comatose state and myocardial injury after being struck by lightning. The discussion reviews the management of lightning injuries with emphasis on cardiovascular and neurological complications.
authors.affiliation: Department of Internal Medicine, Rode Kruis Hospital, Gravenhage, Netherlands.
authors.forename: P K
authors.initials: PK
authors.lastname: Shaw
authors.forename: R E
authors.initials: RE
authors.lastname: Brouwer
authors.forename: P J
authors.initials: PJ
authors.lastname: Spaander
authors.forename: Y I
authors.initials: YI
authors.lastname: Tjandra
mesh_terms: D000328:Adult; D003128:Coma / Q000209:etiology* / Q000503:physiopathology; D017809:Fatal Outcome; D006801:Humans; D015168:Lightning Injuries / Q000150:complications* / Q000503:physiopathology; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000503:physiopathology; D012151:Resuscitation