A 45-year-old male construction worker presents after having sustained an electrical burn injury from a high-tension power line. He exhibits an entry wound on his right hand and an exit wound on his left foot. Which immediate concern should be addressed while managing his injuries?
Cardiac monitoring for arrhythmias
Fasciotomy to prevent compartment syndrome
Ensuring airway, breathing, and circulation (ABCs) and initiating fluid resuscitation
The correct answer is ensuring airway, breathing, and circulation (ABCs) and initiating fluid resuscitation. Electrical burns can result in extensive tissue damage and fluid loss, necessitating prompt fluid replacement to maintain perfusion and prevent shock. Cardiac arrhythmias, monitoring for myoglobinuria, and fasciotomy to prevent compartment syndrome are also important, but the immediate priority is stabilizing the patient by managing ABCs and fluid resuscitation.
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