Emergency Medical Technician (EMT) Intermediate Practice Exam

When treating a child who was electrocuted and has a small entrance wound, what should you anticipate?

1. Minor external injuries only

2. Extensive internal injuries

3. Cardiac arrest

4. Neurogenic shock

The correct answer is: Extensive internal injuries

When treating a child who has been electrocuted, the presence of a small entrance wound can be deceptive. While the external injury may appear minor, electrical injuries can cause significant and extensive internal damage that is not immediately visible. The pathway of the electrical current through the body can affect various internal organs, particularly those with high water content, such as the heart and brain. In children, whose bodies are still developing, the effects of electricity can differ from adults, leading to the potential for severe complications. Internal injuries might include damage to tissues and organs, disruptions in normal heart rhythm, or even injuries to the nervous system. Furthermore, electrical injuries can result in secondary effects such as muscle damage and the risk of compartment syndrome. Due to these factors, it is crucial to anticipate that internal injuries may be extensive, requiring careful monitoring and management as part of the treatment plan. This understanding emphasizes the need for comprehensive evaluation and potentially life-saving interventions, despite the initial appearance of the injury.