2025, Vol. 7, Issue 2, Part B

author(s)
Suganthakumari F

abstract
Electrical burns, particularly from high-voltage exposure, are severe injuries that can lead to extensive tissue destruction, amputations, and systemic complications. This case report presents a 38-year-old male with a history of alcohol consumption who sustained high-voltage electrical burns to the right upper limb, requiring an above-elbow amputation. On admission, he exhibited deep tissue necrosis, bleeding, swelling, hypovolemic shock, and risk of cardiac arrhythmias. Nursing diagnoses included impaired skin integrity, acute pain, risk for infection, deficient fluid volume, impaired physical mobility, anxiety, and ineffective coping. Comprehensive nursing interventions covering emergency resuscitation, wound care, pain management, monitoring, psychological support, and rehabilitation were implemented to stabilize the patient and prevent complications. This case underscores the pivotal role of nurses in life-saving management, recovery, and long-term rehabilitation of patients with severe electrical burn injuries. Early intervention and holistic nursing care are essential for optimal outcomes and improved quality of life.