Electrical Burns during Fruit Harvesting

Michelle B. Mulder, Gareth P. Gilna, Rahul S. Iyengar, Olga D. Quintana, Dawn C. Nardiello, Joyce I. Kaufman, Louis R. Pizano, Nicholas Namias, Carl I. Schulman, Kenneth G. Proctor

Research output: Contribution to journalArticle

Abstract

Electrocutions during tree trimming or fruit harvesting are occasionally reported in the public media, but the actual incidence is unknown. Some fruit trees (eg, mango and avocado) can exceed 30 feet, with dense foliage concealing the fruit and overlying power lines so burns associated with harvesting these fruits are often exacerbated with falls. However, there are limited data on this subject. To fill this gap, we provide some of the first information on this unique injury pattern. All electrocutions from 2013 to 2018 were retrospectively reviewed at an ABA-verified burn center. Demographics, injury patterns, and complications were analyzed. Of 97 electrocutions, 22 (23%) were associated with fruit procurement. This population was aged 43 ± 14 years, 95% (n = 21) male, injury severity score of 15 ± 13, and total body surface area burned 4% [1%-9%]. Third-degree burns were present in 36% (n = 8). ICU admission was required in 59% (n = 13) and 39% of the survivors required operative interventions for the burn. Compartment syndrome occurred in 18% (n = 4) and 14% (n = 3) patients required amputations. Falls complicated the care in 50% (n = 11), with associated head, chest, and/or extremity trauma. Mortality was 32% (n = 7), with three patients presenting dead on arrival. All but 3 injuries occurred between June and December, coinciding with mango and avocado season. Electrocution during fruit picking is a seasonal injury often exacerbated by falls. Management is challenging, and favorable outcome depends on recognition of the complexity of the polytrauma.

Original languageEnglish (US)
Article numberirz050
Pages (from-to)427-429
Number of pages3
JournalJournal of Burn Care and Research
Volume40
Issue number4
DOIs
StatePublished - Jun 21 2019

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Burns
Fruit
Persea
Wounds and Injuries
Mangifera
Burn Units
Compartment Syndromes
Injury Severity Score
Multiple Trauma
Body Surface Area
Amputation
Survivors
Thorax
Extremities
Head
Demography
Mortality
Incidence
Population

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Mulder, M. B., Gilna, G. P., Iyengar, R. S., Quintana, O. D., Nardiello, D. C., Kaufman, J. I., ... Proctor, K. G. (2019). Electrical Burns during Fruit Harvesting. Journal of Burn Care and Research, 40(4), 427-429. [irz050]. https://doi.org/10.1093/jbcr/irz050

Electrical Burns during Fruit Harvesting. / Mulder, Michelle B.; Gilna, Gareth P.; Iyengar, Rahul S.; Quintana, Olga D.; Nardiello, Dawn C.; Kaufman, Joyce I.; Pizano, Louis R.; Namias, Nicholas; Schulman, Carl I.; Proctor, Kenneth G.

In: Journal of Burn Care and Research, Vol. 40, No. 4, irz050, 21.06.2019, p. 427-429.

Research output: Contribution to journalArticle

Mulder, MB, Gilna, GP, Iyengar, RS, Quintana, OD, Nardiello, DC, Kaufman, JI, Pizano, LR, Namias, N, Schulman, CI & Proctor, KG 2019, 'Electrical Burns during Fruit Harvesting', Journal of Burn Care and Research, vol. 40, no. 4, irz050, pp. 427-429. https://doi.org/10.1093/jbcr/irz050
Mulder MB, Gilna GP, Iyengar RS, Quintana OD, Nardiello DC, Kaufman JI et al. Electrical Burns during Fruit Harvesting. Journal of Burn Care and Research. 2019 Jun 21;40(4):427-429. irz050. https://doi.org/10.1093/jbcr/irz050
Mulder, Michelle B. ; Gilna, Gareth P. ; Iyengar, Rahul S. ; Quintana, Olga D. ; Nardiello, Dawn C. ; Kaufman, Joyce I. ; Pizano, Louis R. ; Namias, Nicholas ; Schulman, Carl I. ; Proctor, Kenneth G. / Electrical Burns during Fruit Harvesting. In: Journal of Burn Care and Research. 2019 ; Vol. 40, No. 4. pp. 427-429.
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