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First Aid for Lightning Victims

What to Do if Lightning Strikes While Climbing

By

First Aid for Lightning Victims

A lightning storm over the Teton Range at Grand Teton National Park, Wyoming.

Photograph © Robert Glusic/Getty Images

The worst thing to happen during a thunder storm is that you or someone in your party is struck by lightning.

Follow these first aid steps immediately:

  1. Go or call for medical help immediately.

    Call 911 immediately. This can be difficult if you are in
    the backcountry and don’t have cell phone service and
    are a long way from a trailhead or cell service. Tell
    where you are, provide directions to your location, and
    tell about the number of strike victims and their
    condition.

  2. Assess the situation

    Check out the situation. Was only one person struck or are there multiple victims? Is the storm still raging? Are you safe when you administer first aid? It’s important not to create more casualities. Be aware of continuing lightning danger to victims and rescuers. Don’t expose yourself, the victims, or rescuers to additional lightning risk. If necessary, move the victim to a safer location before providing first aid. Also consider if the victim was directly struck by lightning or struck by ground currents. Direct strikes are, of course, much more serious.

  3. Check for breathing and heartbeat

    Next step is check if the victim is breathing and has a heartbeat. The best places to check for a pulse are at the carotid artery in the neck and the femoral artery behind the knee. Lightning often causes cardiac arrest.

  4. Administer CPR

    If he isn’t breathing and doesn’t have a heartbeat, immediately begin providing CPR, following the current Red Cross specs—2 rescue breaths followed by 30 fast chest compressions in 30 seconds. Continue CPR until rescue arrives, although if there is no response after 30 minutes then the chances of survival are slim. It’s a great idea for every climber to take a basic Red Cross first aid course and get CPR certified so that you can do the right thing in emergency situations.

  5. Other Lightning Injuries

    Besides cardiac and respiratory arrest, other lightning-caused injuries are burns, shock, brain injury, muscular and skeletal damage, and sometimes blunt trauma including broken bones and ruptured organs. Some victims also experience nervous system disruption with loss of consciousness and amnesia. Treat all these injuries with basic first aid until help arrives. Death by lightning usually results from cardiac arrest.

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