OBJECTİVE: High voltage electric shocks (1000 V, 50 Hz) are usually seen in electricians, builders and farmers. Electrical burns have many complications.In our case, the region exposed to high tension was the front of the trachea and the trunk.
CASE: 41 years old, male, with no additional disease, 1% 4th degree on the front face of the neck as a result of exposure to high stress, body front face, right upper arm, left upper arm, right forearm, right foot 2nd degree (TBSA8%). The burns on the front face of the neck were life-threatening. When the patient arrived, he had intubated, sedated and inotropic support.
Plastic surgery applied debridement to the necrotic area of the patient's neck. The defect area measurements were taken and the appropriate local transyFlebi was planned. Then the flap was removed and sutured with the appropriate sutures. When we fed the patient, he was on the run from that area, and he was at risk of infection. Debridement was performed by surgeons in other burn areas and closed with burn products. Right foot 5. The finger was amputated on the 15th day of admission. The patient had an arterial hemorrhage in the neck area. Tracheostomy was performed by entubation for 26 days. Patients were intubated for 816 hours during the intensive care unit. Then, a special catheter was operated by the ear nose throat team. As a result, the patient was provided with a comfortable meal.
In the nursing care process, Bleeding Control, Oral Care, tracheostomy care, perine care, Dren follow-up, nasogastric , aspiration, nutrition, pain, 2 hour position, catheter care was routinely applied.
Since the patient was accepted in the physiotherapy program, edema control, positioning, splinting, passive and active exercises for ROM and respiratory physiotherapy were started. In the patient's intensive care unit, bedside seating and bedside seating started as early as possible.
CONCLUSION: Electrical burns are very common in our country and treatment is a trauma that requires a multidisciplinary approach.

1 - A DIFFERENT COMPLICATION IN ELECTRICAL BURNS