ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024
Electrical burns in train climbers treated in the Helsinki Burn Centre during the last 30 years.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Different flames, different fates : A comparative study of surgical interventions and critical care burden in electrical vs. thermal burn injuries.Wiener klinische Wochenschrift · 2026Article
- Integrating Negative-Pressure Wound Therapy in the Therapeutic Protocol of Extensive Pediatric Burns: Current Practice and Further Treatment Decision Algorithm.Medicina (Kaunas, Lithuania) · 2026Article
- High-voltage electrical injury complicated by diffuse pulmonary haemorrhage: a case report.Oxford medical case reports · 2026Article
- Thirty years of high-voltage injuries: comparative analysis of train surfing and work-related cases with a focus on trauma-associated diagnoses.Wiener klinische Wochenschrift · 2026Article
- Forensic analysis of deaths from train and subway surfing.International journal of legal medicine · 2025Article
- High Voltage and Train-Surfing Injuries: A 30-Year Retrospective Analysis of High-Voltage Trauma and Its Impact on Cardiac Biomarkers.Journal of clinical medicine · 2025Article
- High-Voltage Injuries and Train Surfing: A 30-Year Review of Epidemiology, Treatment, and Outcomes.Journal of clinical medicine · 2025Article
- Thirty Years of Experience with High-Voltage Injuries: Mechanisms, Current Flow Patterns, and Implications for Cardiac and Renal Failure in Train-Surfing vs. Work-Related Cases.Journal of clinical medicine · 2025Article
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4 authors.
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Abstract
backgroundPatients who climb onto the roof of a stationary train carriage and sustain a high voltage electrical injury from the overhead cables represent a rare type of electrical injury. The aim of this study was to review all the electrical burns and their outcomes in train climbers treated in the Helsinki Burn Centre during the last three decades.
methods18 patients who had climbed onto the roof of a stationary electric train between November 1993 and December 2022 were included. Trauma- and outcome-related variables were collected. The primary outcome endpoints were in-hospital mortality and major amputations.
results16 (88.9%) patients were male. The median age was 15.5 years (range: 13-29 years). All the burns were high-voltage electrical burns. The mean burn size was 45% of the total body surface area. Three (16.7%) patients died in hospital. The mean length of the Burn Centre stay was 50 days. On average, the patients underwent 5 operations (range: 0-32) during their inpatient stay. Three patients required major amputation. Eight of the patients underwent late operations. Seven (38.9%) patients exhibited late neurological dysfunction or neuropsychological symptoms at long term follow-up. DISCUSSION: In conclusion, train climbers represent a rare group of young patients with electrical burns. Precautionary strategies should be implemented to prevent these injuries that are associated with high morbidity and mortality.
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