International Trauma Life Support (ITLS) Practice Test

Monitoring for dysrhythmias is a critical procedure for a lightning strike victim because electrical injuries can directly affect cardiac function. Lightning strikes can lead to significant disruptions in the heart's rhythm, potentially resulting in arrhythmias or even cardiac arrest. This situation arises because the electrical energy from the lightning can induce a temporary or permanent alteration in the heart's electrical activity.

After assessing and ensuring the victim's safety, healthcare providers must be vigilant in monitoring the heart’s rhythm, especially since many victims of lightning strikes may initially appear stable but can quickly develop serious cardiac issues. Early recognition and treatment of these dysrhythmias can often be lifesaving.

While administering fluids and providing pain management are important components of overall care, they do not directly address the immediate and life-threatening risks associated with potential cardiac dysrhythmias that can arise from the electrical trauma of a lightning strike. Performing a thorough physical exam is also crucial in assessing the extent of the injuries but does not specifically target the critical need to monitor heart activity in the context of lightning strikes.