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    LIGHTNING STRIKES
    Random and violent

    Michelle Daugherty was puzzled as she scanned the bright, blue sky over a lake in Hot Springs, Ark. She and her teenage nephew, Brian, had spent much of the muggy morning of July 21, 1992, zipping around on personal water craft when she saw a flash out of the corner of her eye.

    The lightning struck Daugherty in her left shoulder and exited through her right hand and foot. A flotation device kept her face-up in the water until her nephew and a family cruising nearby maneuvered her into their boat and began mouth-to-mouth resuscitation.

    When they reached shore, a bystander began CPR. Paramedics worked on Daugherty for 4 minutes before they detected a heartbeat. They then rushed her to a hospital, where she spent 3 days in the intensive care unit.

    Daugherty is one of the lucky ones. According to the National Oceanic and Atmospheric Administration, lightning was responsible for 2,566 deaths and 6,270 injuries during a 17-year period ending in the mid-1980s. Estimates on the number of lightning-related deaths in the United States each year range from 50 to 300 - with 100 often cited in scientific literature as the average.

    Among weather-related hazards, only flash floods kill more. Tornadoes rank third and hurricanes fourth.

    Even if a bolt isn't fatal, the millions or billions of volts in a single strike can destroy nerves and blood vessels, damage the brain, break bones and burn skin - all in under a second. Lightning can literally knock your socks and shoes off as superheated perspiration on the body turns to explosive steam.

    Lightning injuries

    The severity and types of lightning injuries vary widely from trivial to fatal. Indeed, lightning seems to be unpredictable in its physical effects, according to Dr. Cooper, who co-authored the chapter on lightning injuries in the medical textbook, "Wilderness Medicine: Management of Wilderness and Environmental Emergencies."

    Those suffering minor injuries may say they feel as though they had been hit in the head or been in an explosion. They are often confused, can't remember the incident and may suffer from temporary deafness or blindness. Some may be knocked unconscious; few exhibit burns or paralysis.

    Moderate injuries from lightning include temporary paralysis, especially of the lower extremities. Lightning strikes often cause interruptions in breathing that may become prolonged and lead to cardiac arrest due to diminished oxygen in the blood. Seizures also may occur. Burns may become visible within several hours after the strike.

    Patients with severe injuries may be in cardiac arrest when found. Brain damage may occur from the lightning strike, the shock waves caused by the lightning, or cardiac arrest. Those with severe injuries usually don't survive because of direct lightning damage and delay in CPR. However, resuscitation should be attempted in all lightning strike cases, even if the victim appears to be dead.

    Origins

    Lightning results from friction generated by swirling updrafts within towering storm clouds that create layers of oppositely charged particles. Upper portions of the cloud tend to become positively charged, while lower levels tend to carry a negative charge.

    When the charges within the cloud become strong enough to overcome the insulating qualities of air, a leader stroke from the cloud to the ground initiates the lightning flash. A return stroke then rises from the ground to the cloud causing a bright flash as huge amounts of energy are discharged. Flashes also occur from cloud to cloud and from buildings or mountains to clouds. Scientists attribute thunder to shock waves stemming from the explosive expansion of air superheated to 14,000 F by lightning, which may pack 10 million to 2 billion volts.

    a neurologist whose work focuses on lightning cases, says his team's theory would explain the death of someone like a 32-year-old golfer who went into cardiac arrest after lightning struck a nearby tree. There were no burns or other signs on the man's body to suggest he had been hit directly, according to Cherington, lead author of a report on the data center's research published in the June 13, 1998, issue of The Lancet.



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