A 28-year-old workman is admitted to the emergency department following an accident whilst working on a construction site. He was witnessed grasping onto a disused metal cable and was unable to let go. The works foreman managed to locate and switch off the electrical source. The patient was initially unconscious for 2-3 minutes but he has had a pulse throughout.
Upon arrival he is confused but talking. His injuries are depicted in the image.
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Given the history that the patient was witnessed to be grasping onto a metal cable, what is the type of current involved and what is the likely magnitude of the current?
Which of the following factors from the history and physical findings, potentially place this patient at greater risk of delayed dysrhythmia?
Basic monitoring has been established (ECG, NIBP, SpO2). Which of the following would be the most appropriate site for intravenous access?