Two cases of electrical injury

A 35-year-old man suffered from electrical injury with a direct current of 440-V voltage while engineering work. Electric current spots were observed on forehead and right buttock. (The electric current was suggested to have traveled from forehead to buttock.) Debridement and suture without graft could be performed for the right buttock burn, on the other hand the forehead burn injury necrotized to periosteum and needed to be reconstructed by the radial forearm free flap. Also, a 63 year-old man suffered from electrical injury with an alternative current of 200-V voltage while engineering work. He was injured with both hands, neck and chest when he used the industrial tool. The neck and chest were epithelized by conservative treatment, but the both hands required Thiersch's skin graft. The serious complications such as arrhythmia or the renal failure were not found with two cases either. The appropriate management and the cooperation with each medical department are required in order that electrical injury can cause systemic complications as well as skin.